Fingerprints from S2D Flashcards
Pt w/ severe crampy generalised abd pain + hx of abd surgery. specific for ___
bowel obstruction
specific: distention ASW increased bowel sounds, vomiting, constipation, or prior surgery
bowel obstruction
increased bowel sounds w/ hx of prior surgery or vomiting. SPIN
bowel obstruction
all pts w/ TB should be tested for ____
HIV
urinary retention. sens and spec
cauda equina
sciatica means herniated disc at ____ or ____
L4-L5, L5-S1
straight leg raise elicits pain only in back. + or -?
negative
best test to r/o CA as a cause of back pain
MRI
abnormal post tibial pulse has high LR for ____
PAD
pericardial friction rub SPIN
pericarditis
can pts w/ PNA have a normal lung exam?
yes
normal lung exam + ______ makes PNA unlikely
normal VS
CAP rarely affects which lobes
upper
if you suspect osteomyelitis in a pt w/ diabetic foot ulcer, order ______
MRI
TZD for DM are CI in ___ and ____
HF, edema
____ ischemia should be suspected in pts w/ vertigo who have significant cerebrovascular dz RFs
basilar
______________ is a msut not miss dz that must be considered in all pts w/ HA and vertigo
cerebellar hemorrhage
can a UTI be r/o by a negative UA?
no, not if high clinical suspicious
dzs of _______ (3) are the MC causes of edema
heart, liver, kidneys
2 MCC of cirrhosis in US
alcoholic liver dz, chornic hep C
should compression stockings be used in pts w/ PAD
no
3 MCC of fatigue
psych d/o, sleep d/o, med SE
can a pt w/ a large hemorrhage have a normal Hgb?
yes
most lethal type of GI bleeding
esophageal varices
4/5 of POUND rules in migraine. stands for?
pulsitile
4-72 hours
unilateral
nausea
disabling
most important sx to differentiate migraine from tension HA
nausea
pt w/ HA that starts abruptly and reaches max severity in secs is ____ until proven otherwise
SAH
pts 40+ w visible urinary blood clots req _____ even if bleeding is glomerular
cystoscopy
___________________ accounts for >90% of hyperCa in otherwise healthy ambulatory pts
primary hyperparathyroidism
does a normal K level r/o hyperaldosteronism?
no
is CT or MRI more sensitive for dx of acute ischemic stroke
MRI
never give a pt w/ pheochromocytoma a BB w/o first giving ____________
alpha blocker
should NS be given to pts w/ SIADH?
no
suspect ___________________________ in hypoNa pts w/ hyperK
primary adrenal insufficiency
must r/o ____ prior to dx of SIADH
adrenal insufficiency
does a normal WBC r/o bacteremia?
no
which happens first: scleral icterus or skin jaundice?
scleral icterus
best lab test of liver’s synthetic function
PT/INR
do most pts w/ lyme have the classic target rash on presentation?
no
MC type of AKI (not pre intra post)
ATN
combo of lymphocytosis >50% AND atypical lymphs >10% is specific for?
mono
abd discomfort prior to syncope has a high LR for what dx?
vasavagal syncope
syncope during exertion has a high LR for what type?
cardiac syncope
what can mimic vasovagal syncope, and what should you order?
long QT syndrome. ECG w/ QTc measured
slow carotid upstroke is specific for __________
aortic stenosis
most pts w/ NSAID-induced ulcers do not have what expected sx
pain
does the absence of wheezing r/o asthma?
no
dyspnea when is specific for ashtma?
nocturnal
pt who takes ACEi develops angioedema and urticaria. is ACEi the cause?
no
CP + radiation down b/l arms has high LR for ______
MI
palpitations lasting >5min are likely due to which body system?
cardiac
