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327 Cards in this Set
- Front
- Back
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mid-abdominal pulsatile mass, lower back pain, abdominal bruit
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Abdominal Aortic Aneurysm
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deficiency causing erythematous pustules and scales resembling psoriasis around mouth genitalia anus feet elbows knees
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zinc deficiency
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fever, n/v, diffuse periumbilical pain that moves to R lower quadrant
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Acute appendicitis
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R lower quadrant pain
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Acute Appendicitis; Ectopic pregnancy; PID; ovarian cyst; mittelschmerz; Meckel's; Intussusception.
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acute onset constant dull aching RUQ pain, 30 min after eating, pain radiates to R shoulder
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Acute Cholecystitis
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dysuria, frequency, urgency, discomfort over the bladder
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Acute cystitis
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high fever, drooling, inspiratory stridor, severe dyspnea in a child. Thumbprint sign on x-ray of head/neck.
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Acute epiglottitis; H. influenza type B
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fever, steady boring midepigastric pain that penetrates straight thru to the back, hemorrhage in the flank's (Gray Turner's sign)
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Acute Pancreatitis
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knife-like midepigastric pain radiating through to the back
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Acute pancreatitis
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sudden onset spiking fever, flank pain, chills, n/v, dysuria, frequency
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Acute Pylenoephritis
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fever, HA, facial pain, postnasal d/c, chronic cough
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Acute sinusitis
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hyperpigmentation, weakness/fatigability, weight loss, hypotension, decreased Na; increased K
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Addison's disease; adrenal insuff.
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Virus causing:
pharyngitis, pneumonia, conjuctivitis, gastroenteritis, hemorrhagic cystitis |
Adenovirus
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colicky abdominal pain, abdominal distention, obstipation, radiograph (distended loops of bowel w step-ladder appearance)
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Adhesions; GI obstruction
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high fever, dehydration, n/v, hypotension
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adrenal crisis
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HTN, hematuria, berry aneurysm, mitral valve prolapse, bliateral abdominal masses
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Adult Polycystic Kidney Disease
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café au lait spots, polyostotic fibrous dysplasia, precocious puberty, short stature, young girls
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Albright syndrome
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pale boggy nasal mucosa
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Allergic rhinitis
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hereditary nephritis with nerve deafness
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Alport’s Syndrome
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progressive dementia
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Alzheimer’s
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substernal chest pain radiating to L arm or jaw, pain lasts longer than 30 min, pain relieved by nitroglycerin, sweating
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AMI
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awkwardness of finger movements, weakness of hands arm, spasticity of legs, hyperreflexia, no loss of sensory function
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Amyotrophic lateral sclerosis
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bent over posture, decreased ant flexion of lumbar spine, limited chest expantion
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Ankylosing spondilitis
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increase in fine hair of the body (hypertrichosis)
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Anorexia
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high pitched blowing diastolic murmur
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Aortic insufficiency
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crescendo-decrescendo systolic at second R intercostal space
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Aortic stenosis
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Murmur:
dyspnea on exertion, syncope, angina pectoralis |
Aortic stenosis
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pupil reacts to accomodation, but not to direct light
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Argyll Robertson pupil; neurosyphilis
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abdominal pain, fever, chills, jaundice
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Ascending cholangitis
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bulging of flanks, shifting dullness to percussion in the abdomen
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Ascites; portal HTN, hypoalbuminemia
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Murmur; fixed spliting of S2
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ASD
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fever, HA, n/v, confusion, nuchal rigidity
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Aseptic Meningitis
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inspiratory / expiratory wheezing, dyspnea, cough worse at night
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Asthma
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feet are widely spaced, foot lifted too high, walks w slapping feet
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Ataxic gait
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sudden onset fever, dyspnea, cyanosis, inspiratory lag, increased A-a
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Atelectasis
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Diastolic murmur; high pitched blowing murmur directly following S2;
wide pulse pressure |
Aortic Insufficiency
(reguritation) |
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Murmur; Systolic; crescendo decrescendo murmur
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AV/PV stenosis
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dorsiflexion of big toe, and fanning of other toes on plantar reflect
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Babinski's sign; UMN lesion
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petechiae on palms [Janeway's], painful erythematous nodules on fingers [Osler's], subconjunctival hemorrhage, splinter hemorrhage
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Bacterial endocarditis
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fever, HA, nuchal rigidity; CSF - increased PMN, decreased glucose, increased protein
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Bacterial meningitis
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fever, HA, nuchal rigidity; CSF - increased PMN, decreased glucose, increased protein
What bug is most common in newborn? (2) |
- Group B strep
- E. coli |
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fever, HA, nuchal rigidity; CSF - increased PMN, decreased glucose, increased protein. What bug is most common in a child?
