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100 Cards in this Set
- Front
- Back
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Elderly woman, SBO, and air in biliary tract.
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Gallstone ileus
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Elderly woman with pain down inner aspect of thigh.
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Obturator hernia (howship romberg sign)
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Abdominal pain, hypotension, and abdominal pulsatile mass.
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Ruptured abdominal aortic aneurysm
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Abdominal pain "out of proportion" to abdominal exam.
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Mesenteric ischemia
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Arm pain and syncope with arm movement.
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subclavian steal syndrome
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Increasing creatinine on ACE inhibitor.
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Renal artery stenosis
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Child with midline neck mass.
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Thyroglossal duct cyst
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Child with lateral neck mass.
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Branchial cleft cyst
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Crush injury and dark urine.
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Myoglobinuria
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Emesis, chest pain radiating to back, and mediastinal air.
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Boerhaave's
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Lower GI bleed + technetium pertechnetate scan.
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Meckel's diverticulum
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Flushing, diarrhea, and right sided heart failure.
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Carcinoid
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Pneumoaturia and LLW pain.
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Colovesicular fistula
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Desmoid tumor, osteoma, and colon cancer.
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Gardner's syndrome
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Epigastric pain radiating to back and flank ecchymosis.
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Hemorrhagic pancreatitis
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Pancreatitis and palpable epigastric mass.
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Pancreatic pseudocyst
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Liver abscess with "anchovy paste".
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Amebic abscess
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RUQ pain, travel, and exposure to sheep.
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Hydatid cyst
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Caput medusa
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Portal hypertension
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45 year old woman with RUQ pain for 12 hours, fever and leukocytosis.
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Acute cholecystitis
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Elderly man with large nontender palpable gallbladder
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Pancreatic cancer (Courvoisier's sign)
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Female taking birth control pills with liver mass.
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Hepatic adenoma
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Liver tumor with "central scar".
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Focal nodular hyperplasia
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Pancreatic mass, gallstones, diabetes and diarrhea.
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Somatostatinoma
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RUQ bruit and CHF in young adult.
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Liver hemangioma
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Excruciating pain with bowel movement.
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Anal fissure
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Abdominal pain, diarrhea, and anal fistulae.
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Crohn's disease
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ECG with peaked T waves
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Hyperkalemia
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Buccal mucosa with pigmentation
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Peutz-Jeghers syndrome
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LLQ pain, fever, and change in bowel habits.
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Diverticulitis
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Elevated urine 5-HIAA
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carcinoid
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Institutionalized, abdominal pain, vomiting and distention, with proximal colonic dilation.
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Sigmoid volvulus
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Infant with projectile vomiting.
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Pyloric stenosis
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Newborn with failure to pass meconium in first 24 hours.
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Hirschsprung's disease
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Infant with bilious vomiting
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malrotation
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Newborn with abdominal defect and umbilical cord on sac.
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Omphalocele
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Teenager with knee pain and "onion skinning" on X-Ray.
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Ewing's sarcoma
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Pulmonary capillary wedge pressure <18, CXR with bilateral pulmonary infiltrates, and PaO2:FiO2 ratio <200.
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Acute respiratory distress syndrome (ARDS)
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Increased peak airway pressure, low urine output, and urinary bladder >25mmHg.
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Abdominal compartment syndrome
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Newborn with inability to pass an NGT.
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esophageal atresia
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Traumatic bliding in one eye followed by blindness in the contralateral eye 2 weeks later.
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Sympathetic ophthalmia
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Mitotic pupil, ptosis, and anhydrosis.
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Horner's syndrome
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Traumatic head injury, conscious in ER followed by unconsciousness.
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Epidural hematoma ("lucid interval")
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Worst headache of my life
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Subarachnoid hemorrhage
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Hematuria, flank pain, and abdominal mass (palpable).
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Renal cell carcinoma
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60 year old white man with painless hematuria.
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bladder cancer
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RUQ pain, jaundice and fever.
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Cholangitis
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Epigastric pain radiating to back, with nausea and vomiting.
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Pancreatitis
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Chest pain radiating to back and described as a tearing pain.
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Aortic dissection
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40 year old man with tachycardia, hypotension and confusion on postoperative day 2.
