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Boards 3 - EENT Physical exam by regions

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show Viral Rhinitis (common cold)  
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show Allergic rhinitis  
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show Atrophic rhinitis  
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Polyps of the nasal mucosa indicates   show
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Another name for Hyperthyroidism   show
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show Goiter, tachycardia and atrial fibrillation, widened pulse pressure, warm, fine, weight loss, moist skin, fine tremors, exopthalmosis  
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Hyperthyroidism symptoms   show
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Hyperthyroidism Laboratory Values   show
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show Myxedema  
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show Toxic, diffuse goiter  
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Primary cause of hypothyroidism   show
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show failure of pituitary to secrete TSH or hypo-thalamus o serete TRH  
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Primary labs used for hypothyroidism   show
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Secondary Labs used for hypothyroidism   show
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Skin/Hair for primary hypothyroidism?   show
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show Dr, but NOT coarse depigmentation  
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show Macroglossia  
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show Periorbital swelling; dropping eyelids; loss of lateral 1/3 eyebrow  
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show Normal  
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Breast Appearance in secondary hypothyroidism?   show
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show Menorrhagia  
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show Ammenorrhea  
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show cyanosis  
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clubbing of the fingernails indicates?   show
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show normal  
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show pleural effusion; pneumothorax  
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show atelectasis  
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Symmetry of the chest indicates?   show
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show Scoliosis  
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show Emphysema  
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Duration of vesicular breath sounds?   show
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show Most of lung especially the base  
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show Inspiratory equals expiratory  
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show Anterior: 1st and 2nd interspace; Posterior: Between scapula at the lung apex  
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show expiratory longer than inspiratory  
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show over manubrium  
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show Inspiratory equals expiratory  
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location of tracheal breath sounds?   show
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Asthma breath sound?   show
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asthma percussive note?   show
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Atelectasis breath sound?   show
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show flat/dull  
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show Rales  
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Bronchitis breath sound?   show
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show Resonant  
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show Wheezing  
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show Hyperresonant  
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show Crackles (friction rub)  
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show Resonant  
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Pneumonia Breath Sound?   show
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Pneumonia percussive note?   show
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show Productive/Rusty  
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show Strep. pneumonia  
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Friedlander's Pneumonia cough/sputum findings?   show
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show klebsiella Pneumonia  
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show Productive/gram neg. coccobacilli  
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Hemophilus Broncho-pneumonia organism?   show
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Primary Atypical Pneumonia cough/sputum findings?   show
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show mycoplasma pneumonia (most common lung infection 5-35 yr. old  
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show Dry/mucopurulent  
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Viral pneumonia organism?   show
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show headache, fever, myalgia, and cough  
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Pneumocystis carinii organism?   show
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show CMV (AIDS patients)  
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show AV values closing (mitral and tricuspid)  
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S2 Heart Sound   show
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S3 Heart Sound   show
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S4 heart Sound   show
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When the venticles contract it is called?   show
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show Diastole  
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show The Right atrium -> Right Ventricle -> To the Lungs  
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show The Left Atrium -> Left Ventricle -> To the Body  
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Stenosis murmurs pitch   show
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show Bell of Stethescope  
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show Valve has trouble opening. Blood swirls through a narrow opening.  
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Regurgitation aka   show
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show Valve is insufficient. Blood seeps or squirts back into chamber.  
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show high  
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show Diaphragm of stethescope  
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show Aortic, Regurgitation, Mitral, Stenosis occurs in Diastole  
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The mnemonic for heart murmurs PRTS occurs in?   show
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show CPK, SGOT, LDH  
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show appears 3-6 hours, returns to nornmal by 3rd day.  
