Buzzwords Flashcards
irregularly irregular heart rate, absent P waves
atrial fibrillation
saw tooth ECG
atrial flutter
early diastolic
aortic regurgitation
pansystolic murmur, radiates to the axilla
mitral regurgitation
mid diastolic murmur, opening click/snap
mitral stenosis
ejection systolic murmur, radiates to the carotids
aortic stenosis
machinery murmur (throughout diastole and systole)
patent ductus arteriosus
radio-femoral delay (delay of feeling the pulse from the radial pulse and the femoral pulse)
coarctation of the aorta
overriding aorta, ventricular septal defect, pulmonary stenosis, right ventricular hypertrophy
tetralogy of fallot
smoker, central crushing pain, radiates to arms and jaw, sweating profusely
acute coronary thrombosis (MI)
chest/abdominal pain, radiating to the back, history of hypertension, pulsatile and expansible mass felt in the mid line
aortic aneursym/ aortic aneurysm dissection
fever and NEW murmur
infective endocarditis until proven otherwise (question may or may not say ‘after a dental procedure/tooth infection’ - Strep. Viridians)
severe, tearing pain from the centre of chest that radiates to back between shoulder blades. Sometimes over a few days (MI is acute)
aortic dissection
adverse reaction of dry cough
Ace inhibitors - ramipril, lisinopril
adverse reaction of yellow tinged vision
Digoxin toxicity
SOB, night sweats, haemoptysis, travel (india), immunocompromised
TB
SOB, polyphonic wheeze, haeoptysis, typically wake up at 4am breathless, worse when exercising or when it’s cold
asthma
child/adolescent, SOB, cough, hyperinflation of chest on CXR, foul smelling stools
cystic fibrosis
bilateral hilar lymphadenopathy, afro-Caribbean
sarcoidosis
pregnant woman/ old person post surgery/ woman on the pill/ after flying- SOB and swollen calf
DVT causing pulmonary embolus
oat cell on histology
small cell carcinoma of the lung
weight loss, SOB, worked with asbestos
malignant mesothelioma
elderly patient, SOB, cough, fever
pneumonia
young tall male (basketball player), sharp chest pain, sudden SOB, unilateral decreased chest expansion and breath sounds
spontaneous pneumothorax
stab wound, tracheal deviation
tension pneumothorax
older woman, SOB, long flight, raised D-dimer
pulmonary embolism
voice hoarseness, horner’s syndrome (sunken eye) ptosis (drooping eye), anhydrosis (no sweat)
pancoast’s tumour
dyspnoea, fatigue/syncope
cor pulmonale
epigastric pain, radiating to the back, better when leaning forward (usually have history of excessive alcohol consumption)
pancreatitis
double swallow
pharyngeal pouch
bird beak oesophageal sphincter
achalasia
baby projectile vomiting, olive sized mass felt over epigastric area
pyloric stenosis
offensive smelling stools, hard to flush, buttock wasting
coeliac’s disease
epigastric pain, worse when eating, been taking NSAIDs
gastric ulcer
epigastric pain, made better when eating
duodenal ulcer
abdominal pain, started by umbilicus and moved to right iliac fossa
appendicitis
weight loss, blood in stool
adenocarcinoma of colon until proven otherwise
teenage girl, part-time model, complaining of diarrhoea, admits to self-induced vomiting
laxative abuse
overweight, epigastric/chest pain that gets worse when bending over or lying down (at night when get into bed)
GORD
diarrhoea, with mouth ulcers
crohn’s
diarrhoea after antibiotics for a different problem
pseudomembranous colitis- C.difficile
right upper quadrant colicky pain, may or may not be worse after eating fatty foods
gall stones (cholecystitis)
traveller’s diarrhoea
giardiasis
bloody diarrhoea and fever
E.coli gastroenteritis
If after this infection they develop haematuria and haemolytic anaemia = haemolytic uraemic syndroma
kayser fleisher rings - brown ring in eye
Wilson’s disease
alcoholic retching then haemochromatosis
mallory weiss tear
rice water stool
cholera
double bubble xray, downs syndrome, infant
duodenal atresia
haemoptysis and haematuria
goodpasture’s syndrome
males, bleeding problems, factor VIII deficient
haemophilia A
plumber (or water systems- hotels, conferences) flu like symptoms
leigionella
pins and needles (peripheral neuropathy) due to vit B6 deficiency
isoniazid adverse reaction
chest pain that is worse when doing particular movements
musculoskeletal/ costrochondritis
women, lower abdo pain, missed a period
ectopic pregnancy
tiredness, fatigue, menorrhagia (heavy periods)
iron deficiency anaemia
haematuria, weight loss, palpable lymph nodes, lives or has been travelling to egypt, or been swimming in fresh water lakes while on holiday in africa
schistosomiasis
flu-like symptoms, jaundice and renal failure, been swimming in lakes where rats wee
leptospirosis
palmer crease
downs syndrome
central chest pain, radiating to back, better when leaning forward
pericarditis - basically same presentation as pancreatitis, except this is chest pain, not abdo
redcurrent jelly stool, sausage shaped mass
intussusception
short stature, webbed neck, murmur heard at upper left sternal edge and radiating to the back
turners syndrome with coarctation of the aorta
male, tall stature, weak muscles,infertile
kleinfelter’s syndrome (XXY)