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119 Cards in this Set
- Front
- Back
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3rd nerve palsy with paresis of vertical eyemovement
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PCA stroke
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most common pna in nursing homes
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strep pneumo
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relation between pH and calcium bound to albumin
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increased pH - increased binding
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carpopedal spasm - Ca??
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decreased
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Marfan's type body habitus adn mental retardation
stroke/thromboembolic event cause |
homocystinuria
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marfan's type body habitus
mental retardation lens dislocation upward |
marfans
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marfan't body habitus
and lens dislocated down |
homocystinuria
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Marfans' inheritance pattern for it
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AR
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tx for Marfan's
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Vt B6 high dose
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What type of Bond straps should be installed below deck?
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Type III and/or IV
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tx for absence seizure in kids
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ethosuximide
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staring spell with eyes rolling
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absences
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back pain
anemia renal dysfunction increased ESR |
multiple myeloma leading to hypercalcemia
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constipation. always think of
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hypercalcemia
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isolated proteinuria in a kid
2 days fever runnynose next step |
repeat dipstick in 2 weeks
likely transitory |
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hyperglycemia
necrotizing dermatitis weight loss diarrhea tx? |
glucagonoma
surgical resection only |
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frequent complication of nephrotic syndrome
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hypercoagulability
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vascular association with polycystic kidney
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brain/AA aneurysms
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what ages of pregnant women get G/C screen
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24 and younger
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what every pregnant woman gets at 1st appointment
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influenza vaccine
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primary, secondary and tertiary hypothyroid locations
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thyroid
pituitary hypothalamus |
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paraproteins
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bence jones
MM |
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normal TSH
elevated T3T4 hypothyroid presentation |
thyroid hormone resistance
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suspect vertebral osteo
next step? |
spine MRI
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most liekly injury in a head on collision with a seatbelt
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aotric rupture
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sudden 3x3 fleshy mass on hard palate
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reassure
this is a torus palatinus |
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spherocytosis with central pallor
+ osmotic fragility |
hereditary spherocytosis
or autoimmune hemolytic anemia |
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pallor
jaundice splenomegaly increased indirect bilirubin increased retics, LDH Coombs + but sometimes negative |
autoimmune hemolytic anemia
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46XY female
next step |
gonadectomy to avoid testicular carcinoma
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eczematous rash around nipple
likely complications |
Pagets
leads to adenocarcinoma |
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Male XY genotype
female external genitalia virilization at purberty |
5 alpha reductase deficiency
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medulloblastoma in kid affects which area
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cerebellar vermis
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medullblastom in kid affects which area
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cerebellar vermis
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unbalanced gait
truncal dystaxia horizontal nystagmus papilledema |
posterior vermis syndrome
2/2 medulloblastoma |
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painful finger tip nodules
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osler - endocarditis
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dark urine
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glomerulonephritis
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AT/ALT in alcoholic hepatitis
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2-1
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AST 6245, ALT 7116
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rx induced, eg acetaminophen
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breaking bad news recommendations
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1 comfy
2 how much patient knows 3 how much like to know 4 more serious than thought 5 results show 6 prognosis |
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postpartun woman with pulmonary symptoms and multiple nodules on cxr
dx? |
choriocarcionma
= metastatic gestational trophoblastic disease bHCG |
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what kinds of murmurs need no echo f/u
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midsystolic soft murmurs grades I-II
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after LEEP, what is screening procedure
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3 negs every 6 months and then annually with 65-70
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kid had sore throat, then:
erythematous centrifugal rash on trunk/limb joint pains elevated ESR/CRP |
rheumatic fever
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minor criteria for rheumatic fever
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arthralgia
fever elevated ESR/CRP elevated PR |
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major criteria for rheumatic fever
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carditis
migratory polyarthritis chorea subcu nodules erythema marginatum |
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narrow QRS
absent Ps irregular |
A fib
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most common cause of a fib
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HTN
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tx for a fib
stable unstable |
dilt
cardioversion |
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gummas
aortic pathology CNS disease |
tertiary syphillis
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antibodies against intrinsic factor
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pernicious anemia
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cobalamin is
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B12
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test to differentiate
pernicious anemia malabsorption decreased B12 intake |
schilling test
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overdose
tachy diaphoresis dilated pupils hypertenison hyperthermia |
serotonin syndrome
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overdose
vertical hystagmus |
phencyclidine
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double bubble sign
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duodenal atresia
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overdose
seizures hyperthermia cardiac arrhythmia hypotension |
theophylline overdose
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overdose
tinnitus N/V fever |
aspirin
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overdose
drowsiness dry mouth dilated pupils blurred vision decreased BS urinary retention |
diphenhydramine
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red eyes in baby at first 24 hours
cause? tx? |
from drops
resolves |
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red eyes in baby at day 2-5
cause? tx? |
gonococcal
ceftriaxone |
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red eyes at day 5-15
cause? tx? |
chlamydia
oral erithro |
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36 y/o male
3 months of diarrhea abdominal distention flatulence decreased weight night sweats arthralgias enlarged lymph noeds |
