General Dx - Case History

Question 1

temporal pattern - significant for classifying which headache pattern

Answer 1

Chronic headaches

Question 2

Premonitory sympotoms

Answer 2

migraine, epilepsy, syncope

Question 3

Damage to nerve causing raspy voice

Answer 3

Vagus nerve

Question 4

41 yo woman sudden onset of numbness, drooping of left side of face, asymmetrical facial expression, slurring of speech, dysgeusia, hyperacusis, “dribbling of beverage”VIRAL upper respiratory infection

Answer 4

Bell’s Palsy

Question 5

53 yo maleprogressive dysphagiaunintentional weight loss of 25 lbshoarseness and fatiguelymphadenopathy of supraclavicular regions

Answer 5

adenocarcinoma of esophagus

Question 6

pat’s primary resion for visit

Answer 6

history of present illness

Question 7

most risky type of question in case history

Answer 7

leading question

Question 8

BEST way to ask precipitating factors of pat’s chest pain

Answer 8

What brings on your chest pain?

Question 9

pat with joint pain tells about father’s dx of gout 20 years ago

Answer 9

family history

Question 10

Objectivity (interviewing pat)

Answer 10

the interviewer sets aside preconceived conclusions about the patient

Question 11

Respect (pat interview)

Answer 11

the physician accepts the patient as he is without judgment