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H. influenza
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fever, HA, nuchal rigidity; CSF - increased PMN, decreased glucose, increased protein. What bug is most common in a young adult?
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N. menigitis
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fever, HA, nuchal rigidity; CSF - increased PMN, decreased glucose, increased protein. What bug is most common in an older adult?
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S. pneumonia
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slow growing waxy nevi w vascular pattern
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Basal cell carcinoma
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Upper lip tumor
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Basal cell carcinoma
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resting tremor
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Basal ganglia lesion
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where is lesion:
slow, writhing movements |
Basal ganglia lesion
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Where is lesion:
sudden jerky, purposeless movements; choreaform |
Basal ganglia lesion
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unilateral dropping of mouth & facial m, inability to close eye
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Bells' aplsy
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coffe ground emesis
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Bleeding peptic ulcer
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Bug:
paralysis of striated mm, dry mouth, dry eyes |
Botulism
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Adenopathy - axillary
(2) |
- Breast CA
- Cat scratch disease |
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subdural hematoma
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Bridging veins; sup cerebral v.
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pt understands written & spoken, but can't articulate
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Broca's aphasia
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broken speech; motor expressive aphasia
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Broca's area lesion
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fever, cough w foul smelling sputum that layers on standing, hemopytsis, recurrent respiratory infections
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Bronchiectasis
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hemisection of cord (contralateral loss of pain & temp / ipsilateral loss of fine touch, UMN)
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Brown-Sequard
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raised bright red lobulated vascular tumor
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Capillary hemangioma
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cutaneous flushing, diarrhea, valvular disease
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Carcinoid
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numbness tingling and pain along thumb long and ring fingers, worse at night, atrophy of thumb
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Carpal tunnel syndrome, Median n. injury
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Intention tremor
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cerebellar lesion
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sleeping disease, cardiomegaly with apical atrophy, achlasia, megacolon
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Chagas’ Disease
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large painful genetial ulcers
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Chancroid; Hemophilus ducreyi
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rhythmic alternating pattern of apnea and hyperpnea
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Cheyne-Stokes breathing; hypoxia of medulla oblongata
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dyspnea, JVD, pitting edema
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CHF
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notching of ribs, weak femoral pulse, well developed upper body underdeveloped lower body, claudication
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Coarctation of aorta
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Virus causing:
fever, HA, myalgia, retro-orbital pain |
Colorado tick fever virus
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fever, HA, coughing, sneezing, sore throat
What is number 1 cause? |
Common cold
(Rhinovirus) |
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patent ductus, deafness, retardation, cataracts
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Congenital Rubella Syndrome
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palpable upper right quadrant mass, projectile vomiting
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Congential pyloric stenosis
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HTN, suppresed renin, increased Na+, decreased K+ , muscle weakness.
