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18 Cards in this Set
- Front
- Back
A young male w/ a sore throat and yellowing of the skin DDX
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-mono
-Hep A,C -Strep pharyngitis -HIV |
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A young male w/ a sore throat and yellowing of the skin PE
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-general appearance
-vitals: BP, pulse, resp, temp, height, weight -HEENT (don't forget sinuses) -Neck (lymph nodes) -skin -abdomen -quick heart + lung? |
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25 y/o female in ER c/o L calf pain x 2 days - DDX:
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-DVT
-muscle strain -tumor -arterial embolus -cellulitis |
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25 y/o female in ER c/o L calf pain x 2 days
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-general appearance
-vitals -peripheral vascular of LE (inspect, palpate inguinal nodes, pulses, temp, edema, stand, homan's) -heart -lung |
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20 y/o female c/o abd. pain, fever, nausea PE:
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-General appearance
-vitals -abdominal (mention rectal/vag first!) -special tests: cutaneous hyperesthesia, rebound, rovsing's, reffered rebound, obturator, iliopsoas -heart -lung |
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59 y/o male c/o L sided CP PE:
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-general appearance
-vitals -heart (including carotid arteries and JVP) -lung (possibly bronchophony, egophony, whispered pectoriloquy) -skin...? |
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36 y/o male c/o R knee pain PE:
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-general appearance
-vitals -hip (including thomas test) -knee (including, balloon, balottment, bulge, mcmurrays, lachman, drawers, collaterals) -ankle -skin (don't forget to mention groin) |
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27 y/o male w/ lower back pain radiating to thigh
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-general appearance
-vitals -neuro on legs: muscle strength, motor, sensory (light touch, sharp/dull, vibration, position,don't forget to say medial aspect of buttock), reflexes (don't forget babinski, clonus) -cervical spine -thoracic/lumbar spine -hip MS -knee MS -ankle MS -limb length -test for herniated disc -thomas test -scoliosis test |
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headache
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-gen appearance, vitals
-entire neuro -head + neck, tmj -fundo -brudzinski + kernig -skin |
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cough
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-gen appearance, vitals
-HEENT -lung -heart -calf |
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joint pain
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-gen appearance, vitals
-skin -gait for hip and down -palpate, ROM's -pulses distal to pain -strength, sensory, reflexes distal to pain -limb length |
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chronic fatigue
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-gen appearance, vitals
-mention rectal and vaginal -skin, nails -eyes incl. fundo -lips + tongue -heart -spleen -neuro: romberg, babinsky, vibration |
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hypothyroidism
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-gen appearance, vitals
-skin -hair -eyes -voice -tongue -thyroid -hearing -heart -lungs -joints for effusion -DTR's -extremities for pitting edema |
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mononucleosis
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-gen appearance, vitals
-skin -sclera -mouth/pharynx -neck -abdomen -selected neuro - bell's palsy? |
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heart failure
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-gen appearance, vitals
-heart -JVD and HJR -lungs -abdomen -feet and ankles for edema |
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dizziness/lightheadedness/presyncope/vertigo
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-gen appearance, vitals + orthostasis
-whole neuro -skin -heart + carotid bruits -HEENT -rectal |
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hyperthyroidism
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-gen appearance, vitals
-skin/nails -head/eyes -neck -heart -hands (tremor) -legs (edema) -DTR's |
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abdominal pain
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-gen appearance, vitals
-first mention rectal and vaginal -whole abdominal -special tests: abd fist percussion, CVA fist percussion, iliopsoas, obturator, rebound, rovsings, referred rebound, murphy's, cutaneous hyperesthesia, ventral hernia, abd mass, fluid wave, shifting dullness -heart -lung |