Term
*HEENT*
(analyze CC in HPI, ask any assoc S/S, then shift immed to PH, to uncover risk factors or leading clues, to narrow DD) |
|
Definition
9 Chief Complaints:
SORE THROAT
COUGH-DRY
DYSPHAGIA/ODYNOPHAGIA
HOARSENESS/DYSPHONIA
NAUSEA/VOMITING
NIGHT WEATS
NECK MASS
WT LOSS
WT GAIN |
|
|
Term
|
Definition
|
|
Term
SORE THROAT
Key Qs;
1-fever
2-cough
3-abd pain |
|
Definition
| *w fever
Viral Pharyngitis / Bacterial Pharyngitis
Strept Pharyngitis / Scarlet Fever
*w/ risky sex
Acute HIV / 2ary Syphilis
*w/ dry cough
Mycoplasma Pneumonia / PCP Pneumonia
*w/ abd pain
IMN |
|
|
Term
COUGH (1)
Key Qs:
1-vital signs?
2-expectoration? blood tinged?
3-ill contact? immunization? meds?
4-chest pain? (pleuritic = lower resp) |
|
Definition
| *dry
URI assoc cough / Reactive Airway
Laryngitis / Atypical Pneumonia
GERD
Meds- ACEI |
|
|
Term
DYSPHAGIA/ODYNOPHAGIA
Key Qs:
1-describe; difficulty with/out pain?
2-to solids/liquids or both?
3-cough/choke/gag or feeling food stuck?
4-systemic symptoms? |
|
Definition
**DYSPHAGIA
*solids 1st
-Esophageal CA / -Webs; Plummer Vinson
-Stricture; Scleroderma / -Stricture; GERD
Mitral Stenosis / Goitre
Globus Hystericus / -Cancer Radiation
*solids & liquids
ALS, MS, Parkinson
Stroke, Head Trauma, SC Injury
Chaga Achalasia / Zenker Diverticulum
Radiation
**ODYNOPHAGIA
Esophagitis (HIV, HSV, CMV, pill)
Caustic Ingestion / Cancer Radiation |
|
|
Term
HOARSENESS/DYSPHONIA
Key Qs;
1-duration (>3wks), timing (AM/PM)
2-trigger (overuse, environmental)
3-assocpain(dysphagia/odynophagia/otalgia)
4-URI/constitutional/neurologic symptoms |
|
Definition
*acute (<3wks)
Laryngitis / Vocal Abuse
*chronic (>3wks)
Laryngeal Cancer / VC polyp
Reflux Laryngitis / Allergic Laryngitis
Hypothyroidism / Medications
Parkisonism / Essential Tremor
CVA; Stroke/TIA CN9,10
MG / MS |
|
|
Term
NAUSEA/VOMITING
Key Qs:
1-fatigue
2-GI; hematemesis, abd pain
3-GU; polyuria
4-CNS; dizziness, headache/confusion |
|
Definition
*w fatigue
Pregnancy / Gastritis
Depression / HIV
*w polyuria
UTI / HyperCa++
DM / DI
*w headache/confusion (see Neuro)
*w dizziness (see Neuro)
*w hematemesis (see GI- Upper Bleed)
*w abd pain (see GI) |
|
|
Term
NIGHT SWEATS
Key Qs:
1-course |
|
Definition
*constant, w wt loss
TB / HIV
Lymphoma
Hyperthyroidism / Menopause
*intermittent
Pheochromocytoma / Carcinoid |
|
|
Term
NECK MASS
Key Q:
1-fever, fatigue, wt loss |
|
Definition
*w constitutional symptoms
Hodgkin / NHL
CA Gastric / TB
*w/o constitutional symptoms
Thyroid Nodule |
|
|
Term
WT LOSS
Key Qs:
1-assoc symptoms
2-lifestyle |
|
Definition
Hyperthyroidism
Cancer / HIV
Diet/Drugs
Anorexia / Malabsorption |
|
|
Term
WT GAIN
Key Qs:
1-assoc symptoms
2-lifestyle |
|
Definition
*endocrinal
Hypothyroidism / Cushing
PCOS / Insulinoma