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Conn's syndrome
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fever, sore throat, vessicles in oropharynx
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Coxsackie virus
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calcinosis of fingertips, Raynaud's phenomenon, esophageal motility problems, sclerodactly, telangiectasia
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CREST syndrome
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dwarfism, mental retardation, puffy face, protruding tongue
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Cretinism, Hypothyroid
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IBD; ileocecum, transmural, skip lesions, lymphocytic infiltrate, granulomas
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Crohn’s
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(contrast to UC: limited to colon, mucosa & submucosa, crypt abscesses, pseudopolyps, colon cancer risk)
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moon facies, buffalo hump, truncal obesity, abdominal striae, diastolic HTN, hyperglycemia, thin hair, protein depletion, depression
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Cushing's
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progressive muscle weakness, hyperkeratotic cuticles, periungual telangiectasaia, flat topped violacious papulesover the knuckles
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Dermatomyositis
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acute onset severe retrosternal chest pain, tearing pain w radiation to back
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Dissecting Aneurysm
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maroon colored stool
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Diverticular hemorrhage
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fever, rebound tenderness, constant pain, L lower quadrant
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Diverticulitis
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epicanthal folds, broad nose, square ears, protruding tongue, endocardial cushion defects, duodenal atresia, megacolon
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Downs' syndrome
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post gastrectomy: post-prandial; dizziness, tachycardia, palpitations
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Dumping syndrome
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fever, pain in calf on compression or dorsiflexion, ankle edema
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DVT
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hypogastric pain, abnormal uterine bleeding, adnexal mass, missed menstrual period, hypovolemic shock
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Ectopic Pregnancy
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micrognathia, prominent occipet, low-set ears, cleft palate, flexion deformities of fingers
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Edward's syndrome
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increased elasticity of skin and of connective tissue (contortionist)
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Ehlers-Danlos
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fever, HA, nuchal rigidity, n/v --> seizures --> coma --> death
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Encephalitis
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vaginal bleeding, pain, ascites, weight loss, palpable pelvic mass, post menopausal female
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Endometrial Adenocarcinoma
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female w/ chronic pelvic pain, painful intercourse, painful defecation, lower back pain
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Endometriosis
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purple lesion w central clearing, arthritis, endocarditis, meat/fish handler
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Erisipeloid
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tendon xanthoma
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Familial Hypercholesterolemia
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acute respiratory distress following skeletal trauma
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Fat embolism syndrome
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peg-leg gait; knee fully extended throughout
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Femoral n. damage
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absent patellar reflex
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Femoral n. damage [L2-L4]
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common cause of newborn ASD
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Fetal alcohol syndrome
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Auscultation; scratchy sounds over pericardium
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Fibrinous pericarditis
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sore, beefy red tongue w papillary necrosis
(4) |
- Folate deficiency;
- iron deficiency; - scurvy; - pellagra |
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personality change, deficits in concentration, judgement
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Frontal [lobe] release signs
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right upper quadrant pain, abdominal distention 30 min post prandial
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Gall stones
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colonic polyposis, soft tissue tumors, bone tumor
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Gardner's syndrome
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hyperpigmentation of the axilla
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Gastric CA
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n/v, diarrhea,
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Gastroenteritis; Rotavirus
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fever, malaise, posterior auricular lymphadenopathy
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German measels; Rubella
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Adenopathy - left supraclavicular
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GI CA
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enlarged supraclavicular lymph node
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GI malignancy
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fever, unilateral HA, temporal swelling tenderness, jaw claudication, ÝESR
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Giant cell (temporal) arteritis
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urethritis w creamy purulent penile discharge; cervicitis, Bartholin gland cyst
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Gonorrhea
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male presenting first w hemoptysis, then acute glomerulonephritis
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Goodpasture's; anti-basement membrane antibodies
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creeping raised genital sores that heal by scaring
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Granuloma inguinale
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exophthalmos, proptosis, periorbital edema, thyroid bruit, tachycardia, afib, systolic HTN, nervousness, heat intolerance, weight loss
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Graves disease
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large hands, prominent brow & jaw,
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Growth hormone
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idiopathic polyneuritis (ascending muscle weakness & paralysis; usually self-limiting)
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Guillain-Barre
