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Physical Diagnosis > 8.8.2013(history) > Flashcards

8.8.2013(history) Flashcards

0
Q

Difference in aura between vasovagal and cardiac syncope

A

Aura is brief(less than 3s) in cardiac syncope

In vasovagal syncope it lasts for 2.5min

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1
Q

Dimensions of a symptom

A 
Time
Quantity
Location
Aggravating factors
Relieving factors
Quality
Setting
Associated symptoms
Inconstant dimensions(color,quality,consistency)
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2
Q

Green pus?

A

Not diagnostic of pseudomonas

Any infection which elicits lot of WBCs with verdoperoxidase is green in color

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3
Q

Sternbach pain thermometer uses _________ to grade pain

A

Sphygmomanometer

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4
Q

Sense of impending doom

A

Associated only with MI

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5
Q

High grade fever is indicated by

A

Chills and night sweats

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6
Q

Duration of shaking chills

A

30min

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7
Q

Drugs causing itching

A 
Cholestasis
 Phenothiazines
 Erythromycin
 Estrogen
 Progesterone
 Testosterone 
Narcotics
Aspirin
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8
Q

Itching that awakens pts at night

A

Scabies

Dermatitis herpetiformis

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9
Q

Aquagenic pruritis

A

Polycythemia Vera
Hodgkin
Mastocytosis
Ageing

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10
Q

Endocrine causes of itching

A

Diabetes
Thyroid dysfunction
Carcinoid

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11
Q

Haematological conditions associated with itching

A

Polycythemia Vera

Hemochromatosis

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12
Q

No cause for hemoptysis is found in ________% of pts

A

20

Recurrence is low in these pts

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13
Q

Sites of cough receptors

A

Ear
Oesophagus
Tracheobronchial tree
Pericardium

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14
Q

Associated symptoms with cough

A

Arrythmia
Post nasal drip
Sinusitis
Acid reflux

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15
Q

Vasculitis associated with cough

A

Temporal arteritis

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16
Q

Most common causes of cough in non smokers with normal chest X ray and not taking ACE inhibitors

A

GERD
postnasal drip
Asthma

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17
Q

Nonprogressive Intermittent dysphagia for solids

A

Schatzki ring

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18
Q

Short duration progressive dysphagia

A

Cancer

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19
Q

Long duration progressive dysphagia

A

Peptic strictures

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20
Q

Intermittent minimally progressive dysphagia with odynophagia

A

Esophageal spasm

21
Q

Slowly progressive dysphagia over a period of years for both solids and liquids

A

Achalasia

22
Q

Abdominal disorders and site of manifestation

A

Lower abdominal disorders may manifest with upper and mid abdominal complaints
The converse is not true

23
Q

Pain of distal ureter is referred to

A

Testicles

24
Q

Colicky pain in pancreatitis

A

Small bowel illeus

Gall stone pancreatitis

25
Q

Quality of cholecystitis pain

A

Steady,non colicky

26
Q

Periodicity of abdominal pain

A

Allergic Eosinophilic gastritis- days
Lead colic- days to weeks
Porphyria- weeks
Familial Mediterranean fever- weeks to months

27
Q

Periodicity of Billiary colic

A

Circadian periodicity
Mostly at night
Recur at same time

28
Q

Association of biliary colic to meals

A

No association

29
Q

Abdominal pain relieved by vomiting

A

Pyloric or proximal small bowel lesion

30
Q

Characteristics of visceral pain

A

Restless

Autonomic phenomena

31
Q

Epigastric pain in gastric Ca

A

First attack after 50yrs

Weight loss not clearly related to significant vomiting

32
Q

Epigastric pain of peptic ulcer

A

Nocturnal

Relieved by food or antacids

33
Q

Abdominal pain associated with syncope

A

Pancreatitis
Ruptured Ectopic pregnancy
Ruptured aortic aneurysm
Perforated peptic ulcer

34
Q

Pain preceding vomiting,the site of disease is

A

Below the ligament of treitz

35
Q

Viral gastroenteritis,order of appearance of pain and vomiting

A

Vomiting followed by pain

36
Q

Radiation of gallbladder pain

A

RUQ—->LUQ—–>RUQ

37
Q

Weight loss without anorexia

A 
Hyperthyroidism
Diabetes
Pheochromocytoma 
Collagen vascular disease
Malabsorption
Post encephalitic parkinson
38
Q

Timing in loss of appetite

A

Loss of appetite at the beginning of illness

As in later stages zinc deficiency due to malnutrition may alter appetite

39
Q

Criteria for coffee ground vomitus

A
  • dark brown
  • texture
  • shiny
40
Q

Characteristics of upper GI bleed

A

Black
Sticky
Glistening

41
Q

Amount of blood required to produce Malena

A

50-80ml

42
Q

Pencil stools

A

Diverticular disease

Proctitis

43
Q

Impotence with loss of smell

A

Kallman syndrome

Zinc deficiency

44
Q

Psychogenic impotence will have

A

Morning erections

45
Q

Impotence due to sensory neuropathy

A

Increased latency to erection

Nocturnal erections are normal

46
Q

Antihypertensives with least effect on sexual function

A

ACE inhibitors

47
Q

Irregular menstrual bleeding

A

Metrorhagia

48
Q

Drugs causing tinnitus with hearing loss

A

Salicylates

Aminoglycosides

49
Q

Drugs causing tinnitus without hearing loss

A 
Carbamazepine
Tetracycline
Antipsychotics
MAO inhibitors
Tricyclics
Li
Antihistaminics
Beta blockers
Local anesthetics
Steroids
50
Q

Metabolic conditions associated with tinnitus

A

Hyperlipidemia
Thyroid dysfunction
Vitamin or zinc deficiency

Physical Diagnosis (6 decks)

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