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Alcohol withdrawal
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Marfanoid body habitus and mucosal neuromas.
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MEN II-B
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Psammoma bodies
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Papillary thyroid cancer
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Sulphur granules
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actinomyces infection
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Thyroid tumor with amyloid tissue
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Thyroid medullary cancer
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Palpable neck tumor and hypercalcemia
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parathyroid cancer
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Hypertension, diaphoresis (episodic), and palpitations.
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Pheochromocytoma
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Jejunal ulcers
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Zollinger-Ellison syndrome
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Pituitary tumor, pancreatic tumor, and parathyroid tumor
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MEN-I
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Necrotizing migratory erythema
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Glocagonomoa
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Medullary thyroid cancer, pheochromocytoma, and hyperparathyroidism.
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MEN-IIa
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Hypokalemia refractory to IV potassium asupplementation.
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Hypomagnesemia
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Newborn with pneumatosis
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Necrotizing enterocolitis (NEC)
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Child with abdominal mass that crosses midline
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Neuroblastoma
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Child <4 years of age with abdominal tumor that does not cross midline.
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Wilms tumor
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Currant jelly stools and abdominal colic.
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Intussusception
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Femur fracture, respiratory failure, petechiae, and mental status changes
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Fat embolism
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Hearing loss, tinnitus, and vertigo
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Meniere's disease
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Adolescent boy with nasal obstruction and recurrent epistaxis.
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Juvenile nasopharyngeal angiofibroma
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Child <5 years of age sitting upright and drooling with "hot potato" voice.
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Epiglottitis
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Angina, syncope, and CHF.
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Aortic stenosis
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Tobacco use, asbestos exposure, and pleuritic chest pain.
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Mesothelioma
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Supracondylar fracture and contracture of forearm flexors.
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Volkmann's contracture
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Tibia fracture, "pain out of proportion", pain on passive foot movement, and palpable pulses.
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Compartment syndrome
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25 year old man with liver mass with fibrous septae and NO history of cirrhosis or hepatitis.
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Fibrolamellar hepatocellular carcinoma
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EKG with flattening of T waves and U waves.
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Hypokalemia
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Central pontine myelinosis.
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Too rapid correction of hyponatremia
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Polydipsia, polyuria, and constipation.
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Hypercalcemia
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Factor VIII deficiency.
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Hemophilia A
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Abdominal pain, fever, hypotension, hyperkalemia and hyponatremia.
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Adrenal insufficiency (Addisonian crisis)
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Massive urine output and hypernatremia.
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Diabetes insipidus
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Increased urine osmolality, hyponatremia, and low serum osmolality.
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SIADH
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IV antibiotics, fever, diarrhea
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C. diff. pseudomembranous colitis
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Bleeding gums and wound dehiscence
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Vitamin C deficiency
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Fever, central line, and hyperglycemia.
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central line infection
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Appendectomy followed by fever and abdominal pain on postoperative day #7.
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Peritoneal abscess
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Advancing crepitus, fever, and blood blisters.
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Necrotizing fasciitis
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High intraoperative fever.
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Malignant hyperthermia
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Confusion, ataxia, and ophthalmoplegia
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Wernicke's encephalopathy
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Tracheal deviation, decreased breath sounds, and hyperresonance.
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Tension pneumothorax
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Hypotension, decreased heart sounds, and JVD
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Pericardial tamponade
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Four ribs broken in two places and pulmonary contusion.
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Flail chest
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Otorrhea (clear) and Battle's sign.
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Basilar skull fracture
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Ulcer decreased pain with food.
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Duodenal ulcer
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Vomiting, retching, and epigastric pain
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Mallory-Weiss tear
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Fever on postoperative day #1, with "bronze" weeping, tender wound.
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Clostridial wound infection
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Hematochezia and tenesmus
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Rectal cancer
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Upper GI bleed, jaundice, and RUQ pain
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Hemobilia
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Gallstones, epigastric pain radiating to back, and nausea.
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Gallstone pancreatitis
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18 year old woman with bloody nipple discharge
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Ductal papilloma
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Irritability, diaphoresis, weakness, tremulousness, and palpitations.
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Insulinoma
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