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dyspnea, cough, swelling of the feet, wheezing
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Heart failure
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sudden wild flailing of one arm
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Hemiballismus
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cool clammy skin, delayed capillary refill, later … pallor, tachycardia
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Hemorrhagic shock
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nails are white at proximal and middle portions, nails are pink distally
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Hepatic cirrhosis
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jaundice, fever, anorexia, n/v
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Hepatitis A
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jaundice, fever, n/v, anorexia
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Hepatitis B virus
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fever, abdominal pain, weight loss, abdominal mass, hypoglycemia,
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Hepatocellular CA
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weakness of quadriceps, decreased knee jerk
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Herniated disk at L3-L4
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weakness of dorsiflexion, decreased ankle jerk
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Herniated disk at L5-S1
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encephailitis in the temporal lobes
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Herpes simplex I
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keratoconjuctivitis
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Herpes simplex I
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painful vessicles that ulcerate in the genital area
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Herpes simplex II
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dilation & hypertrophy of colon w fecal retention
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Hirschsprung's disease; Megalcolon
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fever, lethargy, sore throat, lymphadenopathy, splenomegaly, rash, leukopenia
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HIV initial presentation
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constricted pupil, dropping eyelid, loss of sweating
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Horner's syndrome
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AV nicking, retinal hemorrhage / exudates, S4
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HTN
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morning HA, dizziness, blurry vision, sweating, chest pain, dyspnea
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HTN
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choreiform movement, hypotonia, progressive dementia
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Huntington's
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progressive dementia, urinary incontinence, ataxic gait
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Hydrocephalus; normal-pressure
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hirsutism, truncal obesity, poor wound healing
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hyperadrenocorticalism
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gray band of corneal opacity
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Hyperlipidemia
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increased Ca, decreased phosphate, osteitis fibrosa, polyuria, kidney stones, increased alk phos
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Hyperparathyroidism
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stones, bones, abdominal groans, psychic moans
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Hyperparathyroidism
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heat intolerence, tachycardia, fine oily hair, tremor weight loss
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Hyperthyroidism
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cold intolerence, bradycardia, lethargy, inc cholesterol, dry brittle hair
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Hypothyroidism
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decreased insulin, decreased C-peptide, increased glucose, ketoacidosis
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IDDM; type I diabetes
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sudden death in young athletes
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Idiopathic Hypertrophic Subaortic Stenosis; outflow obstruction
(IHSS) |
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rash on face w discrete vessilcles that rupture and form yellow/honey colored crust
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Impetigo
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painful Adenopathy - Ant cervical
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Infection, ie pharyngitis
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Roth spots, splinter hemprrhages, Osler's nodes (painful nodules), Janeway's lesions (painless nodules), glomerulonephritis
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Infective endocarditis
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weakness in climbing stairs; pt throws torso back during heel strike while walking
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Inferior gluteal n. [L5-S2]
-> gluteus maximus |
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virus causing:
fever, HA, cough, myalgia |
Influenza virus
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increased insulin, increased C-peptide, decreased glucose
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Insulinoma
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dyspnea on exertion, nonproductive cough, hemoptysis, and chest pain
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Interstitial (restrictive) lung disease
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post prandial pain, anorexia, weight loss
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Intestinal ischemia
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abdominal pain, distention, vomiting, constipation
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Intestinal obstruction
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alternating diarrhea / constipation, cramping abdominal pain, pain relieved by bowel movement
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Irritable bowel syndrome
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sudden onset severe abdominal pain, n/v, abdominal distention, bloody diarrhea, hypotension, absent bowel sounds
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Ischemic bowel - infarct
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post-prandial pain of splenic flexure, 30 min
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Ischemic bowel - warning sign
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yellow skin, yellow sclera, dark yellow urine, light colored stool
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Jaundice
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AIDS pts; progressive multifocal leukoencephalopathy
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JC virus
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multiple red-purple lesions that progress macule -> papule -> nodule
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Kaposi's sarcoma
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situs inversus, recurrent pulmonary infections, sterility infection
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Kartagener’s Syndrome; immotile cilia secondary to defective dynein arms.
