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18 Cards in this Set
- Front
- Back
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Ddx for headache
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Migraine / tension / cluster / analgesic HA
PRESSURE: pseudotumor cerebri INFECTION: meningitis, sinusitis CNS vasculitis vertebral artery dissection NERVE: trigeminal neuralgia, cervical spine |
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Physical exam for headache
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inspection and palpation of head
ENT fundoscopic exam complete neurologic exam |
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Workup for headache
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CBC
ESR, + CRP if TA suspected doppler (TA) Ct head (bleed, trauma) MRI (tumor) LP (meningitis or NPH) PT/PTT for hemorrhage |
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Ddx for confusion
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Dementias: vascular/Alzhemier's/frontotemporal
Pressure: NPH, chronic subdural, tumor endocrine: B12/VRDL/TSH metabolic: LFT, ammonia, hypo/hypernatremia fever/infection/sepsis |
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Physical exam for confusion
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vitals
neuro exam including gait MMSE ENT heart/lungs/abdomen/extremities |
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workup for confusion
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CBC
chem 7 for hyponatremia, siadh CT (bleed, trauma) MRI (tumor) endocrine: B12/VRDL/TSH glucose EEG if seizure or CJD ECG if cardiac |
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workup for depression
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CBC
TSH urine tox, blood alcohol |
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physical exam for depression
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head and neck
mse |
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physical exam for dizziness
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vitals
head and neck exam neuro exam including gait romberg nystagmus dix-hallpike CARDIO exam lung? |
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ddx for dizziness
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BPV
labyrinthitis Meniere's acoustic neuroma DEHYDRATION / orthostatic htn BLOOD LOSS ACUTE RENAL FAILURE tumor / cerebellar or brain stem |
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workup for dizziness
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CBC
electrolytes if hydration suspected BUN / Cr orthostatics VDRL if Meniere's suspected (cause) audiogram if BPV suspected electronystagmography MRI/MRA of brain |
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physical exam for loss of consciousness
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vitals
orthostatics complete neuro exam CAROTIDS CARDIAC exam LUNG exam |
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ddx for loss of consciousness
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NEURO: seizure, stroke
vasovagal syncope convulsive syncope ELECTRO: hypoglycemia, dehydration, CARDIAC causes: arrthymia aortic stenosis MI stroke pulmonary embolism intoxication |
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workup for loss of consciousness
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CBC
chem 7 CARDIAC: ECG, echo, Holter (arrhythmia) NEURO: EEG (seizure, CJD), CT head (bleed, trauma) MRI (tumor) doppler if stroke/TIA suspected glucose if hypoglycemia suspected |
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physical exam for numbness/weakness
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neuro exam
relevant musculoskeletal exam relevant vascular exam |
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physical exam for fatigue
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conjuctiva/oropharynx/LA
THYROID EXAM basic cardiac/lung/abdomen RECTAL EXAM FOR BLOOD |
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ddx for fatigue
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Anemia
hypothyroid diabetes sleep apnea, narcolepsy, circadian systemic dz (cancer, etc) psychiatric |
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workup for fatigue
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CBC, chem 7
GUIAIC AND RECTAL EXAM (anemia) BUN/Cr TSH polysomnography |
