Other Flashcards

1
Q

PE risk factors

A

DVT
Coagulopathy
malignancy
recent immobilization

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2
Q

acute angle closure glaucoma presentation

A
sudden pain
seeing halos around light
red eye
nausea-vomiting
sudden decrease in vision
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3
Q

for any ob-gyn related complaint always remember to include in work up…

A

pelvic exam

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4
Q

PID orders

A

transvaginal US
Pelvic exam
NAAT-cultures for chlamydia + gonorrhea

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5
Q

appendicitis orders

A

CBC with differential
US-abdomen
CT-abdomen if US inconclusive

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6
Q

ovarian torsion HPI

A

exercise precipitated

radiates to flank or groin

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7
Q

ovarian cyst rupture HPI

A

precipitated by sex or exercise

shoulder pain

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8
Q

ovarian cyst orders

A

Pelvic US

Pelvic exam

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9
Q

cholecystitis other order

A

AST, ALT, ALP, bilirubin

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10
Q

other RA features

A

symmetric
morning stiffness over an hour
long duration

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11
Q

RA orders

A

Anti-CCP antibody
ANA + RF
Hand + wrist x-ray

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12
Q

other SLE features

A

oral ulcers
alopecia
weight loss
myalgia

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13
Q

SLE orders

A

ANA
Anti-dsDNA AB
Anti-Sm AB
Complement level

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14
Q

OA features

A

Relieved by rest
asymmetric
Morning stiffness less than half hour
insidious progression

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15
Q

OA orders

A

x-ray of respective joint

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16
Q

hip pain differential

A

OA
PMR
Multiple myeloma

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17
Q

PMR features

A
Fatigue
Anorexia-weight loss
Fever
HA
Scalp tenderness
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18
Q

PMR orders

A

ESR
CRP
MRI or US of involved joints

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19
Q

myeloma features

A
Bone pain
Severe
fatigue
weight loss
generalized weakness
20
Q

MM orders

A
SPEP
UA
Peripheral smear
skeletal survey
serum CA
21
Q

gout features

A

monoarticular or oligoarticular

asymmetric

22
Q

gout work up

A
  • joint aspiration with synovial fluid analysis

- x-ray

23
Q

other exam findings to ask patient about for PVD

A

shiny skin
hair loss
cold feet

24
Q

PVD orders

A

ABI’s

Duplex US

25
Q

cellulitis workup

A

CBC with diff

26
Q

hypothyroidism orders

A

TSH

free T4

27
Q

differential for fatigue

A

B12 deficiency
IDA
hypothyroidism

28
Q

other B12 deficiency features

A

stocking or glove
sore tongue
memory loss

29
Q

IDA features

A
angular cheilitis
PICA
pallor
palpitations
dyspnea on exertion
poor exercise tolerance
lightheadedness
tachycardia
30
Q

IDA orders

A

peripheral smear

serum iron-ferritin-TIBC-CBC

31
Q

vaginal discharge orders

A

Pelvic exam
Wet-saline prep
Vaginal pH
Whiff test

32
Q

trichomonas features

A

malodorous
pruritic
dysuria

33
Q

other candida vaginitis features

A

pruritic
dyspareunia
dysuria

34
Q

atrophic vaginitis features

A

vaginal dryness
hot flashes-menopause symptoms
post-coital bleeding
dysuria-urgency-frequency

35
Q

atrophic vaginitis workup

A

pelvic exam
FSH-LH
estradiol

36
Q

location of MI chest pain

A

neck
lower jaw
down left arm

37
Q

aortic dissection workup

A

CXR
transesophageal echo
CT

38
Q

other PE features

A

Cough

Calf or thigh pain

39
Q

CHF other to order

A

CXR

BNP

40
Q

COPD workup

A

CXR

PFTs

41
Q

other pneumonia order

A

sputum gram stain and culture

42
Q

chest pain + cough differential

A

pneumonia
pleural effusion
pericarditis

43
Q

pleural effusion orders

A

CXR
chest US
pleural fluid cell count + cytology

44
Q

other TB features

A

weight loss
night sweats
TB contact
HIV

45
Q

other pneumothorax features

A

male

thin

46
Q

other PUD features

A

epigastric fullness
hematemesis
melena
NSAIDs or H pylori