important history per CC Flashcards
memory issue
acute or chronic? waxing and waning? drug effect falls ataxia hypothyroid sx depression
tests to think about for memory issue
lytes B12 HIV meds neurosyph
headache
OPRST jaw claudication meds trauma menses
loss of vision
associated sx: pain, redness, discharge, head ache, weakness, numbness
cardiac history, autoimmune history, diabetes?
depressed mood
mini mental status exam
DOCUMENT mental status exam:
- appearance, behavior, speech, mood, affect, thought process, thought content, cognition, insight, judgement
psychosis
positive vs negative sx cognitive sx (thought process, content, paranoia)
psychotic d/o timeline
<1 mo= brief psychotic do
1mo-6mo= schizophreniform do
>6 mo= schizophrenia
schizoaffective is schizophrenia+ mood d/o
w/u for psychosis
utox lytes TSH mse cbc
things to think about in sore throat
HIV risk, lymphoma, mono
Rinne, weber
r: air conduction > bone = normal
w: no lateralization
presbycusis
normal hearing loss of age
tinittus
normal weber/rinne
VESTIBULAR causes of dizziness (4)
meniere
acoustic neuroma
labrynthitis (post URI)
benign paroxysmal POSITIONAL vertigo
Dizziness (non vestibular)
hypovolemia (diarrhea, vomiting, antihypertensives) vetebrobasilar insufficiency orthostatic arrhythmia AS
physical exam confirmation of plantar fasciitis and/or achilles tendonitis
pain with toe dorsiflexion
pediatric fever WITH RASH
varicella
meningococcal meningitis (petechial rash)
fifths disease
scarlet fever
child with noisy breathing
foreign body aspiration –> (bronch, direct laryngyscopy, ABG, chest xray, NECK XRAY)
croup
epiglotitis
retropharyngeal abcess
cause of dysmenorrhea, dyspaurenia, heavy bleeding
endometriosis
how to “test” for PID
cervical cultures for gc/ct
mini mental status exam (quick in the room)
- orientation to person, place, date
- name three objects
- spell world backwards
- no ifs, ands, butts
- fold piece of paper, pick up
“alert and oriented x4, spells backward but can’t recall 3 items”
psychosis after drug ingestion
PCP –> hypertension, tachy, rage, visual hallucinations, auditory non command
Substance induced psychosis
***cannot diagnose brief psychotic disorder if recently ingested substance
ddx for enuresis in a child
primary nocturnal enuresis
UTI
secondary (life trauma)
functional
test with genital exam/ua/ucx
ddx for seizure in <1 yr
febrile seizure
meningitis
hyponatremia
