GPA - Sore throat, cough, SOB Flashcards
1
Q
Key PE for sore throat
A
ENT, Mouth, tonsils, lymphnodes lung abdominal skin
2
Q
DDX - sore throat Sore throat x 1 week fever severe fatigue Loss of appetite epigastric and LUQ pain Cervical lymphadenopathy Rash Boyfriend same sx
A
Infectious mono Hepatitis pharyntitis Acute HIV infection secondary syphillis
3
Q
Workup - sore throat Sore throat x 1 week fever severe fatigue Loss of appetite epigastric and LUQ pain Cervical lymphadenopathy Rash Boyfriend same sx
A
CBC with peripheral smear Monospot test Throat culture AST/ALT/bilirubin/alkphos: hepatitis HIV antibody Anti EBB antibodies VDLR/RPR: syphilis
4
Q
DDX - sore throat Sore throat fever rash wt loss HX of IV drug use
A
Acute HIV Hepatitis infectious mono viral pharyngitis strep secondary syphilis
5
Q
workup - sore throat Sore throat fever rash wt loss HX of IV drug use
A
CBC + peripheral smear HIV antibody, viral load, CD4 count MONO spot Throat culture VDLR?RPR Liver enzymes: AST, ALD, bili, alkphos
6
Q
DDX - sore throat
Fever
sore throat
A
Pharingits
mycoplasm pneumonia
Acute HIV
infectious mono
7
Q
workup - sore throat
Fever
sore throat
A
Rapid strep
Monospot
CBC
HIV antibody
8
Q
Key PE for Cough SOB
A
Pulse ox, nasal mucosa, heart, lungs, lymphnodes, extremites, cyanosis, edema, vitals
9
Q
DDX for cough/SOB 30yoM SOB, cough, wheezing Worse cold air several episodes last 4 months.
A
Asthma GERD Bronchitis Pneumonitis Foregin body
10
Q
Workup - cough/SOB 30yoM SOB, cough, wheezing Worse cold air several episodes last 4 months
A
Peak flow, spirometry CBC CXR: foreign body, pneumo Pulmonary function test: spirometry Methacholine challenge test
11
Q
DDX for cough/SOB SOB Productive cough 3 months each year x 2 years heavy smoker
A
Chronic bronchitis: COPD Bronchiectasis Lung cancer Tuberculosis Emphysema Pneumonia
12
Q
Workup - cough/SOB SOB Productive cough 3 months each year x 2 years heavy smoker
A
Sputum culture - Gram stain Pulmonary function test -spirometry CXR CBC Interferron gamma test: TB
13
Q
DDX - Cough, SOB Pleuritic chest pain fever/chills productive cough w/ purulent yellow sputum heavy smoker with COPD
A
Pneumonia Chronic bronchitis : exacerbation Bronchiectisis Lung abscess Lung cancer TB Pericarditis
14
Q
Workup - Cough, SOB Pleuritic chest pain fever/chills productive cough w/ purulent yellow sputum heavy smoker with COPD
A
CBC Sputum culture CXR + CT ECG - heart stuff Interferon gamma: PPD for TB
15
Q
DDX - Cough, SOB
25yo
no productive cough x 2 weeks
3 weeks ago had sore throat and rhinorhhea
A
Atypical pneumonia URI associated cough Post nasal drip Reactive airway disease/asthma GERD
