Random 1 Flashcards

0
Q

DDx for cough/SOB

A
GERD
URI
Asthma
COPD
PNA 
TB
HIV
Bronchiolitis
Postnasal drip
Lung cancer
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1
Q

Orders for patient with SOB/cough

A

CBC
Sputum Cx, gram stain
CXR
EKG (if CP also present)

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2
Q

DDx for CP

A
GERD
MI
Angina (stable, unstable)
PE
Costochondritis
Aortic dissection
Pericarditis
PTX
Esophagitis
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3
Q

Orders for CP

A
EKG
Troponins
CXR
CBC, BMP
Echo
Barium swallow if dysphagia
CT-PE if PE
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4
Q

Differential for palpitations

A
Panic attacks/anxiety
Hyperthyroidism
Hypoglycemia
Cardiac arrhythmias
Angina
Pheochromocytoma
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5
Q

Work up for palpitations

A

Ekg
CBC/BMP
TSH
Glucose

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6
Q

Work up for abdominal pain

A
Rectal exam
UA
BUN/Cr
CT or KUB or US
AST/ALT/bili/alk phos
CBC/BMP
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7
Q

DDx RUQ abdominal pain

A
Hepatitis
Cholecystitis 
Cholangitis
Biliary colic
Pancreatitis
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8
Q

DDx LUQ pain

A

Splenic infarct/abscess
Gastritis/gastric ulcer
Pancreatitis

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9
Q

DDx RLQ pain

A
Appendicitis*
Salpingitis
Inguinal hernia
Ectopic pregnancy
Nephrolithiasis 
Mesenteric adenitis*
IBD
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10
Q

DDx LLQ pain

A
Diverticulitis*
Salpingitis
Ectopic pregnancy
Inguinal hernia
Nephrolithiasis
IBD
IBS*
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11
Q

DDx epigastric pain

A
PUD
GERD
Gastritis
Pancreatitis
MI
Ruptured Aortic Aneurysm
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12
Q

DDx diffuse abdominal pain

A
Gastroenteritis
Mesenteric ischemia
Metabolic (DKA)
Malaria
Bowel obstruction 
Peritonitis
IBS
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13
Q

DDx periumbilical pain

A

Early appendicitis
Gastroenteritis
Bowel obstruction
Ruptured AA

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14
Q

DDx for confusion/memory loss

A
Alzheimer's dementia (CBC, BMP)
Vascular dementia (MRI head)
Depression (ask questions)
Hypothyroidism (TSH)
NPH (LP, gait assessment)
B12 deficiency (B12)
Neurosyphilis (RPR)
Hypoglycemia (glucose)
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15
Q

Mini mental status exam components

A
5 - Time (time, season, day,week, month, year) 
5- Place (ask place, city, state,
country, their address)
3 - Memory (now and in 5 min): 3 objects
5 - Spell WORLD forwards and backwards
3 - Point to and name the 3 objects
3 - Repeat the 3 objects from earlier
1 - No ifs, ands, or buts
3 - Give 3 step command
2 - Draw: two interlinked objects
16
Q

Things to not forget

A

Wash hands
Summarize, summarize, summarize
Bring only stethoscope