CS Cases Flashcards
Ddx throbbing HA with weakness on R side and family history of migraines
hemiplegic migraine tension HA cluster HA TIA partial seizures pseudotumor cerebri Intracrainal neoplasm
workup throbbing HA
MRI-brain
CT-head
CBC
ESR
Ddx R temporal HA with ipsilateral rhinorrhea, eye tearing, and redness
cluster HA migraine trigeminal neuralgia intracranial neoplasm tension HA
Ddx R temporal HA with fever, tenderness, jaw pain
temporal arteritis vasculitis migraine cerebral abscess cluster HA
Workup R temporal HA with jaw pain
temporal artery biopsy ESR CRP CBC Doppler U/S carotid MRI-brain
Ddx frontal HA with nasal dc, HA worsens with leaning forward
acute sinusitis migraine tension HA cerebral abscess meningitis
Workup HA with nasal dc
CBC
XR-sinus
CT-sinus
Ddx recurring HA, worse at the end of the day
tension HA migraine caffeine or analgesic withdrawal depression intracranial neoplasm
Workup recurring HA
CBC electrolytes ESR MRI-brain LP-CSF analysis
Ddx sudden onset HA with vomiting and left hemiplegia
subarachnoid hemorrhage meningitis intracerebral hemorrhage vertebral artery dissection migraine
Workup sudden onset HA with vomiting and left hemiplegia
CT head w/o contrast LP CBC MRI CTA
Ddx HA with fever, confusion, photophobia, nuchal rigidity
meningitis
subarachnoid hemorrhage
encephalitis
migraine
Workup HA with fever, confusion
LP-CSF analysis Blood culture CBC CT-head MRI-brain
Ddx HA in obese female, OCPs
pseudotumor cerebri
migraine
tension HA
intracranial neoplasm
Workup HA obese female
UPT
LP
MRI-brain
visual field testing
Ddx electric sensation to cheek lasting 1-2 minutes
trigeminal neuralgia tension HA migrane cluster HA TMJ temporal arteritis
Workup electric sensation
MRI-brain
CBC
ESR
progressive history of forgetfulness and HTN
vascular dementia Alzheimer NPH B12 deficiency hypothyroidism
workup progressive forgetfulness and HTN
CBC TSH MRI-brain CT-head LP-CSF analysis
history of forgetfulness and difficulty performing daily activities
AD
Vascular dementia
Depression
hypothyroidism
gait disturbance, memory loss, urinary incontinence
NPH
AD
Vascular dementia
change in mental status, myoclonus, ataxia, startle response
CJD
Vascular dementia
Wernicke encephalopathy
insulin dependent diabetic with episodes
hypoglycemia TIA arrhythmia delirium medication induced
slipped and now has AMS and HA
subdural hematoma
SIADH
CNS infection
loss of vision left eye, no eye pain, discharge, redness, or photophobia
RAO
RVO
acute angle-closure glaucoma
workup loss of vision
fluorescein angiogram echo doppler U/s ESR/CRP temporal artery biopsy
excessive sleep, crying spells, after loss of wife 2 months ago
normal bereavement
adjustment disorder with depressed mood
workup depression
TSH
Urine toxicology
PHQ-9
4 week history fatigue, made two previous suicide attempts
MDD
substance induced mood disorder
persistent depressive disorder
workup bipolar
mood disorder questionnaire
urine toxicology
TSH
workup schizophrenia
urine toxicology
mental status exam
TSH
bugs crawling on bed and hearing voices
substance ingestion
substance induced psychosis
brief psychotic disorder
workup substance induced psychosis
urine toxicology
mental status exam
TSH
intermittent vertigo, tinnitus, nausea, and hearing loss
Meniere disease
BPPV
labyrinthitis
vestibular neuronitis
workup vertigo and tinnitus
Dix-Hallpike maneuver
audiometry
VDLR/RPR
MRI-brain
dizziness on standing, furosemide for HTN
orthostatic hypotension
cardiac arrhythmias
BPPV
workup orthostatic hypotension
orthostatic vital signs
rectal exam
ECG
occult blood and leukocytes stool
dizziness on moving head to left, room is spinning, nystagmus on Dix-Hallpike
BPPV
Meniere
vestibular neuronitis
labyrinthitis
workup BPPV
audiometry
electronystagmograph
MRI-brain
URI 2 days ago, now dizziness
vestibular neuronitis
workup vestibular neuronitis
audiogram
CT-head
MRI-brain
URI 2 days ago and dizziness and not hearing well
labyrinthitis
workup
audiogram
electronystagmogram
rhythmic jerking, lost control of bladder, confused
generalized tonic-clonic seizure
substance abuse
malingering
hypoglycemia
workup seizure
CBC electrolytes, glucose urine toxicology EEG MRI-brain LP-CSF
dizzy and unsteady, transient loss of consciousness, HTN and DM
drug induced orthostatic hypotension
hypoglycemia
syncope
falling and losing consciousness, palpitations, CABG
cardiac arrhythmias
aortic stenosis
syncope
workup arrhyhtmias
ECG
Holter monitoring
echo
CT-head
20 minute R sided arm and face numbness, history of HTN, migraine, DM, smoking
TIA
stroke
migraine with sensory aura
workup tia
CT-head
MRI-brain with DWI
doppler U/S carotid
echo
slurred speech, right facial drooping and numbness
stroke
TIA
seizure with Todd paralysis
ascending loss of strength and numbness in legs after recent URI
GBS MS transverse myelitis spinal cord compression peripheral neuropathy
workup GBS
CBC
MRI-spine
EMG
nerve conduction studies
weakness and tingling of leg, R eye pain with reduced vision, electric shocks down spine upon flexing her neck
MS
stroke
CNS vasculitis
tingling and numbness in hands and feet
history of DM
peripheral neuropathy
alcoholic peripheral neuropathy
B12 deficiency
workup diabetic peripheral neuropathy
HbA1c
ESR
B12
double vision and droopy eyes at night
hypothyroidism
Myasthenia graves
MS
Horner syndrome
botulism
workup myasthenia
ice pack test tensilon test Anti-Ach receptor Ab EMG CXR
hemiparesis after tonic-clonic seizure
Todd paralysis
TIA
stroke
tingling middle finger, relieved by rest
20lb weight gain
carpal tunnel syndrome
overuse injury of median nerve
cervical disc disease
medial epicondylitis
fatigue, hopelessness, and worthlessness
fights with husband about money
depression
adjustment disorder
hypotyhroidism
anemia
fatigue, insomnia, and nightmares about a murder that he witnessed
avoided mall
PTSD
depression
GAD
fatigue, weight loss and constipation
family history of colon cancer
colon cancer
hypothyroidism
renal failure
depression
fatigue and daytime sleepiness, snores heavily and naps 3-4x/day
HTN
OSA
hypothyroidism
chronic fatigue syndrome
narcolepsy
fatigue, thirst, increased appetite, polyuria
DM
atypical depression
primary polydipsia
diabetes insipidus
workup DM
HbA1c
GTT
UA
tired during the day, changed to night shift last week
shift work sleep disorder
sleep apnea
depression
anemia
night sweats, cough, swollen glands after emigrating from Africa
TB acute HIV infection lymphoma leukemia hyperthyroidism
workup TB
PDD CBC CXR sputum gram stain HIV antibody/RNA levels
sweating, weight loss, palpitations, diarrhea
hyperthyroidism
pheochromocytoma
carcinoid syndrome
TB
