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Stack #145431

hands, persistent painless cyanosis Acrocyanosis
Paroxysmal, lower extremities, burning P, redness, increased temperature of feet Erythromelalgia
episodic, sympathetic response, color changes (white-blue-red), ulcerations of fingers, stress, smoking, cold, scleroderma Raynaud's Phenomenon
legs, male smokers, 20-40 years, intermittent claudication - Buergers Thromboangiitis Obliterans
produced upon exertion, crushing retrosternal pain, lasts 1-5 minutes Angina Pectoris
sudden(peak intensity at onset), torn in half, shocky, abdominal bulge, Marfan's syndrome Dissecting Aneurysm
curshing or pressure like pain, prolonged (20 minutes to hours), no relief with rest Myocardial Infarction
xray shadow, inc pulse pressure, muffled heart sounds, echocardiogram Pericardial Effusion
coronary artery spasm, pain occurs at rest Prinzmetal's Angina
epigastric/periumbilical pain (esp on recumbency), migrating to RLQ, abdominal rigidity, rebound tenderness, psoas sign, obturator sign, pain is dec with flexion Appendicitis
spastic colon, psycho-physiological ass w/stress, chronic intermittent diarrhea and constipation Irritable Bowel Syndrome
LLQ pain diverticulitis
chronic diarrhea, + HLA B27 Regional Ileitis (Crohn's)
chronic, 15-40 yoa, bloody diarrhea, arthropathies, + HLA B27, dx by sigmoidoscopy Ulcerative Colitis
canker sore, painful round white ulcer with yellow fibrinous red margins Apthous Ulcer/Stomatitis
shiny (pearly gray) nodule, teleangiectasis, ulcerated, crusted and bleed Basal Cell Carcinoma
angular stomatitis, riboflavin B2 deficiency Cheilosis
males, lower lip, shallow progressive ulceration, squamous cell carcinoma Carcinoma of the lip
papules (blisters) common in adults, enlarged but normal sebaceous glands Fordyce Spots
Cold sore/fever blister, recurrent viral infection, small crops of vesicles, vesicles rupture crust over and heal within 10 days Herpetic Stomatitis/Labialis
Asymmetrical, irregular borders, varied colors, diameter >6mm Melanoma
eczema, allergic dermatitis, flexor surfaces, pruritic and exudative, recurrent, allergic or familial Atopic Dermatitis
strep/staph infection, small vesicles, encrusted Impetigo Contagiosum
oval, salmon colored, scaly, HERALD PATCH Pityriasis Rosea
scalp, greasy, scaly lesions Seborrheic Dermatitis
Rebound tenderness, parietal peritonitis Blumberg's Sign
blue discoloration of peri-umbilical area, hermoperitoneum Cullen's Sign
LUQ pain, left shoulder in splenic rupture Kehr's Sign
spinal cord lesion Kerr's Sign
deep palpation, inspiratory arrest, acute cholecysitis Murphy's Sign
appendicitis Rovsing's Sign
adrenal disease Rogoff's Sign
COPD Type A, xrays, radiolucent, mediastinum shifting away, prolonged expiration, respiratory muscle hypertrophy, hyper resonant (bilateral - older) Emphysema
sudden onset, previously healthy, hyper resonant, radiolucent lung fields (unilateral - acute) Pneumothorax
allergens, exertion, acute, wheezing, eosinophilia, Curschmann spirals, Charcot-Leyden crystals Bronchial Asthma
halitosis, copious foul smelling, muco-purulent sputum Bronchiectasis
hemoptysis, weight loss, sinus arrythmia, Horner's syndrome, MC in upper right lobe, MC types squamous cells Bronchogenic Carcinoma
COPD Type B, history of productive cough, dyspnea, wheezes Chronic Bronchitis
orthopnea and dry, non productive cough, dec fremitus, dullness on percussion, and dec breath sounds near lung bases Pleural Effusion
consolidation, fever, productive cough (rust colored sputum), displaced breath sounds, inc voice sounds, inc tactile fremitus Pneumonia
fluid in the lungs, due to left ventricular failure or mitral stenosis, nocturnal dyspnea, orthopnea, butterfly pattern Pulmonary Edema
knife like ches pain, hemoptysis, history of surgery, fracture, prolonged immobility Pulmonary Embolism
secretion of vasoactive substances, episodic flushing and edema of the face and neck, abdominal cramps and pain, recurrent diarrhea Carcinoid Syndrome
retracted nipple, bleeding, distorted contours and dimpling, mass is firm and hard Carcinoma of the Breast
freely movable, non tender breast masses Fibroadenoma
movable, tender, larger/more painful prior to menses Fibrocystic Disease
tender, swollen, red, warm and hard, postpartum Mastitis
carcinoma, red, scaly erosion and ulceration of the nipple Paget's Disease of the breast
