Other Flashcards
PE risk factors
DVT
Coagulopathy
malignancy
recent immobilization
acute angle closure glaucoma presentation
sudden pain seeing halos around light red eye nausea-vomiting sudden decrease in vision
for any ob-gyn related complaint always remember to include in work up…
pelvic exam
PID orders
transvaginal US
Pelvic exam
NAAT-cultures for chlamydia + gonorrhea
appendicitis orders
CBC with differential
US-abdomen
CT-abdomen if US inconclusive
ovarian torsion HPI
exercise precipitated
radiates to flank or groin
ovarian cyst rupture HPI
precipitated by sex or exercise
shoulder pain
ovarian cyst orders
Pelvic US
Pelvic exam
cholecystitis other order
AST, ALT, ALP, bilirubin
other RA features
symmetric
morning stiffness over an hour
long duration
RA orders
Anti-CCP antibody
ANA + RF
Hand + wrist x-ray
other SLE features
oral ulcers
alopecia
weight loss
myalgia
SLE orders
ANA
Anti-dsDNA AB
Anti-Sm AB
Complement level
OA features
Relieved by rest
asymmetric
Morning stiffness less than half hour
insidious progression
OA orders
x-ray of respective joint
hip pain differential
OA
PMR
Multiple myeloma
PMR features
Fatigue Anorexia-weight loss Fever HA Scalp tenderness
PMR orders
ESR
CRP
MRI or US of involved joints
myeloma features
Bone pain Severe fatigue weight loss generalized weakness
MM orders
SPEP UA Peripheral smear skeletal survey serum CA
gout features
monoarticular or oligoarticular
asymmetric
gout work up
- joint aspiration with synovial fluid analysis
- x-ray
other exam findings to ask patient about for PVD
shiny skin
hair loss
cold feet
PVD orders
ABI’s
Duplex US
cellulitis workup
CBC with diff
hypothyroidism orders
TSH
free T4
differential for fatigue
B12 deficiency
IDA
hypothyroidism
other B12 deficiency features
stocking or glove
sore tongue
memory loss
IDA features
angular cheilitis PICA pallor palpitations dyspnea on exertion poor exercise tolerance lightheadedness tachycardia
IDA orders
peripheral smear
serum iron-ferritin-TIBC-CBC
vaginal discharge orders
Pelvic exam
Wet-saline prep
Vaginal pH
Whiff test
trichomonas features
malodorous
pruritic
dysuria
other candida vaginitis features
pruritic
dyspareunia
dysuria
atrophic vaginitis features
vaginal dryness
hot flashes-menopause symptoms
post-coital bleeding
dysuria-urgency-frequency
atrophic vaginitis workup
pelvic exam
FSH-LH
estradiol
location of MI chest pain
neck
lower jaw
down left arm
aortic dissection workup
CXR
transesophageal echo
CT
other PE features
Cough
Calf or thigh pain
CHF other to order
CXR
BNP
COPD workup
CXR
PFTs
other pneumonia order
sputum gram stain and culture
chest pain + cough differential
pneumonia
pleural effusion
pericarditis
pleural effusion orders
CXR
chest US
pleural fluid cell count + cytology
other TB features
weight loss
night sweats
TB contact
HIV
other pneumothorax features
male
thin
other PUD features
epigastric fullness
hematemesis
melena
NSAIDs or H pylori
