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15 Cards in this Set
- Front
- Back
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lung cancer
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Lung Cancer
Hx MC ■Cough ■Dyspnea ■Blood streaked sputum ■Smokes tobacco C ■Weight loss LC ■Hemoptysis onset < 24 hours PE MC C LC ■Appears chronically ill/malnourished ■Rhonchi |
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Pneumonia
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Pneumonia
Hx MC ■Cough ■Fever C ■Hemoptysis onset < 24 hours ■Dyspnea ■Purulent sputum ■Prodromal URI S/S ■Drug/Alcohol abuse ■Smokes tobacco LC ■Blood streaked sputum ■Age <40 PE MC ■Rhonchi C ■Crackles ■Dullness LC |
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Pulmonary Embolus
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Pulmonary Embolus
Hx MC ■Hemoptysis onset < 24 hours ■Dyspnea C ■Immobility ■Blood streaked sputum ■Cough ■Leg pain or swelling ■Smokes tobacco LC ■Fever PE MC C LC Labs MC |
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Wegener's Granulomatosis
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Wegener’s Granulomatosis
Hx MC ■Age <40 C ■Blood streaked sputum ■Sinusitis ■Male LC ■Arthralgia/Arthritis ■Fever ■Cough ■Prodromal URI S/S PE MC C ■Blood in nares or throat LC |
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Goodpasture's Syndrome
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Goodpasture's Syndrome
Hx MC ■Male C ■Hematuria ■Age <40 ■Dyspnea ■Blood streaked sputum ■Decreased urine output LC ■Smokes tobacco ■Prodromal URI S/S |
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Coagulopathy
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Coagulopathy (unspecified)
Hx MC ■Medications: Antiplatelet/Anticoagulants ■Bruising ■Blood streaked sputum C ■Hematuria ■Drug/Alcohol abuse LC PE MC C ■Blood in nares or throat LC |
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Tuberculosis
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Tuberculosis
Hx MC C ■Night sweats ■Cough ■Blood streaked sputum ■Fever ■Weight loss ■Dyspnea LC ■Hemoptysis onset < 24 hours ■Drug/Alcohol abuse ■Prodromal URI S/S PE MC C ■Appears chronically ill/malnourished LC |
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z HX: A 42 year old white female presents with hemoptysis over the past 17 hours. The sputum is blood streaked. Associated Findings include: mild dyspnea and leg pain. On further review of medical history you determine that the patient has been recently immobile for 5 days from a flair up of an old lumbar disc injury. Past Medical History includes gastric reflux. Past Surgical History includes an inguinal hernia repair. The patient's current medication list does not include anticoagulants.
PE: Vital Signs normal with a mild systolic elevation at approximately 161. Appearance is unremarkable. HEENT: normal. CARDIAC exam is unremarkable. RESPIRATORY findings are unremarkable. EXTREMITIES are positive for varicosities. NEURO Exam is normal. |
pulmonary embolus (leg pain, immobility)
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z HX: A 45 year old white male presents with hemoptysis over the past 8 days. The sputum is described as clots of blood and purulent. Associated Findings include: mild dyspnea, a recent temperature elevation and prodromal flu-like symptoms. On further questioning you determine that the patient is probably hydrocodone dependent and smokes 1 pack per day. Past Medical History includes hypertension. Past Surgical History includes lumbar discectomy. The patient's current medication list does not include anticoagulants.
PE: Vital Signs are unremarkable. Appearance is unremarkable. HEENT: normal. CARDIAC exam is unremarkable. RESPIRATORY findings: rhonchi, crackles and dullness. EXTREMITIES are unremarkable. NEURO Exam is normal. |
pneumonia (purulent sputum, prodromal flu like symptoms, fever, rhnchi, crackles, dullness
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z HX: A 44 year old hispanic female presents with hemoptysis over the past 6 days. The sputum is blood streaked. Associated Findings include: cough, mild to moderate dyspnea and 12 pound weight loss over the past 7 weeks. On further review of medical history you determine that the patient smokes 1-2 packs per day. Past Medical History includes gastric reflux. Past Surgical History includes an appendectomy. The patient's current medication list does not include anticoagulants.
