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86 Cards in this Set

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Headache, throbbing, L. temporal pain, lasts 2-3hrs., flashes of light, weakness and numbness on the right risde of her body for a few minutes.
Migraine
Tension HA
Cluster HA
Pesudotumor Cerebri
Trigeminal Neuralgia
CNS Vasculitis
Partial Seizure
Intracraneal Neoplasia
Migraina HA is associated w/ what sympt.?
nausea/vomiting
family Hx
Headache, blurred vision, temporal region, pain in jaw when chewing?
Temporal Arteritis (giant cell)
Headache, temporal region, ipsilateral rhinorrhea, eye tearing, redness.

Episodes at same time/night
lasts for 45 min.
Cluster HA
Diff. for Temporal Arteritis?
migraine
tension
meningitis
Carotid Artery Dissection
Pesudotumor Cerebri
Diff. sinusitis?
Mirgaine
Tension HA
Meningitis
IC neoplasm
HA + Confusion, vomiting?
Subarachnoid Hemorrhage
Diff for Subarachnoid Hemorrhage?
Migraine
Meningitis
Encephalitis
Vertebral artery dissection
IC venous Thrombosis
Diff. Pseudotumor Cerebri?
Cluster HA
Meningitis
IC venous thrombosis
Migraine
HA, pain on R. cheek, 1 mo., electric character?
Trigeminal Neuralgia
Diff Trigeminal Neuralgia?
Tension HA
Migraine
Cluster HA
TMJ dysfunction
IC neoplasma
BRUXISMUS
Patient w/ confusion, forgetfulness?
Vascular Dementia
Alzheimer's Dz
Normal Pressure Hydrocephalus
Chronic Subdural Hematoma
IC tumor
B12 def.
Neurosyphilis
Hypothyroidism
Pat. w/ dizziness?
Meniere's Dz
Vestibular Neuronitis
Labyrinthitis
Benign Positional Vertigo
Acoustic Neuroma
Dizziness w/ severe diarrhea that started 2 days ago?
Orthostatic Hypotension due to dehydration
Vestibular neuronitis
BPV (benign pos. vertigo)
Pat. w/ psychosis?
Schizophrenia
Schizotypical Personality disorder
depression w/ psychotic features
Dizziness w/ URI 2 days ago, n/v+
Vestibular Neuronitis
Labyrinthitis
Meniere's Dz
Vertebrobasilar insufficiency
Tests for Dizzines?
Audiogram
Electronystagmography
MRI/MRA- brain
Don't forget to ask patient w/ trauma?
did you loose consciousness...

did you have any seizures...
Pat. falls and loses consciousness at work, movementes of limbs, bit his tongue... loss bladder control
Seizure, grand mal
substance abuse
malingering
hypoglycemia
65 M losing consciousness for few seconds, had palpitations before falling?
Cardiac Arrythmia
Differentials for sudden loss of conciousness?
Sever aortic stenosis
syncope
Seizure
Pulm. embolism
Pat. w/ numbness?
TIA
hypoglycemia
seizure
Pat. w/ R. Knee pain Dx?
Osteoarthrtitis
Septic Arthritis
Pseudogout
Gout
Meniscal/Lig. damage
Reiter's Arthritis
Dx. Test for R. Knee pain?
XR-knee
CBC
ESR
Knee Arthrocentesis/synovial fluid analysis
MRI-Knee
Pat. 65M w/ R. foot pain?
Planta Fascitis
Stress Fx
Foot sprain/strain
30 yo F multiple facial and physical injuries?
Rape

