Term
| head trauma, disoriented - lucent - coma |
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Definition
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Term
|
Definition
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|
Term
| concave shaped hemorrhage |
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Definition
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|
Term
| LP w/ decreased glucose, increased protein |
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Definition
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|
Term
| LP w/ decreased protein and very few neutrophils |
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Definition
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|
Term
|
Definition
GBS
E coli
tx = vanco + rocephin |
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Term
|
Definition
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|
Term
| meningitis > 2 yo, adults |
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Definition
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|
Term
|
Definition
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|
Term
| unilateral facial weakness w/ inability to close eye. Includes forehead muscles |
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Definition
| Bell's Palsy (self limiting) |
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Term
| adolescent female w/HA + FHx of severe HAs, N/V, photophobia, +/- aura |
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Definition
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Term
| male, recurrent, relapsing HA. Worsened with ETOH, lacrimation, salivation, rhinorrhea |
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Definition
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|
Term
| sudden onset thunderclap HA, "worst HA of my life" |
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Definition
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Term
| > 50 yo female w/HA, temporal artery tenderness or blindness |
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Definition
giant cell arteritis (temporal arteritis)
get temporal artery biopsy |
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Term
| recurrent episodes of vision change, diplopia, weakness and tingling in extremities that resolve |
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Definition
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|
Term
| myelin fragments, increased IgG, oligoclonal bands (pathognomonic), Lhermitte's sign |
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Definition
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|
Term
| electrical sensation down body with neck flexion |
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Definition
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|
Term
| HA worse in AM with focal neuro defecits |
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Definition
| brain tumor (MC = glioma) |
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|
Term
| s/p fall with bilateral LE weakness, urinary and rectal incontinence, decreased rectal tone |
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Definition
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|
Term
|
Definition
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|
Term
| paralysis after campylobacter enteritis |
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Definition
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|
Term
| weakness and fatigue in upper limbs, blurry vision, diplopia, respiratory distress |
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Definition
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|
Term
| young kid with difficulty standing from seated position, calf muscle wasting |
|
Definition
| muscular dystrophy (weakness begins at pelvic girdle) |
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Term
| pediatric with fever or hx of URI. encephalopathy, emesis, hyperactive reflexes, hepatomegaly, elevated liver enzymes |
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Definition
| Reye's syndrome fro URI/post flu or aspirin use |
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Term
| pediatric with episodes of "blank stares" |
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Definition
| absence (petit-mal)seizures |
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|
Term
| how do absence seizurs show on EEG? |
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Definition
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|
Term
| "ash leaf" hypopgimentation of trunk and extremities, shagreen patch, sebaceous adenomas, seizures, mental retardation, associated with PCK, renal hemartomas |
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Definition
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|
Term
|
Definition
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|
Term
|
Definition
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|
Term
| affarent pupillary defect, marcus-gunn pupils |
|
Definition
| optic nerve lesion. Tertiary syphilis |
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|
Term
|
Definition
|
|
Term
|
Definition
anticholinergics
TCA
anti-parkinsonina drugs
profound hypoxemia |
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|
Term
|
Definition
|
|
Term
|
Definition
| ipsilateral optic nerve lesion |
|
|
Term
| superior contralateral quadrantopia |
|
Definition
|
|
Term
|
Definition
| ipsilateral optic tract lesion |
|
|
Term