DM / Reactive Postprandial Hypoglycemia
*other
Atypical Depression
Smoking Cessation / Drug Side Effect |
|
|
Term
|
Definition
|
|
Term
|
Definition
7 Chief Complaints:
NIGHT SWEATS
SORE THROAT
COUGH
SOB/DIFFICULTY BREATHING
PALPITATIONS/ANXIETY
ANXIETY
CHEST PAIN |
|
|
Term
|
Definition
|
|
Term
|
Definition
*constant, w wt loss
TB / HIV
Lymphoma / Leukemia
Hyperthyroidism
*constant, w/out wt loss
Menopause
*intermittent
Pheochromocytoma / Carcinoid (liver) |
|
|
Term
SORE THROAT
Key Qs:
1-fever
2-cough
3-abd pain |
|
Definition
*w fever only
Viral Pharyngitis / Bacterial Pharyngitis
Strept Pharyngitis / Scarlet Fever (rash)
Acute HIV / 2ary Syphilis
Lymphoma / Leukemia
*w cough
Mycoplasma Pneumonia / PCP Pneumonia
*w abd pain
IMN / Hepatitis A/B/C |
|
|
Term
COUGH (1)
Key Qs:
1-vital signs?
2-expectoration? blood tinged?
3-ill contact? immunization? meds?
4-chest pain? (pleuritic = lower resp) |
|
Definition
*dry
URI assoc cough / Reactive Airway
Laryngitis / Atypical Pneumonia
GERD
Meds- ACEI |
|
|
Term
COUGH (2)
Key Qs:
1-vital signs?
2-expectoration? blood tinged?
3-ill contact? immunization?
4-chest pain? (pleuritic = lower resp) |
|
Definition
*productive
Postnasal Drip / Asthma
Bact Pneumonia / Chronic Bronchitis
Bronchiectasis / Lung Abcess |
|
|
Term
COUGH (3)
Key Qs:
1-vital signs?
2-expectoration? blood tinged?
3-ill contact? immunization?
4-chest pain? (pleuritic = lower resp) |
|
Definition
*hemoptysis
-w constitutional symptoms (pulmonary)
CA Lung / TB
Pneumonia (HIV) / Chr Bronchitis
COPD / Lung Abcess
-vitally unstable (cardiac)
P Embolism / CHF
-w hematuria
Vasculitis
Wegner / GoodPasture
-misc
Cocaine / Trauma |
|
|
Term
SOB/DIFFICULTY BREATHING (1)
Key Qs:
1-vitals? (RR +/- HR & Temp)
2-onset? (abrupt/insiduous)
3-at rest/on exertion? (abrupt/insiduous)
4-assoc symptoms? (cardiac/pulmonary) |
|
Definition
*abrupt onset; at rest
-pulmonary
Pulmonary Embolism / Pneumothorax
Asthma/exacerbation / Airway Obstruction
-cardiac
MI
CHF decompensation/Pulmonary Edema
-other
Hyperventillation Syndrome |
|
|
Term
SOB/DIFFICULTY BREATHING (2)
Key Qs:
1-vitals? (RR +/- HR & Temp)
2-onset? (abrupt/insiduous)
3-at rest/on exertion? (abrupt/insiduous)
4-assoc symptoms? (cardiac/pulmonary) |
|
Definition
*insiduous onset; on exertion
-pulmonary
Pneumonia / COPD/exacerbation
Interstitial Lung Disease
-cardiac
Angina/CAD
CHF compensated |
|
|
Term
PALPITATIONS/ANXIETY
Key Qs:
1-lightheaded?
2-anxiety? timeline/trigger |
|
Definition
*lightheaded/syncope
Arrythmia / MVP
Anemia / Hypoglycemia
Hyperventilation
*no lightheadedness (sympathetic)
Hyperthyroidism / Pheochromo / Carcinoid
Caffeine / Substance induced / Anxiety
*psychologic (timeline, trigger)
(see ANXIETY) |
|
|
Term
ANXIETY
Key Qs:
1-trigger?
