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11 Cards in this Set

  • Front
  • Back

Joint Pain Evaluation


Morning Tenderness & Inflammation

Poly: inflamed = ra; not inflamed = bursitis if point tenderness, arthritis otherwise




Mono: trauma = fracture; not inflamed = bursitis if pt tenderness, arthritis otherwise; inflamed = ra or gout, infectious




Morning tenderness >1hr = inflammatory

Arthrocentesis indication

monoarticular & inflamed

Thyroid Evaluation


MC Hyperthyroid Treatment

high TSH = image pit; normal = not thyroid


low TSH = T4 & Radioactive Imaging [diffuse = graves, focal = TNG, none = thyroiditis]


MC treatment = RadioIodine

Adrenal Insufficiency Diagnosis


Distinguish primary & secondary AI


AI treatment

D: no Adrenal hormone rise after ACTH stim


1 vs 2: 1 = ACTH increased in morning


Treat: Dexa

Hypercortisol Eval



24 hr cortisol excretion elevation




if ACTH up = pituitary issue


ACTH normal/down = adrenal or ectopic tumor

Diagnose & Treat Pheochromocytoma

Sensitive: Plasma


Specific: Urine

4 Reasons to Screen for Diabetes


2 ways to diagnose


Treat Diabetes

Screen: HTN, dyslipidemia, Obese, over 45




Diagnose: random gluc over 200 or HbA1C > 6.5




Treat: Metformin, Sulfa, GAP, Glita, Insulin

DKA


vs


HHS

DKA = T1, high ketones, acidosis


HHS = T2, high glucose

Painful Genital Lesion


Non-painful genital lesion


Discharge

Herpes (H ducreyi)


Syphilis


Gonrrhea or Chlamidya

syncope diagnostic procedures

ekg & echo

Low back pain with:




morning stiffness


osteoporosis


old & radiating to leg


Urinary Retention


Wt loss

AS


compression fracture


stenosis


Cauda Equina


Cancer