-
past health history
shitamed
- surgeries
- hospitalizations
- infections
- traumas
- allergies
- meds
- e...
- d...
-
social/personal history
dearhosss
- diet
- exercise
- alcohol
- rec drugs
- hobbies
- occupation
- sleep
- sex
- stress
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-
chalazion
meibomian gland
-
slow reaction to light seen with parasymp lesion of CN 3
adies pupil
-
arroyo's sign
slow reaction to light due to hypoadrenalism aka ADDISONS DX
-
glaucoma
- cresent sign
- tonometer
- cupping of the optic disc
- peripheral vision loss
- rings around lights (rods)
-
choked disc or papilledema
- no visual loss
- brain tumor or hemorrage
- increase pressure in the brain
-
central vision loss, drusen sign, problems with cones and seeing during the day
- macular degen
- m/c reason fro blindness in elderly
-
curtains closing
painless onset of blindess
- retinal detachment
- floaters and flashes
-
diabetic retinopathy
av nicking, sliver wire deformity, neovascularization, microanyuresms, exudates, dish
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presbyopia vs presbycussis
lens hardening, sensorineural loss in older people unable to hear high freq
-
viral rhinitis vs allergic rhinitis
red, blue
-
hypothyroidism
- intolerance to cold
- coarse dry hair
- macroglossia
-
excruciating pain like never before in the basilar area, stiff neck, worse with stress
subarachnoid hemorrhage
-
cheyne stokes breathing
respiratory acidosis
-
kassumaul's breathing
air hunger breathing, metabolic acidosis
-
pulse seen with aortic regurg or stenosis
pulsus bisferiens or water hammer pulse "pistol shot pulse"
-
where are all heart sounds heard best?
erbs point.. 3rd on the right
mitral - left decubitus position
-
stenosis
regurgitation
bell, low pitch
diaphragm, high pitch
-
arms and prts occur in...
diastole
-
2nd most common cause of
Left heart failure
Right heart failure
aortic stenosis
mitral stenosis
-
marfan's syndrome
ventricular weakening, spinder fingers, tall, lens subluxation
-
angina pectoris
worse with exertion, viscerosomatic reflex, crushing chest pain, feels like a weight on chest
-
primary heart block
secondary
complete
increased pr interval
two p waves
no qrs complex
-
what is used to detect murmurs?
echocardiogram
-
conjugated billirubin
after lifer, water soluble, gallstones
-
tests classic for liver
SGPT/ALT and GGT
-
clay colored stool
pacreatic cancer
-
screening test for DM
best but most dangerous
monitoring test
FBG
GTT
HbAIC
-
virchows node
- stomach cancer
- left supraclaviclar lymph node
-
shilling test
appendicitis and megaloblastic anemia (B9 and B12)
-
waxy or fatty casts
nephrotic syndrome
-
rbc casts
nephrtitic or acute glomerulonephritis
-
caused by e.coli in females and n. gonnorrhea in males
- urethritis
- nitrates in the urine
-
extremely high HCG
hydatifrom mole
-
urge
stress
overflow
overactive
weak floor muscles
constant dribble (MS patietns)
-
excess tobacco smoking, non healing ulcers, gangrene
buergers
-
perthe's test (tourniquet test)
varicose veins
-
reflex sympathetic dystrophy aka comples regional pain syndrome
- intense pain out of proportion to severity of injury
- burning pain, skin senstitivity , sweating, swelling
-
blanching with a glass slide
telengectasia
-
-
howell jolly bodies
sickle cell
-
megaloblastic anemia
- macro normo
- b9 and b12 def (pernicous)
- PLS
- shilling test
-
iron def. anemia
hypo micro
-
normo normo anemia
- mm
- ra
- acute blood loss
- aplastic anemia (overall hyplasia of bone marrow)
-
normal casts in urine
tubular damange
hyaline
epithelial
-
increased albumin
dehydration
decreased: nephrosis
-
CRP
increased: tissuse death, infections, RA
-
increased protein
MM, diabetic acidosis
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syphilis
- TPI and FTA..VDRL is screening test
- hutchintons triad: permnant notched insicors, CN 8 deafness, interstial keratisis, penicillin, aortic valve
-
COPD tests
arterial blood glass, spirometer
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