DDX 1 Final v2 Flashcards
22 yo F complains of an abrupt onset of a racing heart. Her pulse is 180 bmp during the attack, relieves abruptly as onset, patient feels no chest pain. Attacks occur without warning, a few times a year. Patient noticed that taking deep breaths and holding has aborted the attack. Name of this tachycardia?
- Paroxysmal supra ventricular tachycardia*
- Sudden onset above ventricles, common all ages, normal heart
27 yo F complains of chest pain that is felt L of her heart. The pain is non-radiating, feels sharp, stabbing pain lasting for several seconds. Pain occurs about every month for the last few months. What category is this?
NON-CARDIAC
- Pain is localized, radiation uncommon, reproductive if neuromuscular
35 yo M patient complains of a sense of urgency. He has been seen by an MD who attempted 2 courses of antibiotic treatment, both of which were unsuccessful. Patient notices that when he eats certain foods, such as spicy foods, citrus foods and caffeine, his condition is exacerbated. What does the patient likely have, and what is the prognosis?
Prostatitis (non-bacterial) –> self-resolving
35 yo M complains of difficulty hearing, says that he has difficulty listening on the phone, but in a crowd can hear well. There is no associated dizziness, or tinnitus. Mother has similar problems, that have gradually became worse.
Otosclerosis (conductive)
A 45 yo M patient complains of weakness in his R leg; no back pain and no radiation of pain. However, he does have weakness of specific muscles.
Referred w/ subjective weakness; no objective neurologic findings
A 45 yo M patient complains of weakness in his R leg; radiating pain from the back to the BACK of the leg and has a decrease in a DTR, dermatome sensation and myotome weakness.
Nerve root = (+) dermatome, (+) myotome, possible DTR
A 45 yo M patient complains of weakness in his R leg; radiating pain from back to the OUTSIDE of the leg, TO THE KNEE, and has NO OBJ neuro deficits upon exam.
Peripheral nerve = specific group of muscles, patch of skin, possible DTR
A 45 yo M patient complains of weakness in his R leg; patient also has weakness of the OPPOSITE leg associated with numbness and tingling in the feet.
Diabetes = blurred vision, tingling feet/ hands, polyuria, etc.
