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49 Cards in this Set
- Front
- Back
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65 yo man with worsening cough over last 6 months, with hemoptysis, dyspnea, weakness, weight loss, heavy smoker
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lung ca
tb pneumonia abscess chest ct ppd sputum stain and culture, cytology cbc, chem 7 |
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55 y/o with dyspnea, sputum, over past 3 days. has COPD, not using his inhaler
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COPD
pneumonia lung ca cxr cbc pfts sputum stain and culture ct |
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34 yo nurse with 6wks of cough. weight loss, fatigue, night sweats
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tb
pneumonia ca ppd sputum stain ct cxr |
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35 yo sob and cough
unprotected sex, recent exposure to active tb |
HIV/TB
Chlamydia Pneumonia HIV test PPD CXR Sputum stain |
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50 yo with cough, worse lying down, need to prop head up
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CHF
CXR echo cardiac markers ECG CBC BNP |
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60 yo m with sudden onset of substernal heavy chest pain that has lasted for > 30 min and radiates to l arm. pain si accompanied by dyspnea, diaphoresis, nausea. hx of htn, hyperlipidemia, smoking
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MI
GERD Angina ECG Troponin cxr echo Cardiac cath cbc chem 7 |
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20 yo aa f with actue severe chest pain
hx of sickel cell |
acute chest syndrome
PE pneumothorax CXR CBC, retic count, LDH, peripheral spmear ABG trops ECG CT with IV contrast |
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45 yo with burning sensation after heavy meals.
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GERD
Cardiac PUD Esophageal spasm EGD CBC ECG Barium swallow |
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55 yo with retrosternal squeezing pain that lasts for 2 mins and occurs with exercise.
relievd by rest |
angina
GERD cxr ecg exercise stress test cbc trops lipid panel chemistries |
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34 yo f with retrosternal stabbing pain, better with leaning forward, worse with deep inspiration
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pericarditis
pneumonia aortic dissection mi costochondritis gerd ecg trops cxr echo cbc chemistries |
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34 yo with stabbing schest pain, worse with deep insp, chest wall tenderness
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costochondritis
pneumonia mi pe pericarditis muscle strain ecg cxr cbc |
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70 yo with actue sob at rest and pleuritic cp. also tachycardic, hypotension, tachypnea, fever. s/p surgery
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pe
spiral ct/ vq scan cxr ecg trops cbc, elytes le doppler d-dimer |
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55 yo with cp that radiates to the back.
hx of uncontrolled htn |
aaa
mi pericarditis tee mra aorta cxr ecg, trops coags cbc, lytes |
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70 yo man with hx of dm with episodes of palpitations and sweating. on insulin
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hypoglycemia
anxiety arrythmia pheo hyperthyroid carcinoid cbc chemistries, with glucose, mg, ca tsh with free t4 ecg |
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42 yo f with 7kg weight loss, fine treamor. pulse is 112
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hyperthyroid
gad ca hiv diet/drigs anorexia malabsorption tsh, free t4 cbc hiv urine tox |
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45 yo f with dysphagia and pica for ice and clay
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plummer-vinson syndrome
esophageal ca esophagitis achalasia sclerosis barium swallow cbc fe, ferritin, tibc endoscopy |
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48 yo f with dysphagia for solids and liquids with regurgitation at night
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achalasia
plummer vinson syndrome esophageal ca esophagtitis sclerosis esophageal stricture zenker's diverticulum cxr endoscopy barium swallow esophageal manomatry barium swallow |
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38 yo m with dysphagia nd pain on swallowing solids > liquids. also with oral thrush
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CMV, HSV esophagitis
systemic sclerosis gerd esophageal stricture zenker's hiv- test egd cbc barium swallow cd4 count |
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20 yo with n/v especially in the morning. fatigue and polyuria. last menstrual periosd was 6 wks ago, breasts full and tender. sexually active, uses condoms
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pregnant
gastritis hypercalcemia dm uti depression urine hcg pelvic us pelvis cbc, elytes, ca, glucose u/a, urine baseline pap, cervical cultures rubella, hiv, hep b, rpr |
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45 yo m with sudden onset of colicky right sided flank pain that goes to the testes.
with n/v, hematuria, and cva tenderness. |
kidney stone
hernia renal cell pyelonephritis u/a, culture chemistries- BUN/Cr abd ct renal US rectal |
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60 yo m with dull epigastric pain that radiates to teh back, weight loss, dark urine, clay colored stool. heavy drinker, smoker
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pancreatitis (chronic)/pancreatic ca
aaa liver- acute hep gallblader- cholecystitis pud rectal cbc, lytes amylase, lipase lfts abd us abd ct |
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56 yo m with sever midepigastric pain that radiates to the back, and improves with leaning forward
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acute pancreatitis
PUD cholecystitis gastritis aaa mesenteric ischemia amylase, lipase abd us/ct cbc lfts |
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41 yo obese f presents with RUQ abd pain that radiates to the R scapula and is associated with N/V and a f of 101.5. Pain started with fatty foods.
