Main Hx And Physical Findings

Question 1

Asthma

Answer 1

History
     -Recurrent attacks
     -Cough
     -Wheezing
     -Hx of asthma
Physical Exam
     -Wheezing

Question 2

Anemia

Answer 2

History
     -Fatigue
     -General weakness     
Physical Exam
     -Pallor

Question 3

Airway obstruction

Answer 3

History
     -Sudden onset
     -Change in voice
     -Choke on food or denture
Physical Exam
     -Stridor
     -Cyanosis

Question 4

Myocardial infarction

Answer 4

History
     -Substernal chest pain
     -Dyspnea
     -Nausea
     -Hx of smoking, HTN
Physical Exam
     -Diaphoresis
     -Any abnormal vital

Question 5

Anaphylaxis

Answer 5

History
     -Acute shortness of breath
     -Wheezing
     -Hx of exposure to allergen
Physical Exam
     -Hives
     -Hypotension
     -Tachypnea
     -Tachycardia

Question 6

Biliary colic

Answer 6

History
     -RUQ pain (intermittent)
     -Can last several hours
     -Occurs after a fatty meal
Physical exam
     -No fever
     -Tender RUQ

Question 7

Cholecystitis

Answer 7

History
     -RUQ pain
     -Radiates to R scapula
Physical Exam
     -Fever
     -Positive Murphy sign
     -Tender RUQ

Question 8

Peptic ulcer disease

Answer 8

History
     -Epigastric RUQ pain
     -Taking Aspirin/NSAIDS
     -Blood in stool
     -Pain may radiate to back
Physical Exam
     -Epigastric RUQ tenderness

Question 9

Pancreatitis

Answer 9

History
     -Epigastric and RUQ pain
     -Hx of alcoholism
     -Hx of gallstone
Physical Exam
     -Epigastric and RUQ pain

Question 10

Hepatitis

Answer 10

History
     -Fever
     -Jaundice
     -RUQ pain
     -Behavior leading to Hep virus exposure
Physical Exam
     -Jaundice
     -Tender/enlarged liver
     -Negative Murphy sign
     -Fever