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SGOT appears and returns to normal by when?   show
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LDH appears and returns to normal by when?   show
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Which sided heart failure occurs with Pulmonary edema?   show
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show left sided  
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Which sided heart failure occurs with Exertional dyspnea?   show
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Which sided heart failure occurs with Tachycardia?   show
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show Left sided  
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show Left sided  
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show Left sided  
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show Right sided  
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Which sided heart failure occurs with ascites?   show
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show Right sided  
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Which sided heart failure occurs with hepatomegaly with portal hypertension?   show
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Which sided heart failure occurs with jugular venous distention?   show
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show Right sided  
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Which sided heart failure occurs with Right ventricular hypertrophy?   show
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show Right sided  
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Which sided heart failure occurs with hemorrhoids?   show
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Which sided heart failure occurs with testicular varicosities?   show
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show atrial depolarization  
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show Ventricular depolarization  
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T wave results   show
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Prinzmetal angina (angina pectoris at rest) and pistol shot pulse produce?   show
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show Raynaud's Phenomenon  
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show Raynauds's Phenomenon  
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show 20-40 year old males, excess tobacco smoking  
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Buerger's aka Thromboangitis obliterans signs/symptoms and orthopedic tests   show
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show >15 yr. females, associated with Buerger's, collagen disease, scleroderma  
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Raynauds signs/symptoms and orthopedic tests?   show
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show Heart disease cardiovascular disease  
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show Abnormal widening that involves all 3 layers (defect in elastic-media tissues) DX: ultrasound (size and thickness)  
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Dissecting Aneurysm associated with?   show
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show interruption of the intima allowing blood into the vessel wall with immediate "tearing" pain DX: aortography  
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show Marfan's  
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Dissecting aneurysm of the descending aorta associated with?   show
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show Intermittent claudication  
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2 causes of Intermittent claudication   show
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Neurogenic claudication pattern   show
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what relieves neurogenic claudication?   show
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what is the common cause of neurogenic claudication?   show
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Vascular claudication pattern   show
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What relieves vascular claudication   show
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What is the common cause of vascular claudication?   show
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Venous disorders are diagnosed by?   show
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show Incompetent valves, dilated tortuous channels (visible-bluish) Ortho: Homan's  
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Signs and symptoms of deep vein thrombosis   show
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Homan's orthopedic test indicates?   show
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homan's procedure and postive test?   show
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Perthe's aka tourniquet test orthopedic test indicates?   show
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Claudication procedure and postive test?   show
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show + vascular, - neuro  
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show Pedal fast until painful, rest until painless, repeat. Positive test: pain in calves  
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Stoop orthopedic test indicates?   show
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show Walking causes pain, stooping or flexing forward relieves it, positive test: pain in calves.  
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show Polycythemia vera  
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show anemia  
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show acute infection, inflammation, leukemia  
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show overwhelming infection, viral conditions  
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show erythrocyte  
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show leukocyte  
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Hgb aka   show
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Hct aka   show
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show thrombocytes  
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Hgb increased   show
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show Anemia  
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show dehydration, polycythemia vera  
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Hct decreased   show
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show Polycythemia, trauma, blood loss  
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show Anemia, extensive or severe burns, thrombocytopenia  
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show bacteria; acute infection  
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show virus; chronic infection  
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show chronic infection  
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Eosinophils associated with   show
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show heparin production  
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show bacterial infection; pneumonia  
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Lymphocytes increased in   show
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show Hodgkin's  
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show Asthma; worm infections  
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Basophils increased in   show
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Band cells   show
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Segs cells   show
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show increase in band cells and a reduction in segs seen in fulminating infections and acute appendicitis.  
