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Symmetrical joint pain. Firm nodules. Joints tender and warm. No fever. Morning stiffness and fatigue. Multiple joints affected.
Rheumatoid Factor; Rheumatoid Arthritis; NSAIDS/Muscle strengthening excercises/
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Joint pain in knees, HIP, or DIP. Not symmetrical. History or trauma. Hebernden's nodes (DIP) or Bouchard's nodes (PIP).
clinical dx; Osteoarthritis;NSAIDS/weight reduction
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Joint pain in DIP of big tow. Older man. Sudden onset. Swollen hot, red tender. Fever.
Synovial fluid analysis (find sodium urate crystals); Gout; NSAIDS
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All over pain in shoulders and back. Morning fatigue and sleep problems. No swelling and no limited ROM.
Clinical dx; Fibromyalgia; NSAIDS
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Symmetrical joint pain in hip or shoulder girdle. Fast onset. Fever, weight loss, loss of apetite, and fever. Not warm or red.
Polymyalgia Rheumatic
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substernal or L. ant. pressing/squeezing chest pain. Radiates to L. arm and jaw. Less than 20 minutes duration. relieved by rest. Extra heart sounds and ST elevation/depressions.
ECG; Angina pectoris or Chronic Angina
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substernal or L. ant. squieezing chest pain. Radiates to L. arm and jaw. Longer duration than 20 minutes. SOB, nausea, sweating. Extra heart sounds, ST elevation/depression.
ECG and Cardiac enzymes; MI
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Ripping, anterior chest pain. Radiates to back neck abdomen. Sudden onset. Syncopy (fainting). 10/10 intensity. History of hypertension. Paralysis or weakness
CT scan; Dissecting Aortic Aneurysm
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Sharp presistent chest pain. Fever and chills associated. Aggravated by breathing.
CXR; Pneumonia
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Stabbing/dull ache. straining of muscles or ligaments. Aggravated by movement.
Clinical and CXR; Chest wall pain
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sharp knifelike chest pain. No fever or chills. Aggravated by breathing, changing positions, coughing, lying down. Relieved by sitting forward.
Pericarditis
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Burning chest pain in upper sternum of both sides. Relieved by lying down. Aggravated by coughing
Tracheobronchitis
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Burning chest pain in retrosternal area that radiates to the back. Assocated with dysphagia and regurgitation. Relieved by antacids. Aggravated by large meals and lying down.
Reflux Esophagus (GERD)
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Tightness in chest with wheezing cough dyspnea. Thick mucoid sputum. H/o allergies. Triggered cold air.
Asthma; B2 antagonist or long acting B2 antagonist/Glucocorticoids
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Dry cough with hoarseness. Fever.
Laryngitis
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Cough and discharge from posterior pharynx. With or w/o sinusitis. Mucoid or mucopurulent sputum
Post Nasal Drip
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Chronic cough, dyspnea, and wheezing. History of smoking. Mucoid and hemoptysis.
Chronic bronchitis
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Chronic cough. Fever and poor dental hygiene. Impaired concsciousness (drunk). Purulent sputum.
Lung Abscess
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Unilateral backpain. Fever, shaking, chills, and diarrhea. Risk increased with pregnancy, diabetes, catheter.
urinalysis and culture; Pyelonephritis; Antibiotics
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Dull local pain. No radiation.
Clinical; Mechanical Low Back Pain (muscle spasm)
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Shooting pain that radiates down the leg.
Clinical; Radicular Low Back Pain (lumbar disk herniation)
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Back pain that radiates to flank. History of hypertension. Atherosclerosis (fat)
CT scan; AAA
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