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band of golden-brown pigment on the posterior corneal surface
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Kayser-Fleischer ring; Wilson's diseas
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intense abdominal pain radiating to left shoulder
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Kehr's sign; ruptured spleen
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hematuria, proteinuria, oligouria
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Kidney problem
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male genetalia, female fat distribution
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Klinefelter's
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tall stature, eunuchoid appearance, gynecomastia, testicular atrophy
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Klinefelter's
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hyperoral, hypersexual, disinhibition, visual agnosia
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Kluver-Bucy; Amygdala lesion
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slow deep respirations with increased tidal volume
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Kussmaul's breathing; ketoacidosis
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non-tender Adenopathy - cervical
(2) |
- Laryngeal CA
- Thyroid CA |
|
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low grade fever, mild inspiratory stridor, Steeple sign on lateral x-rays of neck.
|
Laryngotracheobronchitis;
|
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"Seal-bark" cough
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Croup
(parainfluenza virus) |
|
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black pigmentation of bowel
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Laxative abuse
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gout, HTN, renal insufficiency
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Lead poisoning
|
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gout, retardation, self-mutilation
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Lesch-Nyhan; HGPRT deficiency
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white patch on the buccal mucosa which does not wipe off
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Leukoplakia
|
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pruritic flat-topped violet papules of forearm neck thigh buccal mucosa and glans penis
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Lichen planis
|
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Winged scapula
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Long thoracic n. damage; paralysis of serratus ant m.
|
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dysuria, frequency, hematuria
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Lower urinary tract infection
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clubbing of nails
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Lung CA if acute
|
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Chronic lung infection if chronic
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Bone growth w/ cap of cartilage in men < 25
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Osteochondroma
|
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Cough, weight loss, chest pain, hemoptysis, hoarseness
|
Lung CA; bronchogenic
|
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non-tender Adenopathy - right supraclavicular
(2) |
- Lung CA
- Esophageal CA. |
|
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Adenopathy - abdominal, retroperitoneal
(3) |
- Malignant Lymphoma
- Testicular CA - Prostate CA |
|
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arachnodactyly (spider fingers), dolichocephaly (long skull), dislocated lens, dissecting aortic aneurysm, mitral valve prolapse, thumb sign (thumb protrudes across clenched fist)
|
Marfan syndrome
|
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Marphan's problem
|
fibrillin defect
|
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Adenopathy - postauricular
|
Measles
|
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fever, HA, malaise, myalgia, photophobia, burning eye pain, white spots on buccal mucosa [Koplic's
|
Measles
|
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fever, malaise, Koplik's spots
|
Measles; Rubeola virus
|
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diverticulum 2 inches long, 2 feet from the ileocecal valve
|
Meckel's diverticulum
|
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newborn that is unable to pass meconium, absence of stool in ampulla of rectum
|
Megacolon; Hirschsprung's, Down's, Chaga's
|
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ovarian fibroma, ascites, R pleural effusion
|
Meigs' syndrome
|
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amenorrhea, hot flashes, night sweats, female 52 yo
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Menopause
|
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chest pain, diaphoresis, dyspnea, n/v
|
MI
|
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epidural bleed
|
Middle Meningeal a.
|
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holosystolic murmur at apex
|
Mitral regurgitation
|
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diastolic rumbling low-pitch murmur at apex following opening snap
|
Mitral stenosis
|
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warts
|
Molluscum contagiosum virus
|
|
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fever, lethargy, atypical lymphs, neg heterophil Ab
|
Mononucleosis; Cytomegalovirus
|
|
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fever, lethargy, sore throat, lymphadenopathy, splenomegaly, atypical lymphs, Monospot test
|
Mononucleosis; Epstein-Barr virus
|
|
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lytic lesions of the skull
|
multiple myeloma
|
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nystagmus, intention tremor, scanning speech
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multiple sclerosis
|
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fever, malaise, swelling of parotids
|
Mumps virus
|
|
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child with difficulty walking, tendency to fall
|
Muscular dystrophy
|
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Murmur; Systolic; holosystolic murmur
|
MV/TV regurgitation
|
|
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Murmur; Diastolic; early, mid-diastolic rumble following opening snap
|
MV/TV stenosis
|
|
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bilateral ptosis
|
Myasthenia gravis
|
|
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difficulty talking, diplopia, muscular weakness upon exertion
|
Myasthenia gravis
|
|
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puffiness of hands, face, feet, tired, weak; yellow skin
|
Myxedema; Hypothyroid
|
|
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abrupt onset oligouria, HTN, periorbital edema, hematuria
|
Nephritic syndrome
|
|
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abrupt onset severe, colicky, flank pain radiating into the groin
|
Nephrolithiasis
|
|
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periorbital edema
|
Nephrotic syndrome
|
|
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increased insulin, increased C-peptide, increased glucose, osmotic coma
|
NIDDM, type II diabetes
|
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nml biceps DTR
|
nml C5
|
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nml triceps DTR
|
nml C7
|
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nml pupil light reflex
|
CN II -> CN III
|
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nml gag reflex
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CN IX -> CN X
|
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nml corneal reflex
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CN V-1 -> CN VII
|
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nml jaw jerk
|
nml CN V-3
|
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nerve for nml cough
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CN-X -> recurrent laryngeal n.; phrenic n.; spinal motor n.
