Triads Flashcards

1
Q

angina + dyspnea + dizziness/syncope

A

aortic stenosis

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2
Q

fatigue/weakness + anxiety + weight loss

A

hyperthyroidism

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3
Q

usually female, arthritis + fatigue/malaise + skin lesions/rash + fever e

A

SLE

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4
Q

tiredness + weight loss + polydipsia + polyuria

A

DM

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5
Q

Fatigue (extreme) + dizziness/funny turns + anorexia/nausea + vomiting

A

Addison’s ?

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6
Q

persistent diarrhoea + bubbly offensive smelling stools + abdominal cramps/bloating + flatulence

A

celiac disease

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7
Q

Lethargy/malaise + diarrhoea + weight loss

A

CRC

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8
Q

malaise + fever + sorethroat + cervical lymphadenopathy

A

EBV

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9
Q

postural instability + bradykinesia + rigidity + tremor

A

Parkinson’s

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10
Q

constitutional symptoms (malaise/weight loss) + fever/night sweats + pruritis

A

B symptoms Lymphoma

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11
Q

(adult female) Abdominal discomfort with fullness/bloating + GI problems: anorexia, nausea, diarrhoea or constipation + weight loss

A

pregnancy

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12
Q

fatigue + unexplained backachae/bone pain+ susceptibility to infection

A

multiple myeloma

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13
Q

middle aged person presenting with disturbance (Reduction of the basic drives of life)

A

depression

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14
Q

Back pain (severe constant localized) with radiculopathy + percussion tenderness over spine + evolving neurological deficit (gradual leg weakness and sensory change) + fever

A

epidural abscess

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15
Q

acute diarrhoea + colicky abdominal pain +/- vomiting

A

gastroenteritis (viral)

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16
Q

(young adult) diarrhoea +/- blood and mucus + abdominal cramps

A

IBD (UC - more bleeds)

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17
Q

young adult diarrhoea, constitutional symptoms + eyes/joints

A

Crohn’s disease

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18
Q

pale bulky offensive stools, difficult to flush, weight loss

A

mal-absorption

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19
Q

fatigue + weight loss + iron deficiency + steatorrhea

A

celiac disease

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20
Q

failure to thrive (child) + recurrent chest infections + steatorrhea

A

cystic fibrosis

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21
Q

altered bowel habit, constipation/diarrhoea, rectal bleeding, abdomen discomfort

A

Colorectal CA

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22
Q

diarrhoea (fluid/incontinent), constipation, abdominal discomfort, anorexia and nausea

A

fecal impaction ooooooo

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23
Q

profuse watery diarrhoea + abdominal cramps + antibiotics use

A

pseudomembranous colitis (C difficile)

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24
Q

variable diarrhoea/constipation + abdominal discomfort + mucus PR + flatulence

A

irritable bowel syndrome oooo

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25
Q

malaise, fatigue, haematuria, frequency, dysuria

what Ix?

A

transitional cell carcinoma/bladder cancer

Ix: urine cytology x3 and cystoscopy

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26
Q

malaise, fatigue, lump, nipple changes (discharge, distortion)

A

breast cancer

ix: FNA/biopsy, excision biopsy, imaging

27
Q

malaise fatigue, seizure, cognitive impairment, headache

A

cerebral cancer

Ix; Brain MRI, Head CT

28
Q

malaise fatigue, post coital bleeding, intermenstral bleeding, vaginal discharge

A

cervical caner
screening: pap smear
Ix: biopsy

29
Q

malaise fatigue, blood in stool, change in bowel habit, abdominal discomfort

A

CRC
Ix: colonoscopy
screening: FOBT

30
Q

malaise fatigue, hematuria, loin pain, palpable kidney mass

A

Renal Cell Carcinoma

ix: urine cytology x3, U/S, CT/MRI

31
Q

malaise fatigue, persistent cough, weight loss, hemoptysis

A

Lung cancer
Ix: CXR, CT scan
Dx: Bronchoscopy w/ biopsy, PET scan

32
Q

malaise fatigue, dysphagia, chest discomfort, hiccups

A

oesophagus cancer

ix: endoscopy, barium swallow

33
Q

malaise fatigue, abdominal discomfort, distension, bloating, bowel changes, menstrual dysfunction