portal hypertension (spider angioma, nevi, hemorrhoids, esophageal varices with hematemesis, clubbing of the digits), testicular atrophy, bronze diabetes (tanned), hemochromatosis, MC cause of ascites Cirrhosis
hypertension of upper extremities, dec blood pressure in lower extremities Coarctation of the Aorta
saddle thrombus of terminal aorta causing intermittent claudication Leriche's Syndrome
pulmonary changes, noctural dyspnea, orthopnea, edema of the face, neck and upper extremities Left-sided HF
systemic hypertension, ascites, hepatomegaly, pitting edema of the extremities Right-sided HF
acute laryngotracheobronchitis, harsh, painful barking cough, stridor Croup
loud brassy, non-productive dry cough, tracheal tug, dysphagia, hoarseness, (recurrent laryngeal nerve) Aneurysm of the Aortic Arch
polyuria, polydipsia Diabetes Insipidus
insulin deficiency, hyperglycemia, hypertension, obesity, neuropathies, microaneurysms, neovascularization, candidial vaginitis Diabetes Mellitus
painful swollen mass, fever, increased WBC Count and pyuria Epididymitis
transilluminates Hydrocele & Spermatocele
20-35 yoa males, malignant Testicular Tumors
bag of worms varicocele
fifth disease, epidemic, low grade fever, slapped face, pallor around the mouth, common in children during autumn and spring Erythema Infectiosum
heat, friction, diabetes, tissues are red and denuded, 2ndary bacterial or candidial infection Intertrigo
infants/preschoolers, 3-4 day high fever, 1-3 day maculopapular rash of chest/trunk Roseola Infantum
tender painful red indurated nodules, below the knees Erythema Nodosum
warmth and edema of the leg, red linear streaks on the skin Lymphangitis
chronic, necrotizing inflammation of small-medium sized arteries Polyarteritis Nodosa
lower leg, edema, brown pigmentation of the skin Stasis Dermatitis
painful tender veins, fever Thrombophlebitis
joint and myofascial pain, 11 of 18 trigger points, anxiety, disturbed sleep, tx rest, heat, massage, ROM exercises, and psychotherapy Fibromyalgia
striated muscle, symmetrical muscle weakness, females 40-60 yoa, heliotropic rash of the eyelids, dermatomyositis Polymyositis
Progressive Systemic Sclerosis, poly-arthralgia, CREST (calcinosis, Raynaud's, esophageal dysfunction, sclerodactyly, telangiectasis) Scleroderma
xerophthalmia, xerostomia, rheumatoid arthritis, females (9:1), 40-60 yoa, sero-positive Sjogren's
before age 17, salmon-colored macular rash, apophyseal joints of upper cervical spine, aka Juvenile RA Still's Disease
connective tissue disorder, exacerbations and remissions, migratory joint pain of the hands and feet, non-prurituc scaling erythema of the face "butterfly/malar rash", photosensitivity, vasculitis, ANA Systemic Lupus Erythematosus
Inc intraocular pressure, fixed dilated pupils, redness of the eye, cloudy, visual disturbances, cupping of the disk, crescent-shaped shadow on oblique lighting glaucoma
choked disk, inc intracranial pressure, minimal visual impairment or eye pain, hyperemic, edematous disc with blurred margins papilledema
suddent unilateral vision loss, pain with movement of the eye, MS, optic neuritis Papillitis
pulmonary hemorrhage, rapid, progressive glomerulonephritis and renal failure, iron deficiency, young adult males goodpasture's syndrome
chronic nephritis, edema, peripheral neuropathy, incr urinary proteins, hypo-albuminemia, hypokalemia, hypercholesterolemia nephrotic syndrome
infectious - poor hygiene, contaminated foods Hep A - HAV
serum - exchange body fluids Hep B - HBV
males >40 yoa, Hesselbach's triangle direct inguinal hernia
most common - inguinal ring/canal into the scrotum indirect inguinal hernia
femoral triangle (inguinal ligament, sartorius, and adductor longus) - females femoral hernia
neonate - projectile vomiting, dehydration, peristaltic waves pyloric stenosis
lymphoid tissue, pruritis, cachexia, firm non tender enlarged lymph nodes, hepato/splenomegaly, sensitivity to alcohol, Reed-sternberg cells hodgkin's
young adults, sore throat, fever, periorbital edema, splenomegaly, hepatomegaly, leukopenia with mono and lymphocytosis - Downey cells, Positive monospot or heterophil agglutination (Paul-Bunnell) Infectious Mononucleosis
hemolytic or hepatic pre-hepatic jaundice
CODS - conjugated bilirubin, obstructive, direct van den bergh, soluble in water Post-hepatic jaundice
Created by: danielledc2b