|
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nml hip adduction
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nml L1-L2
|
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nml knee extension
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nml L3-L4
|
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nml patellar DTR
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nml L4
|
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nml great toe extension
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nml L5
|
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nml knee flexion
|
nml L5-S1
|
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nml achilles DTR
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nml S1
|
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nml great toe flexion
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nml S1
|
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diarrhea, n/v for 1 day
|
Norwalk virus
|
|
|
pain of weight bearing joints, worsens by end of day, DIP, Heberden's nodes
|
Osteoarthritis
|
|
|
multiple bone fractures, blue sclera, deafness
|
Osteogenesis imperfecta
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hip pain that worsens at night and is dramatically relieved by aspirin
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Osteoid osteoma
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Migratory thromboplebitis
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Pancreatic CA
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warts
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Papillomavirus
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condyloma accuminata
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Papillomavirus - types 6, 11
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absent bowel sounds
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Paralytic Ileus
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stooped posture, resting tremor, festinating (shuffling) gait, cogwheel rigidity, pill-rolling tremor
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Parkinson's
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machine like murmur, widened pulse pressure, bounding pulses
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PDA
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Murmur; machinery murmur, differential cyanosis (upper body pink, lower body blue)
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PDA
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sudden pleuritic chest pain, tachypnea, dyspnea, tachycardia
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PE
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dermatitis, diarrhea, dementia
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Pellagra; niacin deficiency
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air under the diaphragm
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Perforated Ulcer
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rebound pain, abdominal guarding
(3) |
- Perforated ulcer
- pancreatitis - appendicitis |
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friction rub
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pericarditis
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abdominal guarding, rebound tenderness, pts sits perfectly still
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Peritonitis
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pigmentation around mouth, colonic hamartomatous polyps
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Peutz-Jeghers syndrome
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HTN, HA, perspiration, palpitation, feelings of dread, abdominal pain, hyperglycemia
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Pheochromocytoma
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fever, lower abdominal pain, adnexal tenderness to cervical motion
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PID; chlamydia, gonorrhea
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bitemporal hemianopsia
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Pituitary adenoma
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bitemporal hemianopsia, diabetes insipidus, cranial nerva palsy
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Pituitary adenoma
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acute solitary oval annular lesion of 2-6 cm on the trunk, followed weeks later by eruption of small of christmas tree pattern w wrinkled center and scaly border w hyperpigmentation
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Pityriasis rosea
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dysphagia for solids, glossitis, leukoplakia, achlorhydria, iron deficiency
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Plummer-Vinson syndrome
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upper lobe centrilobular emphysema, cor pulmonale, lungs are black w/ nodular masses & antracotic pigment
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Pneumoconiosis
(Coal miner's) |
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insidious onset low grade fever, pleuritic chest pain, chills, myalgia, non productive cough
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Pneumonia, Atypical; Mycoplasma, Tb, Legionella, Chlamydia…
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sudden onset spiking fever, pleuritic chest pain, chills, cough w rusty sputum
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Bacterial Pneumonia, Typical
(Strep pneumo) |
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sudden onset sharp stabbing chest pain w dyspnea, deviation of trachea, hyperresonance
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Pneumothorax
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esophageal varicies
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Portal HTN; alcoholic cirrhosis
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hyperpigmentation of the skin
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Primary adrenocortical insufficiency
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Adenopathy - hilar
(3) |
- Primary lung CA
- Tb - Sarcoidosis |
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Murmur; Systolic clicks
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Mitral prolapse
(MC valve lesion) |
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mental retardation, short stature, missing metacarpals at birth
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Pseudohypoparathyroidism; PTH insensitivity
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pitting and yellow discoloration of nails, silvery cutaneous plaques which pinpoint bleed when lifted
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Psoriasis
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cva tenderness, fever, chills, pain w urination
