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12 Cards in this Set

  • Front
  • Back
CC: Sore Throat

key hx
normal pain sx

other uri sx

sick contacts

odynophagia

Lad

cough

HIV risks
CC: sore throat

exam
ENT- good mouth/throat exam, sinus, LAD

Pulm

Skin
CC: sore throat

26 yo F throat pain, fever, fatigue, loss of appetite x1 week
+ epigastric LUQ pain
cervical LAD + rash
boyfriend with same

ddx
work up
DDx: mononucleosis, primary HIV, strep pharyngitis, viral pharyngitis, hepatitis

work up: CBC w/ diff and smear, throat culture/rapid strep, monospot, HIV 1/2, electrolytes, ALT/AST/Alk Phos, Hepatitis A/B/C panel
CC throat pain

26 yo M sore throat, fever, rash, weight loss.
hx IV drug use, shares needles

ddx
work up
DDx: Primary HIV, hepatitis, pharyngitis (viral, bacterial), infectious mononucleosis, secondary syphilis

work up: HIv 1/2, CBC w/ diff and smear, electrolytes, ALT/AST/Alk Phos, viral hepaitis panel, throat culture, monospot, VDLR/RPR
CC: throat pain

46 yo F fever and sore throat

ddx

work up
viral pharyngitis, bacterial pharyngitis, primary HIV, infectious mono

work up: CBC w/ diff and smear, monospot, throat culture, HIV 1/2
Cough/SOB

key hx
normal cough sx

sputum changes

other sx (constituational, uri, nasal congestion, gerd, wheezing, cp)

hx of similar (asthma, copd, etc)

exposures/worse

smokes?

allergies

meds (ace-i)
CoughSOB

key pe work up
Vitals

HEENT

Pulm (full)

abdominal for epigastric pain

CV

extremities (clubbing, pulse, cyanosis)
Cough/SOB

30 yo M
sob, cough, wheezing worse incold air

several in past 4 mo

ddx
work up
DDx: Asthma, bronchitis, GERD, pneumonitis

work up: CXR, CBC, peak flow, PFTs, methacoline challenge
CC: Cough/sob

56 yo F
sob, productive cough
3 mo at least for 2 yrs
heavy smoker

ddx
work up
ddx: COPD/chronic bronchitis, lung cancer, bronchiectasis, Tb

work up: CXR, CBC w/ diff, sputum culture w/ acid fast, ppd, PFTs
CC: SOB/cough

25 yo F
2 weeks nonproductive cough
three weeks ago sore throat/runny nose

ddx
work up
DDx: atypial pneumonia, bronchitis, asthma, post nasal drip, GERD

work up: CXR, CBC, sputum culture, urine legionella, IgM mycoplasma
CC cough/sob

65 yo M
worse cough x 6 mo
+ hemoptysis, dyspnea, weak, weight loss
heavy smoker

ddx
work up
DDx: Lung CA, Tb, Pneumonia/abscess, COPD, wegner's granulomatosis

Work up: CXR, CT chest, PPD, CBC w/ diff, sputm culture/acid fast stain, bronchosopy
CC cough/sob

55 yo M w/ increased dyspenea and sputum x3 day
hx of COPD
stopped inhalers one week ago
stopped smoker 2 days ago

ddx
work up
DDx: COPD exacerbation, pneumonia, lung Ca, URI, CHF

Work up: CXR, Pfts, CBC w/ diff, sputum culture, CT chest