2-timeline? |
|
Definition
*no trigger identified
Social Phobia / Avoidant Personality
Acute Stress Disorder / GAD
*trigger identified
Specific Phobia
Panic Attack / PTSD |
|
|
Term
CHEST PAIN
Key Qs:
1-vitals? (unstable;CV/RS)(stable;GI/MSK)
2-duration? course?
3-radiation? (neck/shoulder/arm) |
|
Definition
*w unstable VS (RS/CV)
Angina Pectoris / Myocardial Infarction
Pericarditis / Dissecting Aortic Aneurysm
Cocaine Use / Anxiety
Tracheobronchitis
Pleurisy wPneumonia
(Pulmonary Embolism,Pneumonia,Pnemothorax)
*stable VS (GI/MSK)
Esophageal Spasm / GERD / PU
Costochondritis / Muscle Strain
Acute Chest Syndrome / Herpes Zooster |
|
|
Term
|
Definition
|
|
Term
|
Definition
12 Chief Complaints:
JAUNDICE
NAUSEA/VOMITING
DYSPHAGIA/ODYNOPHAGIA
EPIG PAIN
RUQ PAIN
LUQ PAIN
DIFFUSE PAIN
RLQ PAIN
LLQ PAIN
DIARRHEA/CONSTIPATION
UPPER GI BLEED
LOWER GI BLEED |
|
|
Term
JAUNDICE
Key Qs:
1-color skin/urine/stool
2-itching
3-blood borne; (tatoo,transfusion,needle)
4-food borne; (contact, travel, immuniz) |
|
Definition
*CONJUGATED; "pale stool & dark urine"
-Hepatic
Hepatocellular Dis
(Viral Hepatitis, Alcoholic Hepatitis, Acetaminophen Hepatotoxicity)
Drugs
Sepsis
Hereditary (ex Dubin Johnson)
-Nonhepatic
Extrahepatic Biliary Obstruction
(constant)
Pancreatic CA
Cholangio CA
1ary Biliary Cirhosis
(intermittent)
Choledocholithiasis
Ampullary Carcinoma
Sphincter Oddi Dysfunction
Ascending Cholangitis
*UNCONJUGATED; "N stool/urine"
-Hepatic
Gilbert
-Nonhepatic
Hemolysis |
|
|
Term
ANY ABD PAIN
Key Qs:
1-character
(sharp=peritonal, dull=visceral)
2-onset
(seconds=perforation
minutes=inflammation
dys=obstruction)
3-location
(site of organs in abd quadrants)
4-progression
(non/progressing/constant) |
|
Definition
*w fatigue
Pregnancy
Gastritis (anemia)
Depression
HIV
*w polyuria
UTI
DM
DI
HyperCa++
*w headache/confusion (see Neuro) ICP
*w dizziness (see Neuro)
*w hematemesis (see GI)
*w abd pain (see GI)
Peritoneal (Parietal)
-sharp, severe, constant
-well localized
-"guarding" rigidity
-pt lying/sitting very still, increases with cough/sneeze/jarring/car ride
Visceral Pain
-dull, less severe, constant/intermittent
-not well localized
-"radiation" is common
-usu assoc w N/V, pallor, sweating |
|
|
Term
NAUSEA/VOMITING
Key Qs:
1-fatigue
2-GI; hematemesis, abd pain
3-GU; polyuria
4-CNS; dizziness, headache/confusion |
|
Definition
*w fatigue
Pregnancy
Gastritis (anemia)
Depression
HIV
*w polyuria
UTI
DM
DI
HyperCa++
*w headache/confusion (see Neuro) ICP
*w dizziness (see Neuro)
*w hematemesis (see GI- Upper Bleed)
*w abd pain (see GI) |
|
|
Term
DYSPHAGIA/ODYNOPHAGIA
Key Qs:
1-describe; difficulty with/out pain?
2-to solids/liquids or both?
3-cough/choke/gag or feeling food stuck?
4-systemic symptoms?