Attacked and raped by two men
Dx Test Rape?
Pelvic Exam
hCG (urine)
Wet mount, KOH
CBC
HIV Ab
Viral Hepatitis Serologies
70 yo fem, loss of hearing?
Acoutic Neuroma
Lyme
Ototoxicity from DRUGS
Stroke
Fem. renal pain? back pain?
What physical findings?
Check for Murphy, check for CVA?
Diff. dx of renal pain/CVA tenderness? back pain...
Renal Cell Carcinoma
Nephrolithiasis
Acute glomerulonephritis
Pyelonephritis
Prostate CANCER
Bladder CANCER
Diff dx. painless hematuria?
Bladder CANCER
Renal Cell CA
Nephrolithiasis
Acute Glomerulonephritis
Coagulation Disorder
Polycystic Kidney Dz
60yo. M, nocturia, urgency, weak stream, terminal dribbling. C/o 2 episodes of urinary retention...
Benign Prostatic Hyperplasia (BPH)
Diff Dx. of urinary retention, nocturia, urgency?
Benign Prostatic Hyperplasia
Prostate CA
UTI
Bladder Stones
45 yo. DM, dysuria, fever, chills, Nausea+?
Urethritis
Cystitis
Prostatitis
Boy w/ Fever?
Acute Otitis Media
URI
Meningitis
UTI
20 day old M, fever, decreased breast-feeding, lethargy?
PROM probably:
NEONATAL SEPSIS
MENINGITIS
PNEUMONIA
UTI
Pat. w/ back pain, diff dx?
Disk Herniation
Lumbar muscle strain
Tumor in the vertebral canal
Abdominal Aortic Aneurysm
Vertebral Compression Fracture
45 yo M pain in lower back, legs during prolonged standing/walking?
Lumbar Spinal Stenosis
Lumbar muscle Strain
Tumor in the vertebral canal
Peripheral Vascular Disease
55 yo M with crampy bilateral thigh + calf pain, fatigue, dark urine? taking simvastatin/clofibrate for hyperlipidemia
Rhabdomyolisis due to simvastatin or clofibrate
Polymyositis
Inclusion Body myositis
Thyroid Dz
17 yo M trying to get out of gym class at school, complains of back pain?
Malingering
Lumbar Muscle Strain
Disk Herniatioin
Knee or leg fracture
Ankylosing Spondylitis
Pat. w/ chest pain?
don't forget to obtain JVD
pulses, chest examination
Diff. Chest Pain? African American...
Sickle Cell Dz- pulmonary Infaction
Acute Chest Syndrome
Penumonia
Pulmonary EMBOLISM
MI
Pneumothorax
Aortic Dissection
W/U Chest Pain?
CBC, ret. count, LDH, peripheral smear
ABG
CXR
CPK-MB, troponin
ECG
V/Q Scan
CT-Chest with IV Contrast
60 yo M sudden onset?
30 min., rad. to L. arm?
MI
GERD
Angina
Costochondritis
Aortic Dissection
Pericarditis
Pulmonary Embolism
Pneumothorax
45yo F, persents w/ retrosternal burning pain, after heavy meals/when lying down worsening?
GERD
Esophagitis
Peptic Ulcer Dz
Esophageal Spasm
MI
Angina
Syncope/Loss of Consciousness?

LOC... 26yo. M
bit tongue
Seizure, grand mal
now Complex Tonic-Clonic Seizure
Convulsive Syncope
Substance Abuse/Overdose
Malingering
Hypoglycemia
Syncope/Loss of Consciousness?