| eye trauma, diplopia. exopthalmos, fixed upward gaze, hyphema |
|
Definition
orbital blow out fracture
immediate ophtho referral |
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|
Term
| painless, non tender nodule on upper or lower eyelid |
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Definition
|
|
Term
| painful swelling of upper or lower eyelid |
|
Definition
|
|
Term
| painless, yellow triangular nodule on conjunctiva |
|
Definition
| pinguecula (MC on nasal side) |
|
|
Term
| curtain or veil over my eyes, new onset floaters |
|
Definition
|
|
Term
| transient monocular vision loss |
|
Definition
| amaurosis fugax - TIA, emobli |
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|
Term
| painless vision loss, hx of TIA, palpitations, arrhythmia, carotid disease, emoblic source |
|
Definition
| CRAO (pale retina, cherry red macula) |
|
|
Term
| painless vision loss, hx of HTN |
|
Definition
|
|
Term
| vision loss over hours to days, painful EOM |
|
Definition
| optic neuritis (associated with MS) |
|
|
Term
| recurrent episodes of vision change, diplopia that resolve |
|
Definition
|
|
Term
| red eye, watery discharge, preauricular LAD |
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Definition
|
|
Term
| red eye, copious purulent discharge |
|
Definition
| gonococcal conjunctivitis |
|
|
Term
| red eye, hyperemia, chemosis, nodular conjunctiva |
|
Definition
|
|
Term
| acute painful red eye, halos, hazy, steamy cornea. Pupil is fixed and (mid) dilated. Onset after being in a dark room |
|
Definition
| acute angle closure glaucoma |
|
|
Term
| diplopia, dysarthria, dysphagia |
|
Definition
| vertibrobasilar insufficiency |
|
|
Term
| unilateral foul smelling or purulent nasal discharge in a pediatric patient |
|
Definition
|
|
Term
| HA, sinus prssure, yellow-green nasal discharge |
|
Definition
|
|
Term
| gold standard for dx sinusitis |
|
Definition
|
|
Term
| sneezing, clear rhinorrhea, post nasal drip, nasal congestion, seasonal occurence |
|
Definition
|
|
Term
|
Definition
|
|
Term
| causes of otitis media (4) |
|
Definition
strep pneumonia
H influenza
strep pyogenes
moraxella catarhallis |
|
|
Term
| swimmer with ear pain and discharge |
|
Definition
|
|
Term
|
Definition
MOE
cause = psuedomonas
get head CT
Tx = IV Abx (FQ) |
|
|
Term
| tinnitus with metabolic acidosis |
|
Definition
|
|
Term
| sudden dizziness, vertigo, hearing loss, tennitis |
|
Definition
Meniere's diseae
tx = diuretics, low sodium diet |
|
|
Term
|
Definition
|
|
Term
| sudden vertigo with changes in head position |
|
Definition
|
|
Term
| sudden dizziness, N/V. NO tinnitus or hearing loss. Recent URI |
|
Definition
vestibular neuronitis
labrynthitis |
|
|
Term
| unilateral nerve deafness in middle age pt |
|
Definition
| acoustic neuroma (order MRI) |
|
|
Term
| sensorineural hearing loss > 50 yo |
|
Definition
| presbycussis (high frequency sounds are the first to go) |
|
|
Term
| vertical nystagmus, insidious onset vertigo |
|
Definition
|
|
Term
| horizontal nystagmus, acute onset vertigo |
|
Definition
|
|
Term
| smoker, white mouth, lesion can't be rubbed off |
|
Definition
| leukoplakia, rule out oral cancer |
|
|
Term
| gray pharyngeal pseudomembrane, rash, splenomegaly, supraclavicular LAD |
|
Definition
|
|
Term
| college student with sore throat, enlarged tonsils, anterior cervical LAD. splenomegaly. CBC - elevated atypical lymphocytes |
|
Definition
|
|
Term
| deterioration of cognitive function, memory |
|
Definition
|
|
Term
| rapid onset of cognitive sxs, mental status fluctuations, anxiety, irritability |
|
Definition
|
|
Term
| palpitations, tremors, hyperventilation or respiratory alkalosis, numb or tingling mouth or extremities |
|
Definition
|
|
Term
| feelings of worthlessness, hopelessness, apathy, weight loss, insomnia, daytime sleepiness. thoughts of suicide |
|
Definition
|
|
Term
|
Definition
| obsessive compulsive disorder |
|
|
Term
| binge eating, laxative use, starvation |
|
Definition
bulemia nervosa
tx = SSRI (fluoxetine) |
|
|
Term
| bulemia with eletrolyte disorders |
|
Definition
| hypokalemia, metabolic alkalosis |
|
|
Term
| antipsychotic meds (phenotiazines) --> facial tics, lip smacking, tongue disorders, blinking, ataxia |
|
Definition
|
|
Term
| pt on antipsychotic meds develops altered consciousnes, lead-pipe rigidity, diaphoresis, catatonia, hyperthermia, tachypnea, blood pressure changes |
|
Definition
neuroleptic malignant syndrome
tx = supportive care and antipyretics |
|
|
Term
| extrapyramidal signs, BP changes, altered consciousness, hyperpyrexia, muscle rigidity, dysarthria, CV instability, fever, pulmonary congestion, diaphoresis |
|
Definition
| neuroleptic malginant syndrome |
|
|
Term
| infrequent blinking, tremor, rigidity, bradykinesia, shuffling gait, masked facies |
|
Definition
|
|
Term
| short lived, intense relationships. Difficulty controlling anger expecially when feeling abandoned. hx of sexual promiscuity and substance abuse |
|
Definition
| borderline personality disorder |
|
|
Term
| periods of excessive drinking, buying, spending |
|
Definition
|
|
Term
| male with gynecomastia, diminished or delayed secondary sex characteristics, small firm testicles, long arms and legs (eunechoid body habitus) |
|
Definition
Klinefelter syndrome, XXY
low serum testosterone and infertility |
|
|
Term
| hyponatremia with bizarre behavior |
|
Definition
|
|
Term
| antidepressant use with anticholinergic side effects, dry mouth, dysrhythmias, sedation, orthostatic hypotension |
|
Definition
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