(NB: odynophagia = pain w swallowing) |
|
Definition
**DYSPHAGIA
*solids 1st
-Esophageal CA
-Stricture/Webs (Plummer Vinson)
-Scleroderma
-GERD
Mitral Stenosis
Goitre
Globus Hystericus
-Cancer Radiation
*solids & liquids
ALS, MS, Parkinson
Stroke, Head Trauma, SC Injury
Achalasia (Chaga)
Zenker Diverticulum
Radiation
**ODYNOPHAGIA
Esophagitis (HIV, HSV, CMV, pill)
Caustic ingestion
Cancer Radiation |
|
|
Term
EPIG PAIN
Key Qs:
1-vitals?
2-related to food?
3-alcohol intake?
4-jaundice? |
|
Definition
*related to food - recurring
Gastritis
PUD
GERD
Cholecystitis
Mesenteric Ischemia
*related to alcohol - acute onset
Acute Pancreatitis
Alcoholic Hepatitis
*jaundice - radiation rt shoulder/back
Viral Hepatitis
Chronic Pancreatitis
Pancreatic CA
CholangioCA
Gall Stone Cholangitis
*vitally unstable
MI
AAA
Boerhave Syndrome
Perforated PUD |
|
|
Term
RUQ PAIN
Key Qs:
1-jaundice? |
|
Definition
*w/o jaundice
PUD
Acute Cholecystitis (constant pain)
Calcular Cholecystitis (intermittent pain)
Nephrolithiasis
Costochondritis
*w jaundice
CONJUGATED; "pale stool & dark urine"
-Hepatic
Hepatocellular Disease..
((infectious))
Viral Hepatitis
((toxic))
Alcoholic Hepatitis
Acetaminophen Hepatotoxicity
-Nonhepatic
Extrahepatic Biliary Obstruction..
((constant))
Pancreatic CA
Cholangio CA
Asc Cholangitis(f/c,intermittent abd pain)
1ary Biliary Cirrhosis (F,itch,w/other AI)
((intermittent))
Choledocholithiasis (stone CBD) |
|
|
Term
|
Definition
*w trauma
Splenic Rupture
Rib Fracture
*w/o trauma
Perforated PU
Splenic Infarct
Pneumonia
Nephrolithiasis
Costochondritis |
|
|
Term
DIFFUSE LQ PAIN
Key Qs:
1-female? old pt?
2-cramps?
3-wt loss?
4-pass gas? |
|
Definition
*crampy
GastroEnteritis
Food Poisoning
IBS
* w wt loss
Celiac Disease
Crohn Ileitis
Chronic Pancreatitis
Parasitic (Ameobasis, Giardiasis)
*no flatulence
Intestinal Obstruction
Small Bowel CA
Colon CA
Volvulus
Ileus
Hernia
*old pt
Mesenteric Ischemia
Mesenteric Infarction
Diverticulosis
*female pt
PID
Endometriosis
Dysmenorrhea
Vaginitis
Cystitis
Spontaneous Abortion |
|
|
Term
|
Definition
*GI
Acute Appendicitis
Gastroenteritis
Crohn Ileitis
*GYN
Ovarian Torsion
Rupture Ovarian Cyst
Ectopic Pregnancy
*GU
Ureteric Stone |
|
|
Term
|
Definition
*GI
Diverticulitis
Crohn Ileitis
Ulcerative Colitis
GE
*GYN
Ovarian Torsion
Rupture Ovarian Cyst
Ectopic Pregnancy
*GU
Ureteric Stone |
|
|
Term
DIARRHEA/CONSTIPATION (1)
Key Qs:
1-duration? frequency? (acute/chronic)
2-describe? (non/bloody)
3-ate out? ill contact? recent travel?
4-meds?(C.diffic)sx hx?(HIV)stress?(IBS) |
|
Definition
DIARRHEA
ACUTE (<2-4wks)
*watery
Food Poisoning
Gastroenteritis
Infectious Diarh(include Psdmmbr Colitis!)