A

ovarian cancer

ix: pelvic U/S, serum CA-125

34
Q

malaise fatigue, abdominal discomfort, jaundice, epigastric/pain OR painless jaundice

A

pancreatic CA

ix: CT/MRCP, CA19-9

35
Q

malaise fatigue, bladder outlet obstruction, back pain, hematuria

A

prostate CA
screening: DRE, PSA
Ix: core biopsy w/ transrectal US,

36
Q

malaise fatigue, anorexia, dyspepsia, wweiht loss

A

gastric CA

ix: gastroscopy, biospy

37
Q

pallor, bone pain, bleeding tendency, gingival hypertrophy + malaise, fatigue

A

ALL/AML
AML has gingival hypertrophy
ix: FBE/film, BM biopsy, LN biopsy

38
Q

fever night sweats, abdominal fullness, symptoms of anemia (tired, SOB)

A

CML

39
Q

fever night sweats, weight loss, lymphadenopathy

A

CLL

40
Q

fever, nightsweats, pruritus, cervical lymphadenopathy

A

hodjkin’s

41
Q

weakness, back pain, susceptibility to infection

A

MM

ix; FBE/film, bence jones protiens, serum paraproteins, skeletal survey

42
Q

what are the top 3 metastatic cancers

A

lung, colon, breast

43
Q

tiredness + husky voice + cold intolerance

A

hypothyroidism

44
Q

physical slowing + mental slowing + facial puffiness

A

hypothyroidism

45
Q

anxiety + weight loss + muscle weakness

A

hyperthyroidism

46
Q

sweaty hands + loose bowel movements + palpitations

A

hyperthyroidism

47
Q

nasal problems + difficulty wearing shoes/rings + weakness + sweating

A

acromegaly

48
Q

fatigue/weakness + anorexia + nausea + dizziness + skin discoloration

A

Addison’s diasease

49
Q

fatigue/weakness + abominal pain + loose stools + skin discoloration

A

Addison’s disease

50
Q

plethoric moon face + thin extremities + muscle weakness + hirsutism + abdominal straie + hypertension

A

Cushing’s

51
Q

amenorrhea + loss of axillary and pubic hair + breast atrophy

A

hypopituitarism

52
Q

weakness + polyuria + polydyspia (intense craving for ice water)

A

diabetes insipidus

53
Q

weakness + constipation + polyuria

A

hypercalcemia

54
Q

stones bones groans and moans

A

hyperPTH

55
Q

cramps + cognitive dysfunction

A

hypocalcemia

56
Q

reduced libido + subfertility + gallactorhea

(females) amenorrhea/oligomenorrhea
(males) reduced facial hair

A

hyperprolactinemia

57
Q

fatigue/tiredness + polydyspia + polyuria

A

Diabetes Mellitus

if + weight loss = Type 1

58
Q

19-yr-old boy with cryptorchidism and impaired conversion of testosterone to dihydrotestosterone

A

5a reductase deficiency

59
Q

6-yr-old girl, fully developed breasts, vaginal & vulval growth & pubic hair + cafe-au-lait spots & polyostotic fibrotic dysplasia

A

Forbes-albright syndrome (alactorrhoea-amenorrhoea associated with a pituitary tumour)

60
Q

6-yr-old girl with isolated early pubic hair development

A

premature adrenarche

61
Q

19-yr-old girl with short statue, webbed neck, coarctation of aorta, streak gonads

A

Turner’s syndrome

62
Q

18-yr-old boy pea sized firm testes, gynaecomastia, androgen deficiency & poor sexual development

A

Klinefelter’s syndrome

63
Q

3-yr-old girl with isolated early breast development

A

premature thelarche

64
Q

17-yr-old boy with hypogonadism & loss of smell + isolated GnRH deficiency

A

Kallman’s syndrome