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42 Cards in this Set
- Front
- Back
70 yo woman,
ripping chest pain to back, Nausea, HTN, CAD |
Aortic Dissection
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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
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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
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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) |
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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
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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
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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
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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) |
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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)
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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
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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
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Migraine HA
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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) |
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Sudden onset of dyspnea, tachycardia, retrosternal chest pain
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Pulmonary emoblism
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38 yo Female;
crampy RUQ pain worse with eating |
acute cholecystitis
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SOB w/ JVP, crackles, LE edema, S3
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CHF
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SOB w/ crackles, egophony, dull to percussion
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Pneumonia
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SOB w/ tachycardia
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Pulm embolism
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SOB w/ decr breath sounds; hyperresonant; deviated trachea
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Pneumothorax
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SOB worsening w/ exertion; Coughs, Fever, and Chills
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Pneumonia
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SOB that's sudden onset; hempoptysis in a sedentary person
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Pulm embolism
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sudden onset SOB post-trauma
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Pneumothorax
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Cough, Fever, Wt loss, hemoptysis, Night sweats; Homeless
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Tb
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Abdominal pain, N/V, epigastric, Radiate to back; alcoholic
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Pancreatitis
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Fever, N/V, + Murphy's sign, colicky pain, RUQ
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Cholecystitis
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Hematochezia, constipation, abdominal pain, elderly, LLQ
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Diverticulitis
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Anorexia, Fever, Abd pain, McBurney's pt tenderness; RLQ
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Appendicitis
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Fatigue, SOB, palpitations, conjuctival pallor, melena
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Anemia (esp. iron deficiency clues of melena & pallor(
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anorexia, N/V, fatigue, confusion, asterixis, decr urine output, pericardia friction rub
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uremia (kidney fail)
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HA, N/V, Tunnel vision precipitating event; phonophobia/photophobia, Fam Hx of HA
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Migraines
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HA improved w/ acetaminophen; neck pain, band-like; + stressors
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Tension HA
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unilateral HA; rhinorrhea, lacrimation, "icepicks behind eye"
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Cluster HA
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College student w/ Fever w/ neck stiffness; Photophobia
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Meningitis
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HA esp. in early morning; Vomiting, confusion, Visual changes and seizures
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Incr intracranial pressure (tumor / mass effect)
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Nausea, Diaphoresis, SOB, Pain radiate to upper neck; Pressure-like chest pain; + Levine sign (clenched fist over chest)
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MI
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Chest pain, chronic cough; metallic taste; worse w/ large meals; burning substernal pain
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GERD
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SOB, Chest pain, OCP use, pleuritic pain, sudden onset, unilateral LE swelling
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Pulm embolus
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Pain in the chest that's reproducible by pressing between the ribs, which produces excruciating pain esp. after exercise
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Costochondritis (inflammation of the costal cartilage -- the cartilage that connects ribs to the sternum)
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Pain of antr chest, radiating to neck and back; ripping and tearing pain that is abrupt in onset x 3 hrs; Hx of HTN
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Dissecting aortic aneurysm
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Retrosternal crushing pain that is persistent; worse w/ breathing, coughing, lying down, changing positions;
relieved by sitting forward |
pericarditis
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Sharp knifelike pain of the chest, that is severe and persistent; worsened by breathing, coughing, mvt of the trunk; recently Dx w/ pneumonia
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Pleural pain (inflammation of the parietal pleura)
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N/V, wt gain, fatigue, back pain, amenorrhea
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Pregnancy
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Lower back pain; LE numb & weak; saddle anesthesia; bowel / bladder incontinence
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Spinal cord compression
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