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Stack #145431
| Question | Answer |
|---|---|
| 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
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