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Acid phos indicates   show
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show Reversal - multiple myeloma, RA  
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show increased: dehydration; decreased: Nephrosis  
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show Increased: osteoblastic lesions (bone), Hepatic disease (liver)  
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show Increased: Acute Pancreatitis  
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show Collagen disease (SLE, Scleroderma)  
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show Increased: Pheumatic Fever, Acute Glomerulopnephritis  
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Increased direct bilirubin   show
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show hemolytic disease, drugs, spleen  
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show increased urobilinogen in the urine  
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Increased conjugated (direct bilirubin) in the blood causes   show
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show bilirubin  
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BUN increased   show
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show liver disease  
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CA increased   show
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CA decreased   show
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show hemolytic disease  
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show muscle necrosis (skeletal, heart, brain)  
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show tissue necrosis  
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Creatinine increased   show
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creatinine decreased   show
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show Mono (atypical lymphocyte)  
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show Infection  
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ESR decreased:   show
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show DM, Cusings, emotional  
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show overdose, insulin, addison's  
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glucose (CSF) decreased:   show
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show Mono  
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show hydatidiform node, choriocarcinoma, seminoma, multiple pregnancy  
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show ectopic pregnancies  
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show heart disease  
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show diabetic acidosis/starvation  
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LDH increased:   show
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Lipids Atherosclerosis increased   show
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show Late starvation, Liver disease  
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LE Prep   show
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show MONO  
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show acromegaly, kidney, hyper D  
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Phosphorus decreased   show
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Potassium increased:   show
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show Renal disease, insulin,duretics  
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Protein (CSF) increased   show
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Protein Increased   show
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show Liver disease/Kidney syndromes  
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show In RA, may be absent in Still's  
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show sero negative arthrities, includes Psoriatic, AS enteropathic, Reiters  
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SGOT (AST) increased:   show
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show Liver  
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T3/T4 increased:   show
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show hypothyroidism  
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uric acid increased   show
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Type and most common cause of iron deficiency   show
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Appearance of iron deficiency   show
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Type and most common cause of acute post -hemorrhagic   show
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Type and most common cause of chronic post-hemorrhagic   show
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Type and most common cause of aplastic   show
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aplastic associated with   show
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show macrocytic normochromic, defective DNA synthesis, B12 and Folic acid deficiency  
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show Lack of IF due to atrophic gastic mucosa; Dx: shilling test (24 hour urine) tx: B12 shots  
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show Chronic alcohol abuse; pregnancy; malabsorption  
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Cell type and cause of sickle cell   show
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Cell type and cause of Thalassemia ("Cooley's Anemia")   show
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show Rh+ father, Rh- mother, Rh+ baby, Fetus neonate  
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show Ulcer, Gastritis, Chronic Gastritis, Carcinoma  
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show Serum: CBC, Iron; Urine: Shilling Test; Stool: Guaiac (occult blood in the stool); X-Ray: Upper GI series  
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show Reed Sternberg Cell  
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show Monospot Test, Atypical lymphocytes (downey cells), Paul Bunnel = Heterophile agglutination test  
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show CBC, Bone Marrow aspiration  
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show Elisa, Western Blot  
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show CBC, Indirect Bilirubin  
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Lab Values for ruptured spleen   show
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Laboratory values of Liver hepatitis viral type A, B, Non A-NonB   show
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show Alpha fetoprotein, liver biopsy  
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show Murphy's sign  
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Lab value of cholelithiasis   show
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show amylase/lipase  
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show Head of Pancreas  
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show FBS2 hr. post prandial glucoseGTTGlycosylated HgbUA (glucosuria)  
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show Upper GI series, CBCStool: Guaiac  
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show General: Lower GI seriesGI series: skip lesionsStool: diarrhea  
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Lab values for ulverative colitis (fever)   show
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lab values for irritable Bowel Syndrome   show
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show CBC, Shilling shift to the left  
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show GI series:outpocketings in descending colon  
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show Stool: frank blood (painless)  
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lab values for hemorrhoids   show
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Lab values for Cushings (hyper-Adrenalism)   show
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show bronze skin, electrolyte imbalance, confusion  
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show hypertensive crisis, sweating  
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show Normal  
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show Glomerulonephritis  
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show pyelonephritis  
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Waxy fatty oval bodies casts in urine indicates   show
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Straw urine color indicates?   show
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Red urine color caused by blood, food pigments indicates what?   show
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Green urine color caused by Biliverdin indicates?   show
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show Diuretic therapy  
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Brown urine color caused by bile pigments, blood indicates?   show
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Black or bownish-black urine color caused by homogenistic acid, urobilin indicates?   show
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