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Boards 2 & 3 - Schloss > General Diagnosis > Flashcards

General Diagnosis Flashcards

1
Q

Name

A

legal requirement,establish rapport, clue to ethnic background

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2
Q

age

A

DJD=older patients; dis=middle age, strain/sprain=YA

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3
Q

Sex

A

osteoporosis-females; AAA-males; SLE/RA-females, BPH-males only

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4
Q

Height

A

tall-Marfan’s, gigantism, Klinefelter’s. short-down’s

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5
Q

Ethnic background

A

african-sickle cell; ashkenazi-tay-sachs

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6
Q

onset

A

<3mo=acute, >6mo=chronic, acute=better prognosis

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7
Q

Mechanism of injury

A

rear end collision=whiplash, rotation and extension=facet problem

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8
Q

provocative factors

A

flexion=disc lesion, lateral bend w/ extension=facet problem

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9
Q

palliative factors

A

rest=strain/sprain, not better w/ rest= bone CA

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10
Q

previous care

A

not better w/ NSAIDs=some bone tumors or psychological

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11
Q

quality

A

burning=radiuclopathy; dull deep ache=muscular or bone pathology

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12
Q

radiation

A

dermatome=radiculopathy, loin to groin=kidney stones, chest to L arm=MI

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13
Q

site

A

possible location of the disease and therefore focus of examination

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14
Q

severity

A

purpose of comparison to see if treatment is effective or not

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15
Q

timing

A

pain worse at night=bone CA or oesteomyelitis

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16
Q

associates symptoms

A

focus for review of systems and physical exam

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17
Q

serious illness

A

possible recurrence (CA), or complication of treatment

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18
Q

last physical exam

A

might shed light on possible diagnosis

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19
Q

injuries/accidents/trauma

A

hyperflexion or hyperextension=vertebral fx

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20
Q

medication

A

possible ADR; lipitor-muscle cramps, diuretics-muscle cramps

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21
Q

diagnostic studies

A

clue as to possible diagnosis

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22
Q

hospitalization/surgery

A

may be a complication of surgery or treatment

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23
Q

immunizations

A

may be linked w/ Guillan-Barre

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24
Q

marital status

A

unhappy-psychological pain (being single worse than smoking)

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25
Q

children

A

infertility-endometriosis; psychological stress

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26
Q

family history

A

inheritied diseases

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27
Q

diet

A

foods rich in omega 6s make RA and other diseases worse

28
Q

exercise

A

overuse may aggravate condition like CTS or TOS

29
Q

alochol use

A

abuse=avascular necrosis, pancreatitis, psychological stress

30
Q

rec. drug use

A

IV use=osteomyelitis, coke=MI in YA

31
Q

stress

A

linked w/ poor prognosis

32
Q

hobbies

A

lack of interest-depression

33
Q

occupation

A

sex work, asbestosis, silicosis

34
Q

tobacco use

A

lung, bladder, esophageal CA

35
Q

sleep

A

may be affected, bone CA, CHF, diabetes

36
Q

consitutional

A

unexplained weight loss+CA; fever=osteomyelitis, fatigue=depression

37
Q

allergies

A

recurrent infxns=multiple myeloma or HIV/AIDS

38
Q

neruological

A

bladder/bowel controll issues=cauda equina syndrome

39
Q

GI

A

blood in stool=colon CA; clay-colored stool=pancreatic CA

40
Q

Respiratory

A

blood in sputum=lung CA or TB

41
Q

ENT

A

recurrent sore throat=HIV/AIDS, multiple myeloma, leukmia

42
Q

Gentiourinary

A

dysurnia=UTI, vaginal discharge=PID

43
Q

Psychological

A

depression affects prognosis and healing time

44
Q

Integumentary

A

butterfly rash-SLE, red shin bumps=sarcoidosis

45
Q

Neck

A

small joint pains & swelling=RA; avoid upper cervical adjustment

46
Q

Cardiovascular

A

chest pain worse w/ movement=musculoskeletal

47
Q

Hematological

A

fatigue=leukemia; swollen nodes=lymphoma, bleeding=leukemia

48
Q

Musculoskeletal

A

multiple aches/pain=polymyalgia rheumatica and fibromyalgia

49
Q

Endocrine

A

Muscle cramps=hypoparathyroidism, heat intolerance=hyperparathyroidism

50
Q

Underweight BMI

A

<18.5

51
Q

Normal BMI

A

18.5-24.9

52
Q

Overweight BMI

A

25-29.9

53
Q

Class 1 Obese BMI

A

30-34.5

54
Q

Class 2 Obese BMI

A

35-39.9

55
Q

Class 3 Obese BMI

A

Over 40

56
Q

Air conduction twice as long as bone conduction

A

normal

57
Q

Both air and bone conduction are reduced in one ear

A

nerve conduction deafness

58
Q

Bone conduction longer than air conduction (Rinne)

A

serous otitis media

59
Q

Bilateral dilated pupils

A

cocaine, barbiturate, or amphetamine abuse

60
Q

Bilateral pinpoint pupils

A

heroin abuse

61
Q

Bilateral papilledema (swollen optic disc)

A

raised intracranial pressure; brain tumor

62
Q

Blue sclera + fractures

A

Osteogensis Imperfecta

63
Q

Macular hyperpigmentation or blurring of edges

A

macular degeneration

64
Q

copper or silver wiring of retinal arterioles

A

hypertensive retinopathy

65
Q

cupped optic disc

A

chronic glaucoma

66
Q

enlarged tongue

A

hypothyroidism in infants

67
Q

exophalmosis

A

hyperparathyroidism or optic tumor

Boards 2 & 3 - Schloss (6 decks)

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