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Pyelonephritis
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fever, HA, sore throat, fatigue, nausea, anorexia, painfully sensitive nerves around bite wound -> hyperactivity, agitation -> confusion, lethargy, seizures, madness, salivationÞ hydrophobia, seizures, coma, death
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Rabies virus
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3 causes of Wrist drop
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1.Radial n. damage;
2. fall on shoulder; 3. birth injury |
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bilateral cyanosis of the digits; white -> blue -> red
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Raynaud's disease
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post [neck] surgical hoarseness
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recurrent laryngeal n damage
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Can't see, can't pee, can't climb a tree
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Reiter's
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gross hematuria, flank pain, palpable abdominal mass
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Renal cell CA
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Nails are white proximally and brown distally
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Renal disease
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White reflex
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retinoblastoma
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fever, drowsiness, convulsions, vomiting -> coma; post influenze / varicella
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Reye syndrome
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fever, malaise, endocarditis, polyarthritis, increased ESR
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Rheumatic fever
|
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chronic peripheral symmetric polyarthritis, morning stiffness, radial deviation of wrist, ulnar deviation of digits, MCP, PIP
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Rheumatoid arthritis
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swan neck deformity of digits, boutonniere deformity, symmetric involvement of PIP
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Rheumatoid arthritis
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severe pruritis worse at night, excoriated papules in interdigit area, other family members also affected
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Scabies
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Mouth CA
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SCC
|
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non-tender Adenopathy - submental
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SCC of floor of mouth
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Tightened skin with disappearance of creases over knuckles
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Scleroderma
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pain itching tingling along dermatome, eruption of vessicles and pustular eruptions over an erythematous base
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Shingles; Herpes zoster
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ulcers and sores on legs that are slow to heal; bone pain; young African American
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Sickle cell anemia
|
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dry eyes, dry mouth, rheumatoid arthritis
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Sjogren's syndrome
|
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photosensitivity, oral ulcers, arthritis,
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SLE
|
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tinkles and rushes - bowel sounds
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Small bowel obstruction
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agnosia of the contralateral side of the world;
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Spatial neglect syndrome; Right parietal lobe lesion
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nerve:
Shoulder drop |
Spinal accessory n. damage
|
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painless papules/granulomas at puncture wound from roses, chain of erythematous nodules along dorsum of hand
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Sporotrichosis
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Murmur that follows opening snap
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Mitral stenosis
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gait with swinging leg out to side and slapping ground with foot; toe strike instead of heel strike
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Steppage gait:
Common peroneal n. [L4-S2] -> weakness of dorsiflexion |
|
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fever, malaise, bullous lesions -> mucosal ulceration (often secondary to mycoplasma infection or sulfa drugs)
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Stevens-Johnson Syndrome; erythema multiforme
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bugs:
tonsilitis, exudative pharyngitis (4) |
- Strep pyogenes
- Adenovirus - Coxsackie - EBV |
|
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worst headache of my life
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Subarachnoid hemorrhage
|
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puffiness and blue discoloration of face, dizziness, visual distrubances, JVD
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Superior vena caval syndrome
|
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painless indurated genital ulcer
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Syphilis; Treponema pallidum
|
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absent pulses, claudication of upper extremity, BP decreased or absent in upper but increased in lower, Raynaud's phenomenon, dizziness, visual disturbances
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Takayasu arteritis
|
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pain while combing hair, HA, fever, temporal tenderness, limb girdle pain
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Temporal arteritis
|
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overriding aorta, pulmonary valve stenosis, VSD, RVH
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Tetrology of Fallot
|
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nystagmus, ataxia, confusion
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Thiamine deficiency; mamillary body
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white patchy lesions of the oral mucosa
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Thrush OR Leukoplakia, not same.
