GPA - Sore throat, cough, SOB Flashcards
Key PE for sore throat
ENT, Mouth, tonsils, lymphnodes lung abdominal skin
DDX - sore throat Sore throat x 1 week fever severe fatigue Loss of appetite epigastric and LUQ pain Cervical lymphadenopathy Rash Boyfriend same sx
Infectious mono Hepatitis pharyntitis Acute HIV infection secondary syphillis
Workup - sore throat Sore throat x 1 week fever severe fatigue Loss of appetite epigastric and LUQ pain Cervical lymphadenopathy Rash Boyfriend same sx
CBC with peripheral smear Monospot test Throat culture AST/ALT/bilirubin/alkphos: hepatitis HIV antibody Anti EBB antibodies VDLR/RPR: syphilis
DDX - sore throat Sore throat fever rash wt loss HX of IV drug use
Acute HIV Hepatitis infectious mono viral pharyngitis strep secondary syphilis
workup - sore throat Sore throat fever rash wt loss HX of IV drug use
CBC + peripheral smear HIV antibody, viral load, CD4 count MONO spot Throat culture VDLR?RPR Liver enzymes: AST, ALD, bili, alkphos
DDX - sore throat
Fever
sore throat
Pharingits
mycoplasm pneumonia
Acute HIV
infectious mono
workup - sore throat
Fever
sore throat
Rapid strep
Monospot
CBC
HIV antibody
Key PE for Cough SOB
Pulse ox, nasal mucosa, heart, lungs, lymphnodes, extremites, cyanosis, edema, vitals
DDX for cough/SOB 30yoM SOB, cough, wheezing Worse cold air several episodes last 4 months.
Asthma GERD Bronchitis Pneumonitis Foregin body
Workup - cough/SOB 30yoM SOB, cough, wheezing Worse cold air several episodes last 4 months
Peak flow, spirometry CBC CXR: foreign body, pneumo Pulmonary function test: spirometry Methacholine challenge test
DDX for cough/SOB SOB Productive cough 3 months each year x 2 years heavy smoker
Chronic bronchitis: COPD Bronchiectasis Lung cancer Tuberculosis Emphysema Pneumonia
Workup - cough/SOB SOB Productive cough 3 months each year x 2 years heavy smoker
Sputum culture - Gram stain Pulmonary function test -spirometry CXR CBC Interferron gamma test: TB
DDX - Cough, SOB Pleuritic chest pain fever/chills productive cough w/ purulent yellow sputum heavy smoker with COPD
Pneumonia Chronic bronchitis : exacerbation Bronchiectisis Lung abscess Lung cancer TB Pericarditis
Workup - Cough, SOB Pleuritic chest pain fever/chills productive cough w/ purulent yellow sputum heavy smoker with COPD
CBC Sputum culture CXR + CT ECG - heart stuff Interferon gamma: PPD for TB
DDX - Cough, SOB
25yo
no productive cough x 2 weeks
3 weeks ago had sore throat and rhinorhhea
Atypical pneumonia URI associated cough Post nasal drip Reactive airway disease/asthma GERD
WOrkup - Cough, SOB
25yo
no productive cough x 2 weeks
3 weeks ago had sore throat and rhinorhhea
CBC CXR sputum gram stain IGM: mycoplams pneumonia Urine legionella antigen
DDX - Cough, SOB 65 m WOrsening cough for past 6 months, Hemoptysis dyspnea weakness wt loss heavy smoker
Lung cancer TB Lung abscess CHF Vasculitis Interstitial lung disease
WOrkup - Cough, SOB 65 m WOrsening cough for past 6 months, Hemoptysis dyspnea weakness wt loss heavy smoker
CXR and CT
Bronchosopy
TB: interferon gamma, PPD
Sputum culture, gram stain,
DDX - Cough, SOB
increased dyspnea and sputum production x 3 days
COPD and stoped using inhaler
stoped smokeing 2 days ago
COPD exacerbation Lung cancer Pneumonia URI CHF
Workup - Cough, SOB
increased dyspnea and sputum production x 3 days
COPD and stoped using inhaler
stoped smokeing 2 days ago
PFT: Spirometry Sputum culture CXR/ CT: can diagnosis CHF CBC
DDX - Cough, SOB
worsening cough x 6 months
weight loss, fatigue, night sweats fever
Hx of TB contact
TB Pneumonia Lymphoma HIV aids Lung cancer sarcoidosis
workup - Cough, SOB
worsening cough x 6 months
weight loss, fatigue, night sweats fever
Hx of TB contact
CBC TB: INF-gamma, PPD Sputum: Pneumonia, TB CXR: TB, Pneumonia, CT: CHF Bronchoscopy HIV antibody
DDX - Cough Shortness of breath
sob = Cough
Promiscuous sexual activity,
recently exposed to TB
TB Pneumonia Bronchitis CHF Asthma HIV, acute
Workup- Cough Shortness of breath
sob and Cough
Promiscuous sexual activity,
recently exposed to TB
CBC TB: INF-gamma, PPD Sputum: Pneumonia, TB CXR: TB, Pneumonia, CT: CHF HIV antibody
DDX - Cough and shortness of breath
cough worse lying down
improved by pillows
exertional dysphnea
CHF GERD COPD Postnasal drip Asthma
Workup - Cough and shortness of breath
cough worse lying down
improved by pillows
exertional dysphnea
CBC CXR ECG - CHF Echo - CHF Pulmonary function tests BNP: CHF