55yo, hx HTN, IVDU...
Drug-induced orthostatic Hypotension (cause)
Cardiac Arrythmia
Syncope (Vagal)
Stroke
MI
Pulm. EMBOLISM
Syncope/Loss of Consciousness?
65yo M, Hx of CABG?
Cardiac Arrythmia
Severe Aortic Stenosis
Syncope (Vagal)
Seizure
Pulmonary embolism
W/U for Syncope/Loss of Consciousness?
CBC, electrolytes, glucose
Urine Toxicology
EEG
MRI-brain
CT - Head
LP -CSF analysis
ECG
Echocardiography
V/Q scan
Pat. w/ weakness/lightheadedness at gocery store?
TIA
hypoglycemia
Seizure
Pat. 68yo M slurred speech, R. facial dropping/numbness, R. hand weakness? Totally resolved at E.R.? Dx of HTN, DM or heavy smoking
TIA
Hypoglycemia
Seizure
Pat. w/ tingling/numbness on hands feet? glove distribution...
Diabetic Peripheral Neuropathy
Alcoholic Peripheral Neuropathy
B12 def.
Hypocalcemia
Hyperventilation
Paraproteinemia/myeloma
W/U for tingling/numbness?
ESR
Calcium
serum B12
Glucose, HbA1c
Serum/Urine Protein Electrophoresis
25 yo. M hemiparesis after seizure that resolves after hours?
Todd's Paralysis
TIA
Stroke
Complicated Migraine
Malingering
40 yo F, ocassional double vision, droppy eyelids at night with normalization by morning?
Myasthemia Gravis
Horner's Sx
Multiple Sclerosis
Intracraneal Tumor Compression of III, IV or VI
Amyotrophic Lateral Sclerosis (ALS)
W/U for droppy eyelids and double vision?
Tensilon Test
ACh receptor Abs
CXR
CT- Chest
MRI-Brain
EMG
Pat. w/ difficulty swallowing?
solids 1st... now liquids
Esophageal CANCER
Achalasia
Esophagitis
Systemic Sclerosis
Esophageal Stricture
Amyotrophic Lateral Sclerosis
W/U of dysphagia?
CBC
CXR
Endoscopy w/ biopsy
Barium Swallow
CT-chest
45 yo. F dysphagia for 2 weeks + fatigue + craving ice clay?
Plummer-Vinson Sx
Esophageal Cancer
Esophagitis
Achalasia
Systemic Sclerosis
Mitral Valve Stenosis
W/U dysphagia + fatigue/craving ice/clay?
CBC
Serum Fe, ferritin, TIBC
Barium Swallow
Endoscopy
Manometry
48 yo. F w/ dysphagia for both solids+liquids that slowly progressed in severity for 1 year ocassional regugitation of undigested food at night...
Achalasia
Plummer-Vinson Sx
Esophageal Cancer
Esophagitis
Systemic Sclerosis
Mitral Valve Stenosis
Esophageal Stricture
Zenker's Diverticulum
W/U dysphagia for Solids+liquids?
Esophageal Manometry
Barium Swallow
CXR
Endoscopy
38 yo M dysphagia/pain on swallowing solids > liquids.
Oral Thrush seen...
Esophagitis (CMV, HSV, pill-induced)
Systemic Sclerosis
GERD
Esophageal Stricture
Zenker's Diverticulum
45 yo. F presents w/ pain in both legs, induced by walking/relieved by rest
DVT
Baker's Cyst Rupture
Myositis
Cellulitis
Superficial Venous Thrombosis
W/U for DVT?
doppler US -right leg
CBC
CPK
D-dimer
60 yo F c/o L. arm pain started while seh was swimming and was relieved by rest?
Angina/MI
Tendonitis
Osteoarthritis
Shoulder Dislocation
W/U L. arm pain?
XR-Shoulder
XR-arm
MRI-Shoulder
60 yo F c/o L. arm pain started while seh was swimming and was relieved by rest W/U Tests?
CPK-MB, ECG
CBC
ESR
XR-Shoulder
CXR
Stress Test
67 yo M R. shouder pain after falling onto outstrectch arm?
Elder Abuse
Shoulder Dislocation
Fx of the Humerus
Rotator Cuff Injury
COPD pat. w/ cough? What to offer them?
dont' forget to offer them water
Patient that is crying... what to do?
keep silent... 2-3 seconds
then offer Kleenex
Patient w/ Photophobia what to do?
Make sure to lower the lights
Pat. w/ shortness of breath, cough that is productive occured over the past two years for at least three mo. each year?
COPD-chronic bronchitis
Bronchiectasis
Lung Cancer
Tuberculosis
30yo. M shortness of breath, cough, wheezzing worsen w/ cold air?
Asthma
GERD
Bronchitis
Penumonitis
Foreign Body
W/U w/ pat. shortness of breath?
CBC
Sputum Gram Stain + Culture
CXR
CT- CHEST
ECG
PPD
25 yo. F cough 2 weeks, non-productive?
Atypical Pneumonia
Reactive Airway Dz
URI-associated post-infectious
Postnasal Drip
GERD
W/U for non-productive cough?
CBC
Induced sputum gram stain/culture
CXR
IgM Mycoplasma
Urine Legionella Ags
65yo M. cough worsening cough/ 6 months/ hemoptysis, dyspnea, weakness and weight loss/ smoker+
Lung CANCER
Tuberculosis
Lung Abscess
COPD
Vasculitis (Wegner's)
Intersitial Lung Dz
CHF
W/U for worsening cough >6months?
CBC
Sputum Gram Stain/Cult.+cytology
CXR
CT- Chest
PPD
Bronchoscopy
34 yo. Nurse, presents w/ cough, weight loss, fatigue, night sweats, fever... what else do you ask for?
dont' forget to ask for contacts?
34 yo. Nurse, presents w/ cough, weight loss, fatigue, night sweats, fever?
TB
Pneumonia
Lung Abscess
Vasculitis
Lymphoma
Metastatic CA
HIV/AIDS
50yo. cough when lying down/improved by pillows?
CHF
Cardiac Vascular Dz
GERD
Pulmonary Fibrosis
COPD
Postnasal Drip
What else do you need to ask for cough when lying down?
Occupation!!!
Could have Pulm. fibrosis

or Meds since Busulfan
Bleomycin cause pulm fibrosis
W/U for cough when lying down?
CBC
CXR
ECG
Echocardiography
PFTs
Pat. 35 yo.w/ headache + photophobia?
Subarachnoid Headache
"worst HA of life"
Migraine
Meningitis/Encephalitis
IC hemorrhage
Vertebral Artery Dissection
IC venous thrombosis
Acute HTN
IC neoplasms
W/U of severe Headche?
CT-Head
CBC
LP
PT/PTT
MRI/MRA Brain
Electrolytes