Illness Scripts 2 Flashcards

1
Q

Young any-race-sex outpatient in winter with insidious onset of malaise, low-grade fever, persistent intractable dry cough, normal white blood cell count, cold agglutinins and bronchopneumonic, reticular or reticulonodular infiltrates that look worse than patient

A

Mycoplasma pneumonia

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2
Q

Any-age-race-sex smoker with acute onset of fever, rigors, cough, dyspnea, diarrhea, confusion, pulmonary crackles, bronchopneumonia, leukocytosis, hyponatremia and non-diagnostic sputum

A

Legionella pneumonia

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3
Q

Any age-race-sex patient with trauma, surgery or vascular catheter insertion or removal, sudden onset of dyspnea, single gasp or cough, lightheadedness, tachypnea, tachycardia, hypotension, hypoxemia and mill wheel heart murmur

A

Air embolism

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4
Q

Late middle-aged any-race male smoker with the insidious onset of dyspnea and persistent dry cough, bibasilar dry “Velcro” pulmonary crackles and bilateral reticular lung opacities in periphery and at the bases

A

Usual interstitial pneumonia

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5
Q

Any-age-race-sex hospital patient with acute onest of fever, cough, dyspnea, tachycardia, tachypnea, hypotension, pulmonary crackles, abscessing bronchopneumonia, leukocytosis and Gram-positive cocci in sputum

A

Staphylococcus aureus pneumonia

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6
Q

Any-age-race-sex intubated hospital patient with acute onset of fever, chills, confusion, purulent sputum, tachycardia, tachypnea, hypotension, pulmonary crackles, bilateral bronchopneumonia, neutropenia and Gram-negative rods in sputum

A

Pseudomonas pneumonia

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7
Q

Late 60ish any-race male heavy smoker with insidious onset of weight loss, cough, dyspnea, weakness and central parabronchial lung mass with hilar lymphadenopathy

A

Small cell carcinoma

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8
Q

Any-age-race-sex hospital patient with shock, sepsis, pneumonia, acute onset of rapidly worsening dyspnea, respiratory distress, tachypnea, diffuse pulmonary crackles and progressive pulmonary infiltrates

A

Acute respiratory distress syndrome (severe end of acute lung injury spectrum)

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9
Q

Middle-aged any-race male smoker with acute onset of single strong rigor, high fever, productive cough, rusty sputum, tachypnea, pulmonary crackles, tubular breath sounds, lobar consolidation, leukocytosis and Gram-positive diplococci in sputum

A

Pneumococcal pneumonia

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10
Q

Any-age-race-sex adult with neutropenia, acute onset of fever, pleuritic chest pain, hemoptysis, tachycardia, tachypnea, pulmonary crackles and nodular infiltrates

A

Aspergillus pneumonia

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11
Q

Adult black male or female with immunocompromise, insidious onset of fever, cough, dyspnea, headache, tachycardia, tachypnea, stiff neck and nodular infiltrates

A

Cryptococcal pneumonia

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12
Q

Tall thin young any-race male smoker with sudden onset of dyspnea associated with unilateral chest pain and decreased breath sounds on the same side, and collapsed lung on chest x-ray

A

Pneumothorax (spontaneous)

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13
Q

Pretty much just like tuberculosis except no sputum

A

Histoplasmosis

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14
Q

Late middle-aged any-race female smoker with insidious onset of persistent cough, anorexia, weight loss and peripheral lung mass

A

Lung primary adenocarcinoma

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15
Q

Any age-race-sex patient with long bone fracture 1-3 days ago or young black patient with sickle cell crisis, now with acute onset of dyspnea, confusion, tachypnea, and hypoxemia

A

Fat embolism

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16
Q

Middle-aged any-race male with immunocompromise, insidious onset of dyspnea, dry cough, low-grade fever, tachycardia, tachypnea, elevated lactate dehydrogenase and bilateral reticular infiltrates

A

Pneumocystis pneumonia

17
Q

Elderly black male with insidious onset of fatigue, anorexia, weight loss, low-grade fever, chills, night sweats, mild cough, mucopurulent sputum, apical cavitary nodules and acid-fast bacilli in sputum

A

Tuberculosis

18
Q

Any-race-sex adult with recent surgery, central venous catheterization, malignancy, long-haul travel, obesity or smoking, sudden onset of dyspnea associated with chest pain, leg pain and swelling, tachypnea, hypoxemia and normal chest x-ray (not normal computed tomography)

A

Pulmonary thromboembolism

19
Q

Late middle-aged any-race-sex patient with insidious onset of anorexia, weight loss, malaise, fatigue and numerous small rounded lung nodules (more in lower lobes)

A

Pulmonary metastases

20
Q

Late middle-aged black male smoker with insidious onset of persistent cough, dyspnea, anorexia, weight loss, hemoptysis and central endobronchial lung mass

A

Lung primary squamous cell carcinoma