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acute cholecystitis
hepatitis choledocholithiasis ascending cholangitis pud rectal cbc lfts, bili, alk phos ruq us HIDA |
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25 yo m with RUQ pain, fever, anorexia, n, vomiting
dark urine and clay stools. |
acute hepatitis
acute cholecystitis ascending cholangitis choledocholithiassi pancreatitis acute Glomerulonephritis rectal cbc, amylase, lipase lfts ua viral hepatitis erologies us- abdomen |
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43 yo f prestents with RUQ pain, fever, jaundice. with asymptomatic gallstones
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acute cholangitis
rectal cbc lfts US HIDA scan ERCP |
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35 yo man with burning epigastric pain that starts 2-3 hrs after meals
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pud
gastrtitis gerd cholecystitis chronic pancreatitis mesenteric ischemia rectal amylase, lipase, lactate ast/alt'bili/alk phos endoscopy upper gi series |
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37 yo man with sever epigastric pain, nausea, vomiting, mild fever. hx of intermittent epigastric pain that is reileved by food.
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ruptured pud
acute pancreatitis hepatitis cholecystitis choledocholithiasis mesenteric ischemia rectal amylase, lipase, cbc lfts axr cxr endoscopy |
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18 yo m boxer with sever luq pain, radiates to scapula.
with mono 3 wks ago |
ruptured spleen
kidney stone rib fracture penumonia perfed ulcer splenic infarct rectal cbc, lytes cxr ct- abd us- abd |
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40 yo with crampy ab pain, vomiting, abdominal distention and inability to pass flatus or stool.
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intestinal obstruction
small bowel or colon cancer voluvulus of the bowel gastroenteritis food poisoning ileus hernia rectal cbc lytes axr ct-ab/pelvis cxr |
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70 yo f with acdute onset of severe crampy ab pain. recently vomited and amssive dark bowel movement.
hx of chf, afib. pain out of proportion to exam |
mesenteric ischemia
diverticulitis rectal cbc amylase, lipase, lactate ecg, cpk-mb, trops axr ct abdomen mesentaric angiography |
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21 yo f with severe rlq pain, n, v, no fever, urinary symptoms, vaginal bleding. no ocps. no hx of stds
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ovarian torsion
appendicitis pid ectopic ruptured ovarian cysts pelvic rectal urine hcg ua cbc us/doppler pelvis ct abdomen |
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68 yo with llq pain, fever, chills over last 3 days.
recent onset of alternating diarrhea and constipation. |
diverticulitis
crohn's uc gastro abscess rectal cbc, lytes cxr axr ct abdomen |
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20 yo m with severe RLQ pain, n, v. started yesterday aroudn the umbilicus.
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acute appendicitis
gastro diverticulitis crohn's nephro rectal cbc, elytes axr ct abd u/s abd |
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30 f with periumbilical apin for 6 monts. never wakes her up, relieved by defecation. worse when upset.
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ibs
crohn's celiac endometriosis rectal pelvic urine hcg cbc elytes ct abd/pelvice |
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24 yo with bilateral lower abd pain that started with the first day of hter menstarl period.
with fever, thick, greenish vaginal discharge. lots of sex |
pid
endometriosis pelvic rectal urine hcg cervical cultures cbc esr ua, culture |
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67 yo m with diarrhea nd constipation. decreased stool caliber
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colon cancer
rectal- stool guiaic cbc colonoscopy |
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28 yo with constipation, hard stool, mom died 2 months ago
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low fiber diet
ibs substance abuse depression hypothyroid cbc tsh, free t4 urine tox |
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30 yo with alternation diarrhea, and cons
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ibs
crohn's uc cliac rectal cbc elytes axr |
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33 yo with watery diearrhea, vomiting, diffuse abdominal pain.
feels hot, several ill coworkers |
infectious diarreha
rectal stool cultures- ova and parasites stool leuks cbc elytes ct ab pelvis |
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40 yo f with watery diarrhea and cramps. was on abtics
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c diff
rectal stool leuks, culture c diff toxin elytes |
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25 yo with watery diarrhea, cramps, in mexico
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traveler's diarreha
rectal stool leuks, culutre giardia antigen, entamoeba antigen elytes ast/alt/bili/alk phos viral hepatitis |
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30 yo f with watery diarrhea, cramping and bloating. aggravated by milk. relieved by fasting.
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lactose intolerance
rctal stool hydrogen breath test tsh? |
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33 yo with watery diarrhea, diffuse abdominal pain. weightl oss, no response to antibiotics
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crohn's
rectal colonoscopy cbc, lytes stool culture small bowel series. urinary 5-hiaa |
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45 yo with coffee ground vomitus x 3 days. stool is dark and tarry.
hx of intermitten pain |
pud
gastritis gastric cancer esophageal varices rectal cbc, lytes lfts endoscopy |
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40 yo f with epigastric pain and coffee ground emesis. hx of ra. treated with aspirin
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gastritis
pud gastric ca esophageal varices mallory weiss tear rectal cbc elytes lfts barium swallow endoscopy |
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67 yo m with blood in his stool, weight loss, constipation.
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colon ca
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33 yo f with rectal bleeding, diarreha for past wk. lower abdominal pain, and tenesmus for wks
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uc
cbc rectal colonoscopy lytes stool culture |
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58 yo m with brbpr and chronic constipation.
low fiber diet |
hemrhoids
diverticulosis |
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65 yo with painless hematuria. smoker and painter
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bladder cancer
renal cell carcinoma nephrolithiasis actue glomerulonephritis prostate cancer gu exam egd renal us ua |
