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42 Cards in this Set

  • Front
  • Back
70 yo woman,
ripping chest pain to back,
Nausea, HTN, CAD
Aortic Dissection
25 yo w/ chest pain,
knife-like for days,
3-5 secs of pain;
resting alleviates,
breathing deep aggravates;
R side pain;
3 weeks ago URI w/ cough
Pleuritis / Pleurisy
65 yo w/ crushing chest pain in center of chest; started 3 hrs ago; radiates to L arm;
N/V;
Hx of HTN;
FHx of MI
MI
24 yo male;
R abd pain x 12 hrs
RLQ pn;
decr appetite; N, but no Vomit, no fever or chills, no diarrhea;
T: 100.4';
decr bowel sounds; rebound tenderness; involunt. guarding
acute appendicitis
(remember = no appetite! will deny your hamburger)
26 yo male w/ severe abd pain that radiates to the back after 1 hrs;
began after heavy drinking, vomit;
Hx of 10 beers/night/weekend;
afebrile & tender LUQ/epigastric;
negative murphty's
acute pancreatitis
75 yo; Abd pain x 3 days;
constipation, fever, diffuse pain in abd; lots of peanuts at ball game a few days go;
Hx of CAD, HTN;
FHx of Colon CA;
Normal bowel sounds;
LLQ tenderness;
No rebound tenderness
Acute diverticulitis
45 yo male w/ black stools for weeks; abdominal wt gain;
PMHx of cirrhosis;
10 drinks/day for 25 yrs;
Smokes, heroine use;
Skin has yellow tinge;
Caput medusae, diffuse abd tenderness, esp. strong in epigastric region
esophageal varices
50 yo woman, SOB, productive cough, yellow sputum, acute onset; URI last week;
Hx of DM, hypercholesterolemia;
Temp = 101.5; nose edematous, lung exam: air movement, coarse crackles in left lower lobe; incr tactile fremitus; dull to percussion
Pneumonia
(dull to percussion = S/S of lung consolidation)
60 yo male w/ progressively worsening SOB or 6 mths; 40 pack yr smoking; worsened w/ exertion, alleviated by rest;
cough w/ mucoid sputum; incr AP diameter of chest; hyperresonant lungs, breath sound, prolonged expiratory phase; no whisper pectrolioquy, no egophony
COPD (emphysema)
15 yo male w/ SOB x 2 hrs;
R chest pain;
Denies hx of illness or trauma;
Abnormally tall and thin looking;
Sweating, tachpneic; Hyperresonant
Spontaneous pneumothorax
40 yo woman w/ HA; throbbing; loated in R temporal region; 8/10 pain; for a few hours; Nausea & photophobia; Worse than in the past
Migraine HA
30 yo woman w/ lower back pain; works for post office; bent down to pick up a bag; sudden onset of lower back pain in lumbar region and burning;
radiates down to knee;
numbness & tingling in buttock and leg;
pain worse w/ cough, sneezing, and leaning fwd;
weakness in R leg
Disc herniation / Sciatica
(maybe mm. strain)
Sudden onset of dyspnea, tachycardia, retrosternal chest pain
Pulmonary emoblism
38 yo Female;
crampy RUQ pain worse with eating
acute cholecystitis
SOB w/ JVP, crackles, LE edema, S3
CHF
SOB w/ crackles, egophony, dull to percussion
Pneumonia
SOB w/ tachycardia
Pulm embolism
SOB w/ decr breath sounds; hyperresonant; deviated trachea
Pneumothorax
SOB worsening w/ exertion; Coughs, Fever, and Chills
Pneumonia
SOB that's sudden onset; hempoptysis in a sedentary person
Pulm embolism
sudden onset SOB post-trauma
Pneumothorax
Cough, Fever, Wt loss, hemoptysis, Night sweats; Homeless
Tb
Abdominal pain, N/V, epigastric, Radiate to back; alcoholic
Pancreatitis
Fever, N/V, + Murphy's sign, colicky pain, RUQ
Cholecystitis
Hematochezia, constipation, abdominal pain, elderly, LLQ
Diverticulitis
Anorexia, Fever, Abd pain, McBurney's pt tenderness; RLQ
Appendicitis
Fatigue, SOB, palpitations, conjuctival pallor, melena
Anemia (esp. iron deficiency clues of melena & pallor(
anorexia, N/V, fatigue, confusion, asterixis, decr urine output, pericardia friction rub
uremia (kidney fail)
HA, N/V, Tunnel vision precipitating event; phonophobia/photophobia, Fam Hx of HA
Migraines
HA improved w/ acetaminophen; neck pain, band-like; + stressors
Tension HA
unilateral HA; rhinorrhea, lacrimation, "icepicks behind eye"
Cluster HA
College student w/ Fever w/ neck stiffness; Photophobia
Meningitis
HA esp. in early morning; Vomiting, confusion, Visual changes and seizures
Incr intracranial pressure (tumor / mass effect)
Nausea, Diaphoresis, SOB, Pain radiate to upper neck; Pressure-like chest pain; + Levine sign (clenched fist over chest)
MI
Chest pain, chronic cough; metallic taste; worse w/ large meals; burning substernal pain
GERD
SOB, Chest pain, OCP use, pleuritic pain, sudden onset, unilateral LE swelling
Pulm embolus
Pain in the chest that's reproducible by pressing between the ribs, which produces excruciating pain esp. after exercise
Costochondritis (inflammation of the costal cartilage -- the cartilage that connects ribs to the sternum)
Pain of antr chest, radiating to neck and back; ripping and tearing pain that is abrupt in onset x 3 hrs; Hx of HTN
Dissecting aortic aneurysm
Retrosternal crushing pain that is persistent; worse w/ breathing, coughing, lying down, changing positions;
relieved by sitting forward
pericarditis
Sharp knifelike pain of the chest, that is severe and persistent; worsened by breathing, coughing, mvt of the trunk; recently Dx w/ pneumonia
Pleural pain (inflammation of the parietal pleura)
N/V, wt gain, fatigue, back pain, amenorrhea
Pregnancy
Lower back pain; LE numb & weak; saddle anesthesia; bowel / bladder incontinence
Spinal cord compression