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20 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Persistent Cough
124/82 68 14 100.4 47y/o M John Davis Homeless shelter Director |
1. TB
2. PNA 3. Bronchiectasis 4. Lung Cancer 5. COPD |
1. CRX
2. PPD 3. Sputum AFB,Gram,Cx 4. HIV 5. |
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Diarrhea and Abdominal Cramping
dec App, lost 7 lbs 118/76 70 14 100.0 27 y/o F Paula Smith ill appearing, No acute Distress |
1. Viral Gastroenteritis
2. Bacterial Gastroenteritis 3. Parasitic Gastroenteritis 4. IBS - Irritable Bowel Syndrome 5. Dietary Irritant |
1. DRE - Digital Rectal Exam
2. BMP - Basic Chemistry 3. Fecal Leukocytes - Fecal WBCs 4. Stool Culture 5. Stool Ova and Parasite |
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Abdominal Pain
graduate student urgent appointment 120/77 74 16 99.9 26 y/o F Susan Anderson lying flat and motionless |
1. Acute Appendicitis
2. Ovarian Cyst 3. Ovarian Torsion 4. Kidney Stones 5. PID |
1. DRE - Digital Rectal Exam
2. Pelvic Exam 3. U/A 4. CBC 5. Abd/Pelvic U/S |
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CP - Chest Pain
Urgent 150/92 88 14 98.4 64y/o M Steve Clark Moderately overweight Diaphoresis First noticed pain mowing the lawn appears troubled |
1. MI
2. Angina 3. AD 4. PE 5. Myocarditis/Pericarditis |
1. EKG
2. CRX 3. Cardiac Enzymes 4. ABG 5. D-dimer |
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Knee and Hip Pain
Retired construction worker Pain is affecting mobility 126/82 74 14 98.4 57y/o M Charles Fisher overweight male in NAD |
1. OA - Osteoarthritis
2. Bursitis / Tendinitis 3. RA - Rheumatoid Arthrtis 4. Lyme Disease 5. Gout |
1. ESR
2. RF - Rheumatoid factor 3. CBC 4. Serum Uric Acid 5. Lyme titer 6. Carotid Artery U/S |
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Fever and Cough
120/82 79 14 102.0 60y/o M Jacob Miller ill appearing breathing comfortably |
1. bacterial PNA
2. Atypical PNA 3. TB 4. PE 5. COPD |
1. CBC
2. CXR 3. Sputum AFB, Gram, Cx 4. ABG 5. |
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Confusion
cannot move right arm and leg urgent assessment 156/98 70 14 98.9 76y/o F presents who is brought in by her husband. She acts surprised to see you and seems completely unaware that anything is wrong |
1. Stroke
2. TIA 3. Neoplasm 4. IC hemorrhage 5. Toxic exposure |
1. Head CT scan
2. BMP 3. CBC 4. PT / PTT 5. EKG |
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Urinary Frequency,Urgency, and Pain
132/88 70 16 100.0 22y/o F Jennifer Nelson sitting comfortably on exam table. |
1. Lower UTI
2. Vaginitis 3. Urethritis 4. External irritant (tampon,contraceptive) 5. Nephrolithiasis |
1. Pelvic Exam
2. U/A 3. Urine Gram stain, Cx 4. KOH preparation 5. DNA probe for Gonorrhea and Chlamydia |
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Cough, SOB,Chest Tightness
urgent appointment 130/86 70 24 98.9 21y/o M James Daniels young male with labored breathing |
1. Asthma
2. Bronchiolitis 3. Atypical PNA 4. PNX 5. Tumor |
1. ABG
2. CBC 3. PFTs 4. CRX 5. Sputum for Gram stain,Cx |
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Weakness and Skin itches
college student 118/70 64 24 100.2 21y/o F Jane Becker jaundiced and scratching her abdomen |
1. Viral Hepatitis
2. Infectious Mononucleosis 3. Cholecystitis 4. Toxic Exposure 5. Hemolytic Anemia |
1. CBC
2. LFTs and Bilirubin 3. Hepatitis serology panel 4. Monospot test fir EBV 5. U/A |
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Headaches
No HA now but last HA was 2 days ago. Otherwise healthy Attorney. 124/78 64 14 98.7 31y/o M John Andrews health appearing male NAD. |
1. Migraine-HA-Classic
2. Tension-HA 3. Cluster-HA 4. Sinusitis 5. Depression |
1. Funduscopic exam
2. CBC 3. BMP 4. 5. |
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Postcoital Spotting.