HIV
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bilious vomiting in an infant with Downs
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duodenal atresia
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tx for infertility in premature ovarian failure
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IVF
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empiric tx for meningitis in an old person
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ceftriaxone
vanc amp (for listeria) |
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empiric tx for meningitis in a hosptilazed person
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IV ceftazidime
vanc |
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empiric tx for meningitis in infants
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IV cefotzxime
amp |
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subconjunctiveal hemorrhage
tx |
observation for 48 hrs
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bowel and bladder dysfunction
low back pain saddle anesthesia where is the problem |
spinal nerves before exiting the spinal canalcauda equina
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shoulder trauma from overhead work/sprots
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subacromial bursitis
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shoulder injury
problems with internal rotation and forward flexion |
subacromial bursitis
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prominent bulget in mid arm
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biceps head tendon tear
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olive shaped mass to R of umbilicus
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pyloric stenosis
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4 wk old infant with vomiting
visible upper tract peristalsis diagnostic testing? expected finding? |
ab us
thick hypoechogenic ring is pyloric stenosis |
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nerve injury during axillary lymphadenectomy
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winged scapula
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nerve injury during submandibular salivary gland
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XII - tongue palsy
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abd pain
+FOB steatorrhea mechanism multiple duodenal ulcers |
Zollingern Ellison
gastrinoma in pancreas parietal cell hyperplasia increased stomack acid plocks pancreatic enzymes |
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woman with preeclampsi
RUQ pain decrased platelets microangiopathic hemolytic anemia incrased indirect bili RBC fragments increased AST/ALT tx? |
HELLP
Hemolysis Eevated Liver tests Low Platelets prompt delivery IVF, FFB, PRBCs maybe steroids, mg, antihypertensives |
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tachypnea
tachy VD trachial deviation |
tension pneumothorax
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hepatic failure in 3rd trimester or early postpartum
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AFLP acute fatty liver of pregnancy
tx = IVF, glucose, FFP, cryo, delivery |
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thrombocytopenia
hymolytic anemia nl PT/PTT renal failure |
HUS
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tx for HELLP
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immediate delivery at 34 weeks
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bilateral lower extremity swelling in pregnancy
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benign edema of pregnancy
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when do you give an infant a buccal smear
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dx of turners
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when do you give an ifant adrenal visulaization
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CAH
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tx for tension pneumotheroax
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needle thoracostomy at 2nd IC, mid claviuclar
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MCHC?
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indicates chromia
elevated in spherocytosis sickle |
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abd injyr often missed in blunt injury
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2nd part of duodenum
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sign of abdominal injury often missed in blunt injury
next step? |
retroperitoneal air on xray
CT abd |
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tx for early/late PBC
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ursodeoxycholic acid
then liver transplant |
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HIV pt
CNS signs CD4 70 nonenhancing lesions on MRI tx? |
PML
tx is none. 6 months to live |
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HIV pt
ring enahancing lesions solitary weakly enhancing other sign? |
CNS lymphoma
also EBV DNA in CSF |
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HIV/AIDS pt
cortical adn subcortical atopy secondary ventricular enlargement |
AIDS dementia
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complications of PEEP
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tension pneumothorax
alveolar damage hypotension |
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HIV pt
CD4 450 sw US apical cavitary lesion |
reactivation TB
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HIV +
SW US miliary pattern |
cocco
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HIV positive
exophytic purple skin masses on lower abdomen looks like a large cherry angioma |
Bartonella
button barton |
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deiabetic with BG 40-400
anorexia bloating nausea early satiety on insulin Dx? tx |
neuropathy
tx is improved glycemic control small frequent meals metoclopramide or domperidone |
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association with baker's cyst
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RA
osteo cartilage tears (caused by increased synovial fluid) |
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dullness to percussion of lungs
increased volume of breath sounds |
consolidation IF airways paten
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dullness to percussion
decreased breath sounds |
pleural effusion
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lungs resonant on percussion
vesicular breath sounds end inspiration crackles |
ILD
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acute abd with back pain
leukocytosis increased amylase/lipase tx? |
analgesics
IVF NPO |
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dilated LV
HF thrombocytopenia macrocytosis increased transaminases dx? tx? |
dilated cardiomyopathy 2/2 alchohol
tx = cessation of alcohol |
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hashimotos hormone levels
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down or eu
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iodine uptake in hashimotos/reactive thyroiditis
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down
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overhad workers
pain and guarding during Neer test (= passive motion of arm above head) lidocaine eliminates discomfort |
rotator cuff tendinitis
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overhead worker
pain and guarding on passive motion of arm above head no improvement on lidocaine |
rotator cuff tair
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overhead worker
prolem with internal rotation and forward flexion |
subacromial bursitis
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mature or immature defenses:
fantasy denial humor suppression issolation |
fantasy and denial immature
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increased pulsation of intercostal arteries
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coarctation of aorta
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systolic ejection murmur at $ 2nd intercostal space
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AS
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increased pulsation of intercostal arteries
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coarctation
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systolic ejection murmure at R 2nd intercostal space
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AS
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systolic ejection murmur at $ 2nd intercostal space
painless intermittendt GI bleed |
angiodysplasia
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best site for placing TPN lines
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r atrium
because it can irritate veins and lead to thrombosis |
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dx for subclavian vein line placement
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US. NOT CXR
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renal problem with acyclovir
ppx? |
crystal nephropathy
IV hydration |
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overweight adolescent
hip pain |
slipped cap femoral epiphysis
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