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5 Cards in this Set

  • Front
  • Back
Key History -
Acuity of onset
abdominal pain
relation to meals
sick contacts
possible food poisoning
possible pregnancy

neuro Sxs -
HA
stiff neck
vertigo
focal numbness or weakness

other associated Sxs -
GI
chest pain

exacerbating and
alleviating factors

meds
Key PE -
VS
ENT
consider funduscopic exam
complete abdominal exam
consider heart, lung and
rectal exams
20 y/o F
presents with n/v (especially in the morning), fatigue and polyuria.
Her LMP was 6 wks ago and her breasts are full and tender.
She is sexually active with her boyfriend and they use condoms for contraception.

What is Differential?
Pregnancy
gastritis
hypercalcemia
DM
UTI
depression
20 y/o F
presents with n/v (especially in the morning), fatigue and polyuria.
Her LMP was 6 wks ago and her breasts are full and tender.
She is sexually active with her boyfriend and they use condoms for contraception.

What is Workup?
urine hCG
pelvic exam
US - pelvis
CBC, electrolytes, calcium, glucose
UA, UC
baseline pap smear, cervical Cx, rubella Ab, HIV Ab, HBsAg and RPR/VDRL
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