Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
16 Cards in this Set
- Front
- Back
|
Key History -
|
Duration
sleep hygiene snoring waking up choking/gasping witnessed apnea overexertion stress depression or other emotional problems diet weight changes other constitutional Sxs Sxs of thyroid disease h/o bleeding or anemia meds alcohol and drug use |
|
|
Key PE -
|
VS
head and neck exams - conjunctival pallor oropharynx/palate lymphadenopathy thyroid exam heart lung abdomen neurological consider rectal exam and occult blood testing |
|
|
40 y/o F
c/o feeling tired, hopeless, worthless and of having suicidal thoughts. She recently discovered that her husband is gay. What is Differential? |
Depression
adjustment d/o hypothyroidism anemia |
|
|
40 y/o F
c/o feeling tired, hopeless, worthless and of having suicidal thoughts. She recently discovered that her husband is gay. What is Workup? |
CBC
TSH HIV/STD testing |
|
|
44 y/o M
presents with fatigue, insomnia and nightmares about a murder that he witnessed in a mall one year ago. Since then, he has avoided that mall and has not gone out at night. What is Differential? |
Post-traumatic stress d/o
depression generalized anxiety d/o psychotic or delusional d/o hypothyroidism |
|
|
44 y/o M
presents with fatigue, insomnia and nightmares about a murder that he witnessed in a mall one year ago. Since then, he has avoided that mall and has not gone out at night. What is Workup? |
CBC
TSH calcium ??? urine tox |
|
|
55 y/o M
presents with fatigue, weight loss and constipation. He has a family h/o colon ca. What is Differential? |
Colon cancer
hypothyroidism renal failure hypercalcemia other malignancy depression |
|
|
55 y/o M
presents with fatigue, weight loss and constipation. He has a family h/o colon ca. What is Workup? |
Rectal exam,
stool for occult blood CBC, electrolytes, calcium, BUN/Cr, AST/ALT, TSH colonoscopy barium enema |
|
|
40 y/o F
presents with fatigue, weight gain, sleepiness, cold intolerance, constipation and dry skin. What is Differential? |
Hypothyroidism
depression DM anemia |
|
|
40 y/o F
presents with fatigue, weight gain, sleepiness, cold intolerance, constipation and dry skin. What is Workup? |
TSH
CBC glucose |
|
|
50 y/o obese F
presents with fatigue and daytime sleepiness. She snores heavily and naps 3-4 times a day, but never feels refreshed. She also has HTN. What is Differential? |
Obstructive sleep apnea
hypothyroidism chronic fatigue syndrome |
|
|
50 y/o obese F
presents with fatigue and daytime sleepiness. She snores heavily and naps 3-4 times a day, but never feels refreshed. She also has HTN. What is Workup? |
CBC
TSH nocturnal pulse oximetry polysomnography EKG |
|
|
20 y/o M
presents with fatigue, thirst, increased appetite and polyuria. What is Differential? |
DM
atypical depression primary polydipsia diabetes insipidus |
|
|
20 y/o M
presents with fatigue, thirst, increased appetite and polyuria. What is Workup? |
Glucose
UA CBC, electrolytes BUN/Cr |
|
|
35 y/o M policeman
c/o feeling tired and sleepy during the day. He changed to the night shift last week. What is Differential? |
Sleep deprivation
sleep apnea depression anemia |
|
|
35 y/o M policeman
c/o feeling tired and sleepy during the day. He changed to the night shift last week. What is Workup? |
CBC
nocturnal pulse oximetry polysomnography |