Lives 4 hrs away and doesn't see an MD regularly. Husband, Mr. Ronald Jackson or 30 years presents with her. 126/84 68 16 98.5 Pt is moderately overweight and sitting comfortably on examination table. |
1. Cervical Neoplasm
2. Uterine neoplasm 3. Cervical polyps 4. Atrophic Vaginitis 5. Trauma |
1. Pelvic exam
2. Recal exam 3. Pap smear 4. Colpscopy and Endocervical curettage 5. Pelvic U/S |
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Vaginal bleeding,
24y/o F G2P1 31wks IUP 128/86 74 16 98.9 FHR 140 24y/o F Mary Evans, G2P1, IUP at 31 wks. Pregnant F sitting comfortably on exam table. |
1. Placenta previa
2. Placental abruption 3. PTL 4. Trauma 5. Coagulation disorder |
1. Pelvic U/S
2. Pelvic exam 3. CBC 4. PT prothrombin time 5. PTT partial thromboplastin time |
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Foot Pain.
126/82 72 14 101.0 60y/o M James Jensen Obese, Diaphoretic, sitting on exam table with Left shoe off. |
1. Gout
2. Pseudogout 3. Septic arthritis 4. Osteomyelitis 5. Lyme Disease |
1. Serum Uric Acid
2. Joint Aspiriation 3. Crystal analysis, Cx, Gram stain of synovial fluid 4. CBC 5. BMP |
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Trouble Urinating
132/74 70 14 98.7 72 y/o M Peter Watson Moderately overweight, sitting comfortably on exam table. |
1. Prostatic Hypertrophy -BPH
2. Prostate Cancer 3. Prostatitis 4. UTI 5. Nephrolithiasis |
Rectal Exam
U/A BMP CBC PSA - prostate specific exam |
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Pain and Swelling of Left Leg.
Just returned from cross-country drive in truck. Otherwise healthy. 138/74 68 14 98.6 36y/o M John Huggins, truck driver, sitting comfortably. |
1. Venous thrombosis, DVT
2. Cellulitis 3. Hematoma 4. Compartment syndrome 5. Rupture Popliteal cyst (Baker's cyst) |
1. Lower Leg Doppler U/S
2. CBC 3. PT and PTT |
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Burning Chest Pain
146/38 78 16 99.0 52y/o M Joseph Thomas, sitting comfortably on exam table |
1. PUD
2. Gastritis 3. GERD 4. Pancreatitis 5. Neoplasm |
1. CBC
2. BMP 3. Amylase, Lipase 4. Upper endoscopy 5. Helicobacter Pylori serology |
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Lower Back Pain,
otherwise healthy 130/80 74 14 98.6 45y/o M Joshua Thompson, sitting comfortably. |
1. Sprain
2. Herniated disc 3. Osteoarthritis 4. Lumbar spinal stenosis 5. Tumor |
1. No further testing is necessary
2. 3. 4. 5. |
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Abdominal Pain and Vaginal Bleeding,
20y/o F G2P1, 8wks by LMP 116/80 86 14 98.0 20y/o F Maria Baker, G2P1, 8wks by LMP Healthy-appearing pt sitting on exam table holding g\her lower abdomen. Mr Joseph Roberts, the pt's BF and baby's father, is present. |
1. Ectopic Pregnancy
2. Threatened Abortion 3. PID 4. Endometriosis 5. Ovarian cyst |
1. Pelvic Exam
2. Quantitative B-HCG 3. U/A 4. CBC 5. Pelvic U/S |
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Nausea, Vomiting, and Abdominal Pain.
132/72 72 14 98.7 46y/o F Jennifer Peterson, Pt is obese, diaphoretic, in obvious discomfort. |
1. Biliary colic
2. Cholycystitis 3. Cholangitis 4. PUD 5. Pancreatitis |
1. Abdominal U/S
2. Serum Bilirubin 3. ALKP 4. CBC 5. Amylase / Lipase |
