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Scribe Training > Course 2: Pathophysiology Diagnosed By > Flashcards

Course 2: Pathophysiology Diagnosed By Flashcards

1
Q

Coronary Artery Disease (CAD): Diagnosed by?

A

Cardiac Catheterization (not done in the ED)

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2
Q

Myocardial Infarction (MI) STEMI/non-STEMI: Diagnosed by?

A 
EKG (STEMI)
Elevated Troponin (non-STEMI)
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3
Q

Congestive Heart Failure (CHF): Diagnosed by? (2)

A 
CXR – heart looks like >50% of space
Elevated BNP (B type natriuretic peptide) – blood test
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4
Q

Atrial Fibrillation (A-Fib): Diagnosed by?

A

EKG

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5
Q

Pulmonary Embolism (PE): Diagnosed by?

A 
CTA Chest (CT Chest with IV contrast) or VQ scan
D-Dimer aids in detecting clots, but cannot diagnose a PE. (if neg, no PE. If pos, may be PE, in which need to do CTA or VQ to diagnose.)
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6
Q

Pneumonia (PNA): Diagnosed by?

A

CXR

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7
Q

Pneumothorax (PTX): Diagnosed by?

A

CXR

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8
Q

Chronic Obstructive Pulmonary Disease (COPD): Diagnosed by?

A

CXR and Hx of smoking

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9
Q

Reactive Airway Disease (RAD): Diagnosed by?

A

Clinically

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10
Q

Ischemic CVA: Diagnosed by? (2)

A

Clinically, Potentially normal CT Head

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11
Q

Hemorrhagic CVA (Brain Bleed): Diagnosed by?

A

CT Head or LP (check spinal fluid for blood)

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12
Q

Transient Ischemic Attack (TIA): Diagnosed by?

A

Clinically

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13
Q

Meningitis – Bacterial v Viral: Diagnosed by?

A

LP

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14
Q

Spinal Cord Injury: Diagnosed by? (3)

A

CT Cervical Spine (Neck)
CT Thoracic Spine (Upper back)
CT Lumber Spine (lower back)

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15
Q

Bells Palsy: Diagnosed by?

A

Clinically

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16
Q

Altered Mental Status (AMS): Diagnosed by?

A

Case dependent

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17
Q

Vertigo (Room Spinning): Diagnosed by?

A

Clinically

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18
Q

Appendicitis (APPY): Diagnosed by?

A

CT A/P with PO contrast (oral solution lightens image of organs)

19
Q

Small Bowel Obstruction (SBO): Diagnosed by? (2)

A

CT A/P with PO Contrast

Acute Abdominal Series (AAS) – abdominal xray

20
Q

Gallstones (Cholelithiasis, Cholecystitis): Diagnosed by?

A

Abdominal US, RUQ

21
Q

Gastointestinal Bleed (GI Bleed): Diagnosed by?

A

Heme positive stool (guaiac positive) during rectal exam

22
Q

Diverticulitis: Diagnosed by?

A

CT A/P with PO contrast

23
Q

Pancreatitis: Diagnosed by?

A

Elevated Lipase lab test (or sometimes elevated Amylase)

24
Q

Urinary Tract Infection (UTI): Diagnosed by?

A

Urine dip or Urinalysis (tests for nitrite, WBC, and bacterine)

25
Q

Pyelonephritis: Diagnosed by?

A

CT Abd/Pelvis without contrast or confirmed UTI with CVA tenderness on exam

26
Q

Kidney Stone (Nephrolithiasis): Diagnosed by? (2)

A

CT Abd/Pelvis

RBC in UA may be clue

27
Q

Ectopic Pregnancy: Diagnosed by?

A

US Pelvis -> determine location of fetus

28
Q

Ovarian Torsion: Diagnosed by?

A

US Pelvis -> assesses blood flow to ovaries

29
Q

Testicular Torsion: Diagnosed by?

A

US Scrotum

30
Q

Upper Respiratory Infection (URI): Diagnosed by?

A

Clinically

31
Q

Streptococcal Pharyngitis (Strep Throat): Diagnosed by?

A

Rapid Strep

32
Q

Otitis Media (Middle Ear Infection): Diagnosed by?

A

Clinically

33
Q

Conjunctivitis (Pink Eye): Diagnosed by?

A

Clinically

34
Q

Epistaxis (Nosebleed): Diagnosed by?

A

Clinically

35
Q

Aortic Dissection: Diagnosed by?

A

CT Chest with IV contrast dye

36
Q

Deep Vein Thrombosis (DVT): Diagnosed by?

A

US/Doppler of the extremity

37
Q

Abscess (Cellulitis with Fluctuance): Diagnosed by?

A

Clinically

38
Q

Cellulitis: Diagnosed by?

A

Clinically

39
Q

Rash: Diagnosed by?

A

Clinically

40
Q

Allergic Reaction: Diagnosed by?

A

Clinically

41
Q

Diabetic Ketoacidosis (DKA): Diagnosed by?

A

Arterial blood gas (ABG or VBG) showing low pH (acidosis) or positive serum ketones

42
Q

Trauma: Diagnosed by?

A

Trauma protocol depending on MOI: CT or XR

43
Q

Abdominal Aortic Aneurysm (AAA): Diagnosed by?

A

CT A/P with IV contrast dye

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