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carotid bruit, reversible unilateral loss of vision
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TIA
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jock itch
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Tinea cruris
|
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athlete's foot
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Tinea pedis
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splenomegaly
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Trauma; Infectious mononucleosis; Kala azar; Malaria; Subacute bacterial endocarditis; Autoimmune; Gaucher's; Niemann Pick; Neoplasm - hemangioma; Hypersplenism; Portal HTN; Sickle cell;
|
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when pt stands on one foot, hips drops on other side; pt throws torso toward weakened side during walk
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Trendelenburg gait: Superior gluteal n.[L4-S1]
-> paralysis of gluteus medius & minimus |
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c-v wave
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Tricuspid regurgitation
|
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Valve problem:
distended neck veins, hepatomegaly, edema |
Tricuspid regurgitation
|
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Heart problem causing a Pulsating liver
|
Tricuspid regurgitation
|
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a wave
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Tricuspid stenosis
|
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short stature, webbed neck, little secondary sex characteristics, coarctation of aorta
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Turner's
|
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abdominal pain, bloody diarrhea, fever, weight loss
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Ulcerative colitis
|
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Nerve:
hyperextesion of the metacorpophalangeal joints, flexion of the interphalangeal joints; clawhand |
Ulnar nerve damage
|
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arm is extended, adducted, internally rotated
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Upper trunk injury (C5, C6); Waiter's tip
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dyspnea due to severe panting
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Uremia
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Adenopathy - preauricular
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Viral conjuctivitis
|
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low grade fever, HA, myalgia, abdominal discomfort, loss of taste for coffee / cigarettes -> pruritis -> dark urine, light colored stool
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Viral Hepatitis
|
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fever, HA, nuchal rigidity; aseptic
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Viral menigitis
|
|
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nystagmus, slurred speech, ataxia, retinal detachment, renal cell carcinoma
|
von Hippel-Lindau disease
|
|
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acute necrotizing granulomatous inflammation of respiratory tract, necrotizing vasculitis, necrotizing glomerulonephritis
|
Wegener's granulomatosis
|
|
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saddle nose deformity
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Wegener's granulomatosis
|
|
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confabulation, anterograde amnesia
|
Wernicke-Korsakoff; mamillary body
|
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wordy nonsensical speech; sensory fluent aphasia
|
Wernicke's area lesion
|
|
|
child w/ fever, abdominal pain, hematuria, unilateral flank mass
(2) |
- Wilm's tumor
- Nephroblastoma |
|
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jaundice, fever, HA, myalgia, photophobia
|
Yellow fever virus
|
|
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peptic ulcer, gastric hyperacidity, pancreatic islet cell tumor,
|
Zollinger-Ellison syndrome
|
|
|
child w/ skin rash, arthralgia, intestinal hemorrhage, abdominal pain and melena
|
Henoch-Schonlein purpura
|
|
|
child w/ skin rash, arthralgia, intestinal hemorrhage, abdominal pain and melena
|
Henoch-Schonlein purpura
|
|
|
pericarditis weeks after MI
|
Autoimmune pericarditis
(Dressler's Syndrome) |
|
|
seziure:
drop briefly w/o shakes |
Atonic
|
|
|
seziure:
staring into space w/o position change |
Absent
(petite mal) |
|
|
sezuire:
sudden brief muscle jerks with entire body |
Myoclonic
|
|
|
seziure:
sudden onset of sustained axial and limb muscle contraction |
Tonic
|
|
|
seziure:
sudden muscle contraction followed by relaxation superimposed on muscle contractions |
Tonic-Clonic
(Grand mal) |
