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Phase 2b > Examination Symptom Meaning > Flashcards

Examination Symptom Meaning Flashcards

1
Q

Decreased chest expansion @ 4th ICS

A

Ankylosing Spondylitis

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2
Q

Osler Nodes

A

Bacterial Endocarditis (IE)

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3
Q

Janway Lesions

A

IE

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4
Q

Waterhammer (Collapsing) Pulse

A

Aortic Regurgitation

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5
Q

Xanthelasma

lipid deposits around eyes

A

Hyperlipidemia/Biliary Cirrhosis

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6
Q 
Tendon Xanthoma 
(enlarging papules/SC nodules attached to tendons, ligaments, fascia and periosteum)
A

Hyperlipidemia

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7
Q

Corneal Arcus

A

Hyperlipidemia

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8
Q

Subconjunctival Pallor

A

Anaemia

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9
Q

Nail Pitting

A

Psoriasis
Psoriatic/Reactive Arthritis
Sarcoidosis

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10
Q

Onycholysis

painless detachment of the nail from nailbed

A

Psoriasis
Hyperthyroidism
Fungal Infection
Post Traumatic

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11
Q

Onychogryphosis

yellow-brown thickening of the nail plate associated w/ hyperkeratosis

A

PVD

Post Traumatic

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12
Q

Splinter Haemorrhages

A

Endocarditis
Connective Tissue Disease
Vasculitis

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13
Q

Clubbing

A 
Cyanotic Heart Disease
Lung Disease (ABCDEF)
Ulcerative Colitis + Crohn's Disease
Biliary Cirrhosis
Birth Defects
Infective Endocarditis
Neoplasia
GI Malabsorption Syndrome (Coeliac)
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14
Q

Clubbing; Lung Disease

A 
Abscess
Bronchiectasis
Cystic Fibrosis
DON'T SAY COPD OR ASTHMA
Empyema
Fibrosis
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15
Q

Guttering in the Hand

A

Muscle wasting of muscles by ulner nerve

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16
Q

Pallor of the Palmar Crease

A

Anaemia

Peripheral Cyanosis

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17
Q

Palmar Erythema

A

2º to increased circulating Oestrogens in Liver Disease

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18
Q

Brittle Nails

A

Hypothyroid

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19
Q

Fine Tremor

A

Beta-Agonists (e.g. Salbutamol)

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20
Q

Tremor; Flapping Asterixis

A

Liver Disease
Renal Failure
Respiratory Failure (CO2 Retention)

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21
Q

Exophthalmos

protruding eyes

A

Graves

22
Q 
Lid Retraction
(upper eyelid assumes higher position when eyes look down)
A

Hyperthyroidism

23
Q

Lid Lag

A

Hyperthyroidism

24
Q 
Pretibial Myoxoedema 
(localised waxy, discolored induration of the skin w/ peau d'orange appearance on anterior aspect of lower legs)
A

Graves

25
Q

Leukonychia

white discolouration of nails

A 
Trauma
Hypoalbuminaemia; Nephrotic Syndrome
Liver Failure
Protein Malabsorption
Protein-Losing Enteropathies
26
Q

Koilonychia

A

Iron Deficiency

27
Q

Spider Naevi

A

Liver Disease w/ increased circulating Oestrogens

28
Q

Kayser-Flesher Rings

A

Wilson’s Disease (Copper Deposition)

29
Q

Angular Stomitis

A

B6 Deficiency
B12 Deficiency
Folate Deficiency
Iron Deficiency

30
Q

Painful Glossitis

A

B12 Deficiency

31
Q

Painless Glossitis

A

Iron Deficiency

32
Q

Gynaecomastia

A

Increased circulating Oestrogens in Liver Disease

33
Q

Distended/Varicose Veins

A

Portal HTN

IVC Obstruction

34
Q

Abdo Distention

A 
6 F's;
Fat
Fluid (Ascites?)
Faeces (Constipation?)
Foetus
Flatus (Intestinal Obstruction?)
Fulminant Mass
35
Q

Enlarged Virchow’s Node

A

Intra-abdominal Mets

36
Q

Cafe-au-lait Spots

A

Neurofibromatosis

37
Q

Naevus/Hairy Patch

A

Spina Bifida

38
Q

Increased Sweating

A

Hyperthyroidism
MI
Increased Sympathetic Drive

39
Q

Decreased Sweating

A

Hypothyroidism

Autonomic Dysfunction

40
Q

Night Sweats

A

Lymphoma

Menopause

41
Q

Malar Flush

A

Mitral Stenosis

42
Q

High Arched Pallet

A

Marfan’s Disease

43
Q

Visible Pulsations when Lying Flat

A

Tricuspid Regurgitation

44
Q

Bounding Pulse

A

CO2 Retention

45
Q

Raised JVP

A 
Cor Pulmonale
SVC Obstruction (would also present w/ swelling of the neck & face)
46
Q

Constricted Pupils & Ptosis

A

Horner’s Syndrome

47
Q

Pulsus Paradoxus

A

Cardiac Tamponade

Severe Airways Obstruction

48
Q

Chemosis

A

Hypercapnia 2º to COPD

49
Q

Barrel Chest

A

Emphysema

50
Q

IC Retraction/Recession

sinking in of skin/soft tissue b/w ribs

A

Blocked Airway; more in kids

Partial Laryngeal/Tracheal Obstruction

Phase 2b (9 decks)

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