PE: Vital Signs normal with a mild systolic elevation at approximately 159. Appearance is unremarkable. HEENT: normal. CARDIAC exam is unremarkable. RESPIRATORY findings: rhonchi. EXTREMITIES are positive for varicosities. NEURO Exam is normal. |
lung cancer (cough, weight loss, dyspnea, rhonchi, smoker, varicosities)
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z HX: A 23 year old black female presents with hemoptysis over the past 3 days. The sputum is described as clots of blood. Associated Findings include: cough, sinusitis and arthralgia. Past Medical History includes type II diabetes. Past Surgical History includes cholecystectomy. The patient's current medication list does not include anticoagulants.
PE: Vital Signs normal with a mild systolic elevation at approximately 158. Appearance is unremarkable. HEENT: blood in nares. CARDIAC exam is unremarkable with a slight atrial arrythmia. RESPIRATORY findings: rhonchi. EXTREMITIES are positive for varicosities. NEURO Exam is normal. |
Wegener's Granulomatosis (arthralgia, sinusitis)
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z HX: A 23 year old black female presents with hemoptysis over the past 13 hours. The sputum is blood streaked. Associated Findings include: hematuria and night sweats. On further review of medical history you determine that the patient is alcohol dependent and has a history of easy bruising. Past Medical History includes gastric reflux. Past Surgical History includes an inguinal hernia repair. The patient's current medication list includes coumadin.
PE: Vital Signs normal with a mild systolic elevation at approximately 163. Appearance is unremarkable. HEENT: blood in nares. CARDIAC exam is unremarkable with a slight atrial arrythmia. RESPIRATORY findings are unremarkable. EXTREMITIES are unremarkable. NEURO Exam is normal. |
coagulopathy (unspecified) - (medication coumadin warfarin anticoagulant, easy bruising, blood in nares)
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z HX: A 18 year old black male presents with hemoptysis over the past 5 hours. The sputum is blood streaked and purulent. Associated Findings include: cough, a recent temperature elevation, night sweats and 14 pound weight loss over the past 5 weeks. Past Medical History includes type II diabetes. Past Surgical History includes lumbar discectomy. The patient's current medication list does not include anticoagulants.
PE: Vital Signs are unremarkable. APPEARANCE: malnourished. HEENT: normal. CARDIAC exam is unremarkable with a slight atrial arrythmia. RESPIRATORY findings: dullness. EXTREMITIES are unremarkable. NEURO Exam is unremarkable with mild anxiety. |
tuberculosis (night sweat, cough, fever, weight loss, purulent sputum, malnourished)
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z HX: A 27 year old asian male presents with hemoptysis over the past 3 days. The sputum is described as clots of blood. Associated Findings include: mild to moderate dyspnea, hematuria, mild decreased urinary output and prodromal flu-like symptoms. Past Medical History includes chronic back pain. Past Surgical History includes cholecystectomy. The patient's current medication list does not include anticoagulants.
PE: Vital Signs are unremarkable. Appearance is unremarkable. HEENT: normal. CARDIAC exam is unremarkable. RESPIRATORY findings: rhonchi. EXTREMITIES are unremarkable. NEURO Exam is unremarkable with mild anxiety. |
Goodpasture's syndrome
male, hematuria, decreased urine output, prodromal flu like |
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z HX: A 18 year old asian male presents with hemoptysis over the past 6 days. The sputum is blood streaked. Associated Findings include: cough, mild dyspnea, arthralgia, night sweats and prodromal flu-like symptoms. On further review of medical history you determine that the patient is alcohol dependent. Past Medical History includes chronic back pain. Past Surgical History includes lumbar discectomy. The patient's current medication list does not include anticoagulants.
PE: Vital Signs are unremarkable. APPEARANCE: malnourished. HEENT: normal. CARDIAC exam is unremarkable with a slight atrial arrythmia. RESPIRATORY findings are unremarkable. EXTREMITIES are positive for varicosities. NEURO Exam is normal. |
tuberculosis (dyspnea, nightsweat, drug/alcohol abuse, chronically ill) NOT Wegener;s Granulomatosis
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