General DX (Binder) Flashcards
whispered pectoriloquy
lobar pneumonia
chronic fatigue syndrome
insomnia
hx of rectal pain with red blood in stool
internal hemorrhoids
pain upon defication
fissure
AHA best method to dx hypertension
3x high blood pressure
presence of T wave indicates
ventricular repolarization
deep q wave indicates
MI
short non musical breath sounds
crackles
vesicular sounds best heard
base (periphery)
bitot’s spots sign of what vit deficiency
Vit A
periodic unexplained fever and chills with splenomegaly
malaria
lowest oral temp in day
early AM
increased serum calcium
hyperthyroid
black tarry stool dx of
peptic ulcer (guac test)
what seems to be the problem
open ended question
colon cancer - color of stool
bloody
increased alkaline phosphatase
hyperbilirubinemia
greatest increase in alkaline phosphatase
osteitis deformans (pagets)
seafood meal
vomiting and diarrhea
staph aureus
vitamin associated pellagra
B3 Niacin
Vit C decreased associated with
scurvy
Alkaline phos and BUN
liver
case hx- pat own words
chief complaint
1 cm swelling lateral and 1 cm inferior to pubic tubercle
femoral
unilateral meiotic eye found where
pancost tumore
cuff too high for BP
too narrow
8 days old with meconium ileus
cystic fibrosis
continuous murmur as osculated in forward flexion
ductus arteriosus
headache over R eye
distended temporal atery
temporal arteritis
headache in suboccipital region
cervicogenic
headache and photophobia
migraine
cannot smell cinnamon
Cranial N 1 - olfactory
erosion of tooth enamel
bulimia nervosa
IV drug user with
fatigue, malaise, splinter hemorrhages
infectious endocarditis
Vit associated peripheral neuopathy
B1
sudden onset of low grade fever malaise
mononucleosis
RH lab test
ASO (anti-streptolysin titre)
chronic persistent cough
thick green sputum
brochiectaisis
8 yo
dry brassy cough and wheezes
Asthma
chest pain
friction rub
pleurisy
abdomen continuous noise
venous hum
bilateral ecchymosis of flanks
pancreas
headache made worse with alcohol ingestion
cluster headache
rales lower edge of diagphram
chronic bronchitis
laryngitis lymph nodes
posterior cervical chain
mimics appendicitis
irritable bowel syndrome
affect both kidneys
polycystic kidney disease
medical emergency
ciliary infection of the eye (blindness)
headache with facial pain
sinus
parasitic infection in blood
eosinophils
anaphylactic shock
IGE
diabetes mellitus effects
foot and ankle
least amount of bleeding
puncture
white spots with upper molars and runny nose
rubeola
Kolik spots with measles
erythema, wheals
anaphalxsis
term for wheals
urticaria
60 yo male
insidious low back pain
2 month
elevated ESR
multiple myeloma
ear, cone of light diverges in which direction
anterior inferior
artery empties into femoral a.
iliac artery
Iron storage in body
ferritin
rhinitis sore throat and cough
posterior cervical lymph
fever 101 F
right lower abdominal pain
psoas sign
first arise with fatigue, weight loss and fever
RA
slit like beam aperture
concavities in the retina
HPV mc effects
cervix
hashimoto’s thyroiditis
thyroglobulin
pat with vertigo, tinnitus and hearing loss
endolymphatic hydrops
decreased vit in heavy smokers
vit C
decreased vit in alcoholic with bleeding gums
ascorbic acid vit C
cells that appear in chronic bacterial infection
monocytes
increased glucose in a joint space with a red hot swollen joint
bacterial infection
pat with splenomegaly,
leukocytosis,
lymphadenopathy
leukemia
miliary nodules in lung MC found in
alveoli
baby has muscles - hypotonic, startled
normal reflex
pat acute pancreatitis - relief by
full body flex
microcytosis involved with
decreased iron
pat with chronic dysphagia, weight loss and vomiting
achalasia
early symptom of acoustic neuroma
hearing loss with tinnitus
periorbital edema and weight gain
thyroid
auscultatory gap occurs
mid systole (between systolic and diastolic)
68 yo pat
coughing, hemoptysis, dyspnea and right supraclavicular lymph node
bronchogenic carcinoma
increased breathing with shallow breaths
tachypnea
pat with idiopathic fever
intense pruritus
lymphadenopathy
hodgkin’s disease
54 yo male
decreased force of urinary stream
symmetrically enlarged prostate
benign prostatic hypertrophy
upon palpation of prostate
obliteration of median sulcus
benign prostatic hypertrophy
64 yo fatigue
weight loss
back pain
CBC elevated HGB and HCT
spike in protein electrophoresis
obstruction of common bile duct result
direct serum bilirubin increase
palpation of anterior thorax
tenderness at the 7th intercostal space
costochondritis
pat w/ hx of heavy smoking and drinking
dysphagia and drooling
esophageal varices
child with joint pain,
murmur
elevated ERS
Rheumatic fever
acute chest pain into left arm
MI
pain from peptic ulcer
epigastric area
avoid in palpation of cricoid area
carotid sinus
female patient with thickened recto-vaginal septum indicates
uterine retroversion
cells decrease with HIV
T cells
test for alopecia and joint pain (SLE)
ANA test
first arises by hx of fatigue, weight loss and fever
hyperthyroidism
Meniere’s - hearing loss and tinnitus and_____
dizziness
pain in arterial disease
aching or throbing
firm painful, irregular hard lesion or the aurical
carcinoma
type of segmented pain - poorly localized referred to body surface
deep somatic pain
S/S is iliced in review of respiratory system
hemoptysis
xanthenlasma indicated increaed
cholesterol
eye reveals an extension of a triangular vascular membrane
pterygium
nails reveal abnormal concavity and increased ridges
iron deficiency anemia
radial pulses - symmetrical in
MI
purple striae in abdomen
Cushing’s (hyperadrenal cortilosim)
yellow conjunctiva
hemolysis
cage questionnaire is used to
alcohol abuse
cage questions - morning eye opener
alcoholism
increased respiratory rate
increased body metabolism
body temp indicates fever
99.0 axilary
2 peaks for each systole
bisferious
20 yo male
painful round ulcer
reddened bucal mucosa
aphthous ulcer (canker sore)
left supraclavicular space enlarged
non tender node
gastric carcinoma
harsh mid-systolic ejection murmur
heard at right intercostal space
accompanied by ejection click
aortic stenosis
pole of kidney is normally palpable
lower right
thoracic auscultation
murmur continuous systole and diastole
loudest in late systole - 2nd heart sound
patent ductus arteriosus
inspiration/expiration ratio
2:1
pulmonary hypertension results in
increased second heart sound intensity
auscultation over area of lobar pneumonia
bronchophony
increased fremitus noted during thoracic palpation
lobar pnemonia
renal bruit can best auscultate
upper quadrant
peritoneal friction rub in right upper quardant
acute peritonitis
19 yo m
low grade fever
viral orchitis
MC percussive node in abdomen
tympany
gross irregularity of lower margin of liver
mets
digital rectal exam and lab tests
PSA test
abdominal venous hum suggests
portal hypertension
non tender soft mass in scrotum - behind testicale at superior margin and cannot be palpated
hydrocele (transilluminated)
