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Mid Sem 1 Exam Stuff
Bits and Pieces
82
Medical
Undergraduate 2
04/19/2015
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Term
Throat clearing cough
 Definition
Postnasal drip, GORD
Term
Dry, persistent cough
 Definition
ACE inhibitors
Term
Barking cough
 Definition
Laryngitis, pertussis, croup
Term
Cough worse at night
 Definition
Asthma
Term
Cough worse in morning
 Definition
COPD
Term
Dry cough, then productive
 Definition
Pneumonia
Term
Purulent sputum
 Definition
Bronchiectasis, lobar pneumonia
Term
Haemoptosis
 Definition
Cancer, TB
Term
Cough worse on laying down, and pink froth
 Definition
Pulmonary oedema
Term
Hoarse voice
 Definition
Recurrent laryngeal nerve palsy
Term
Pleuritic chest pain (on inspiration)
 Definition
Pneumothorax, pleurisy/pneumonia, pulmonary embolism
Term
Immediate SOB
 Definition
AMI, PE, anaphylaxis
Term
Short term SOB
 Definition
Cardiac failure, asthma
Term
Long term SOB
 Definition
COPD
Term
Wheeze
 Definition
Asthma
Term
Stridor
 Definition
Emergency - airway obstruction, croup
Term
Fever and night sweats
 Definition
TB
Term
Myalgia and fatigue
 Definition
Influenza
Term
Morning sneezing
 Definition
Allergy, dust mites
Term
Snoring
 Definition
Obstructive sleep apnoea
Term
Blunting of costophrenic angle
 Definition
Pleural effusion
Term
Dull percussion, crackles at base of lungs
 Definition
Pneumonia
Term
Rust coloured sputum
 Definition
Pneumonia
Term
Stony dullness, absent breath sounds
 Definition
Pleural effusion
Term
Hyper-resonance, reduced breath sounds
 Definition
Pneumothorax
Term
Normal percussion, expiratory wheeze
 Definition
Asthma
Term
Hyper-resonance, may have wheeze
 Definition
COPD
Term
Hyperinflation of lungs and flattened diaphragm
 Definition
COPD
Term
Pursed lip breathing, barrel chest
 Definition
COPD
Term
Chronic smoking history, productive cough worse in morning, dyspnoea, wheeze
 Definition
COPD
Term
Clubbing
 Definition
Cirrhosis, IBD, malabsorption
Term
Leukonychia
 Definition
Hypoalbuminaemia due to chronic liver disease
Term
Koilonychia
 Definition
Iron deficiency
Term
Palmar erythema
 Definition
Chronic liver disease
Term
Palmar creases - pale
 Definition
Anaemia
Term
Dupuytren's contracture
 Definition
Alcoholism
Term
Asterixis
 Definition
Liver failure
Term
Scratch marks
 Definition
Hyperbilirubinaemia
Term
Spider naevia
 Definition
Increased oestrogen - chronic liver disease/cirrhosis
Term
Oral ulcers
 Definition
Crohn's disease
Term
Enlarged parotis glands
 Definition
Alcoholism of malnurition
Term
Enlarged submandibular glands
 Definition
Chronic liver disease
Term
Positive Murphy's sign
 Definition
Cholecystitis
Term
Rovsing's sign - positive
 Definition
Appendicitis
Term
Silent bowel for 4 mins
 Definition
Paralytic ileus
Term
Loud, high-pitched tinkling
 Definition
Obstructed bowel
Term
Aortic bruits
 Definition
Aortic vessel stenosis
Term
Renal bruits
 Definition
Renal artery stenosis
Term
Distended gallbladder in jaundiced patient
 Definition
Pancreatic carcinoma
Term
Early inspiratory crackles, reduced breath sounds, reduced expansion, very loose productive cough
 Definition
Chronic bronchitis
Term
Cough, clubbing, fine late crackles
 Definition
Interstitial lung disease
Term
Very loose productive cough, coarse crackles, foul-smelling sputum, clubbing, fever
 Definition
Bronchiectasis
Term
Dullness on percussion, bronchial breath sounds
 Definition
Lobar pneumonia
Term
Dullness on percussion, vocal fremitus, medium-late inspiratory crackles, cough (painful, dry at first)
 Definition
Pneumonia
Term
Raised JVP, hoarse voice, SVC obstruction, absent breath sounds
 Definition
Tuberculosis
Term
Pulsus paradoxus, dry irritating cough, wheeze, hyperinflated chest
 Definition
Asthma
Term
Positive Hoover's sign, asterixis, cough, hyperresonance, early inspiratory crackles
 Definition
COPD
Term
Bovine cough, stridor
 Definition
Laryngeal tumour
Term
Tracheal deviation towards lesion, bronchial breath sounds, dull percussion, reduced expansion on affected side
 Definition
Actelectasis
Term
Pleuritic chest pain, reduced/absent breath sounds, hyperresonance
 Definition
Pneumothorax
Term
Tracheal deviation away from lesion, apex beat movement away from lesion, reduced/absent breath sounds, absent vocal resonance
 Definition
Tension pneumothorax
Term
Raised JVP, pleural rub, techycardia, chest pain
 Definition
Pulmonary embolism
Term
Tracheal deviation away from lesion, stony dull percussion, apex beat movement away from lesion, reduced breath sounds, reduced vocal resonance
 Definition
Pleural effusion
Term
Pleuritic chest pain, unilateral reduced chest expansion
 Definition
Trauma
Term
Dry, irritating cough
 Definition
Use of ACE inhibitors
Term
Cough, wheeze, tachycardia
 Definition
Use of beta-blockers
Term
Hoarseness of voice
 Definition
Use of inhaled corticosteroids
Term
Hoarse voice, wasting and weakness of hands
 Definition
Apical lung tumour
Term
Barking, croupy cough
 Definition
Upper airway problem, pertussis
Term
Stridor
 Definition
Blockage of larynx or trachea
Term
Glossitis
 Definition
Iron/B12 deficiency - common in alcoholics
Term
Stomatitis
 Definition
Iron/B12 deficiency
Term
Virchow's nodes lypmhadenopathy
 Definition
Abdominal malignancy
Term
Increased muscle bulk
 Definition
Steroid use
Term
Addisonian-type pigmentation - "sunkissed skin"
 Definition
Malapsorption
Term
Aconthosis nigricans
 Definition
Rarely GI carcinoma, diabetes
Term
Systemic sclerosis
 Definition
GORD
Term
Petechia
 Definition
Chronic acoholism - causing bone marrow depression
Term
Rebound tenderness
 Definition
Peritonitis
Term
Enlarged gallbladder with jaundice
 Definition
Carcinoma of head of pancreas or apulla of Vater, in situ gallstones
Term
Enlarged gallbladder without jaundice
 Definition
Carcinoma of gallbladder, acute cholecystitis
Term
Venous hum
 Definition
Portal hypertension
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