General Dx Part 2 Flashcards
Pt. has productive rusty brown sputum for around 10 days and fever
Lobar Pneumonia
Red Jelly sputum seen with?
Friedlander’s Pneumonia
Cytomegalovirus is MC seen in a ___ pt
AIDS
Tuberculosis manifests as…
Night sweats, yellow-green sputum, Ghon lesions
Most definitive Dx for TB
Sputum Culture
Usually result of bronchial obstruction from mucous plug
Atelectasis
Bronchiectasis presents with…
Chronic, Productive cough
Asthama is a type __ rxn.
1
___ and ___ rise with Asthma
Eosinophils and IgE
2 labs for Asthma
Curshmann’s Spirals
Charcot Laden crystals
Cause of Emphysema
Deficiency of Alpha 1 anti trypsin
Sarcoidosis is MC in which race?
African descent
Hodgkin’s is MC in what demographic?
Young caucasian
Sweat test is for…
CF (loss of excessive sweat)
> 40 y/o earliest sign of CHF
Ventricular Gallop
COntinuous Machinery like murmur
Patent Ductus Arteriosus
Tetralogy of Fallot
Right Ventricular Hypertrophy
Interventricular Septal Defect
Pulmonic Stenosis
Seen in younger females who faint (drop attacks) while exercising
Subclavian Steal Syndrome
MC cause of Left sided heart failure
Hypertension 35-55 y/o
2nd MC cause of Left sided Heart failure
Aortic Stenosis
MC cause of right sided heart failure
Left sided Heart Failure
MC cause of Mitral stenosis
Rheumatic fever (ASO titer)
Aortic Dissection is asscoiated with…
Hypertension and Marfans
Marfan’s Syndrome Manifestation
Ventricular Weakening
Tall, long fingers/ limbs, lens subluxation
Angina at rest (atypical)
Printzmetal
What 2 labs are elevated for MI
CK-MB
SGOT
What happens during the U wave
Repolarization of the papillary Muscles
MC cause of liver destrutction
Alcoholism
Pancreatitis pain description
Epigastric pain going through T10-T12 like a knife (viscerosomatic)
Chronic: See with alcoholism
Cause of Diabetes Insipidus
Insufficient ADH
*Polydipsia, polyuria, NO Polyphagia
When is hiatal hernia worse?
After a large meal or lying down
*Same for reflux Esophagitis
Cause of Peptic Ulcer
H Plyori
Coffee grounds
MC type of peptic ulcer
Duodenal ulcer
Pain 2 hours after eating
Duodenal Ulcer
MC place for gastric Carcinoma
Greater curvature
Virchow’s Node Description. Seen with?
Left supraclavicular lymph node imvolvement
-Gastric Carcinoma
Primary heart block ECG
Increased PR interval
Secondary Heart block ECG
2 P waves
Complete heart block ECG
No QRS Pattern
MI (acute heart failure) ECG
ST segment enlarged or inverted
Wernicke Korsakoff Description
B1 (Thiamine) Deficiency from Alcoholism –> Dementia
Beri Beri Description
B1 (thiamin) Deficiency without alcoholism
Hepatitis A transmission
fecal/oral
Hep. B transmission
Dirty needles and sexual contact
Hep C transmission
Blood Transfusion
Difference between direct and indirect bilirubin
Direct (Conjugated) –> Water soluble
Indirect (Unconjugated) –> Not water soluble, usedfor Hemolytic anemia (Coomb’s test)
Gallbladder pain referral
Right shoulder or tip of right scapula
Cholecystitis MC in which demographic?
Overweight female >40 y/o
Pancreatitis pain referral
Epigastric pain going through the T10-T12 area like a knife
Grey Turner sign
Bleeding into flank
Cullen’s Sign
Periumbilical ecchymosis
Labs for Pancreas
Increased Amylase and Lipase
Labs for Diabetes
Glucose Tolerance Test
Fasting plasma glucose
HbA1C
Cause of Diabetes Insipidus
Insufficient ADH