What is the most likely diagnosis Flashcards

1
Q

Rising BUN and creatinine with fever, rash, arthralgias, eosinophilia and eosinophiluria

A

Acute (allergic) Interstitial nephritis (AIN)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Epigastric burning pain radiating up into the chest, sore throat, bad taste (metallic), hoarseness, or cough

A

GERD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Multiple peptic ulcers, especially in duodenum that is large (> 1-2 cm) and recurrent even after H. pylori eradication. Sometimes diarrhea is present

A

Gastrinoma (Zollinger-Ellison syndrome)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Diabetic patient with chronic abdominal discomfort, “bloating”, and constipation. There may be anorexia, nausea, vomiting and early satiety

A

Diabetic gastroparesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Abdominal pain with diarrhea, constipation or both, and without weight loss. The pain is relieved by a bowel movement, or a change in bowel habit and it is less at night

A

Irritable bowel syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Old patient with left lower quadrant pain and tenderness, fever, leukocytosis and sometimes palpable mass

A

Diverticulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Acute epigastric pain radiating straight through to the back, with tenderness and nausea/vomiting

A

Acute pancreatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Woman in 40s or 50s with fatigue, itching, normal bilirubin but elevated alkaline phosphatase. Also there may be xanthelasma/xanthoma and osteoporosis

A

Primary biliary cirrhosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Patient with IBD, pruritis, elevated alkaline phosphatase, GGTP and bilirubin

A

Primary sclerosing cholangitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Young, nonsmoker patient with liver disease and COPD (emphysema)

A

Alpha-1 antitrypsin deficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Middle age patient with fatigue and joint pain (pseudogout), erectile dysfunction or amenorrhea, skin darkening, diabetes and cardiomyopathy

A

Hemochromatosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cirrhosis and hepatic insufficiency with neurological symptoms like psychosis, ataxia and tremor, Coombs negative hemolytic anemia and RTA or nephrolithiasis

A

Wilson disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hypertension in patients under 30 or above 60, or is not controlled by 2 anti-hypertensive drugs, or has a characteristic findings on history, physicals or labs

A

Secondary hypertension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly