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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
children
infertility-endometriosis; psychological stress
26
family history
inheritied diseases
27
diet
foods rich in omega 6s make RA and other diseases worse
28
exercise
overuse may aggravate condition like CTS or TOS
29
alochol use
abuse=avascular necrosis, pancreatitis, psychological stress
30
rec. drug use
IV use=osteomyelitis, coke=MI in YA
31
stress
linked w/ poor prognosis
32
hobbies
lack of interest-depression
33
occupation
sex work, asbestosis, silicosis
34
tobacco use
lung, bladder, esophageal CA
35
sleep
may be affected, bone CA, CHF, diabetes
36
consitutional
unexplained weight loss+CA; fever=osteomyelitis, fatigue=depression
37
allergies
recurrent infxns=multiple myeloma or HIV/AIDS
38
neruological
bladder/bowel controll issues=cauda equina syndrome
39
GI
blood in stool=colon CA; clay-colored stool=pancreatic CA
40
Respiratory
blood in sputum=lung CA or TB
41
ENT
recurrent sore throat=HIV/AIDS, multiple myeloma, leukmia
42
Gentiourinary
dysurnia=UTI, vaginal discharge=PID
43
Psychological
depression affects prognosis and healing time
44
Integumentary
butterfly rash-SLE, red shin bumps=sarcoidosis
45
Neck
small joint pains & swelling=RA; avoid upper cervical adjustment
46
Cardiovascular
chest pain worse w/ movement=musculoskeletal
47
Hematological
fatigue=leukemia; swollen nodes=lymphoma, bleeding=leukemia
48
Musculoskeletal
multiple aches/pain=polymyalgia rheumatica and fibromyalgia
49
Endocrine
Muscle cramps=hypoparathyroidism, heat intolerance=hyperparathyroidism
50
Underweight BMI
<18.5
51
Normal BMI
18.5-24.9
52
Overweight BMI
25-29.9
53
Class 1 Obese BMI
30-34.5
54
Class 2 Obese BMI
35-39.9
55
Class 3 Obese BMI
Over 40
56
Air conduction twice as long as bone conduction
normal
57
Both air and bone conduction are reduced in one ear
nerve conduction deafness
58
Bone conduction longer than air conduction (Rinne)
serous otitis media
59
Bilateral dilated pupils
cocaine, barbiturate, or amphetamine abuse
60
Bilateral pinpoint pupils
heroin abuse
61
Bilateral papilledema (swollen optic disc)
raised intracranial pressure; brain tumor
62
Blue sclera + fractures
Osteogensis Imperfecta
63
Macular hyperpigmentation or blurring of edges
macular degeneration
64
copper or silver wiring of retinal arterioles
hypertensive retinopathy
65
cupped optic disc
chronic glaucoma
66
enlarged tongue
hypothyroidism in infants
67
exophalmosis
hyperparathyroidism or optic tumor

Boards 2 & 3 - Schloss (6 decks)

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