Cryptosporiasis (HIV/AIDS)
Travelers Diarrhea
Giardiasis
Amebiasis
PsdMembColitis(ABx,fever,crampy abd pain)
*bloody
Infectious Diarrhea
Amoebic Dysentry
Pseudomembranous Colitis (meds) |
|
|
Term
DIARRHEA/CONSTIPATION (2)
Key Qs:
1-duration? frequency? (acute/chronic)
2-describe? (non/bloody)
3-ate out? ill contact? recent travel?
4-meds?(C.diffic)sx hx?(HIV)stress?(IBS) |
|
Definition
DIARRHEA
CHRONIC (>4wks)
*watery
IBS
Hyperthyroidism
Carcinoid
Pseudomembranous Colitis (meds)
*greasy
LI
Celiac
Chronic Pancreatitis
*bloody
Crohn Ileitis (renal/gall stone)
Ulcerative Colitis
Diverticulitis
Colon Cancer
Lymphoma
Pseudomembranous Colitis (meds) |
|
|
Term
DIARRHEA/CONSTIPATION (3)
Key Qs:
1-duration? frequency? (acute/chronic)
2-describe? (non/bloody)
3-ate out? ill contact? recent travel?
4-meds?(C.diffic)sx hx?(HIV)stress?(IBS) |
|
Definition
CONSTIPATION
Low Fiber Diet
Hypothyroidism
Medications (Fe, Opiods)
Substance Abuse
Depression (TCA)
Abdominal Surgery |
|
|
Term
UPPER GI BLEED
Key Qs:
1-color? (bright red/coffee ground)
2-painful?
3-alcohol?
4-meds? |
|
Definition
*bright red
-painless
Bleeding PU
Bleeding Esophageal Varices
-painful
Mallory Weiss
*coffee ground
Gastritis
Gastric C
GERD |
|
|
Term
LOWER GI BLEED
Key Qs:
1-color? (bright red/melena)
2-painful?
3-trauma?
4-straining?
4-FH CA? meds? |
|
Definition
*melena
Colorectal CA
IBD (leads to CA)
Upper GI Bleed
Diverticulosis
Angiodysplasia
Ischemic Bowel Disease
*bright red
-painless
Hemorroids (int)
-painful
Hemorroids (ext)
Anal Fissure
Proctitis |
|
|
Term
|
Definition
|
|
Term
|
Definition
13 Chief Complaints:
FLANK//BACK PAIN
POLYURIA
DYSURIA
HEMATURIA
INCONTINENCE
OBSTRUCTION
ERECTILE DYSFUNCTION
AMENORRHEA
VAGINAL BLEED
DYSMENORRHEA
VAGINAL DISCHARGE
DYSPARUNIA
DIFFUSE LQ PAIN
RLQ PAIN
LLQ PAIN |
|
|
Term
|
Definition
|
|
Term
FLANK/BACK PAIN
Key Qs:
1-constitutional symptoms? |
|
Definition
*w constitutional symptoms
Pyelonephritis / Glomerulonephritis
RCCA
*w/o constitutional
Nephrolithiasis / Ureteral Calculi
AAA |
|
|
Term
|
Definition
*small volume
UTI
*large volume
DM / DI
Hypercalcemia |
|
|
Term
DYSURIA
Key Qs:
1-w radiation?
2-w constitutional? |
|
Definition
*w/o radiation
Urethritis / Cystitis
Prostatitis / Vaginitis
*w flank radiation
Pyelonephritis
Nephrolithiasis |
|
|
Term
HEMATURIA (infection, stone, cancer)
Key Qs:
1-describe?
2-timing?
3-pain? |
|
Definition
*painless
Bladder / Prostate CA
RCC / PCKD
Coagulation Disorder
*painful
Bladder / Kidney Stone
Urethritis / Cystitis / Prostatitis
Pyelonephritis / Glomerulonephritis
OR
*beginning of stream - urethra
Urethritis
*all through stream - kidney/ureter
Pyelonephritis / IgA Glomerulonephritis
Renal Calculi
RCC / PCKD
*termination of stream - bladder/prostate
Cystitis / Bladder Cancer
Urolithiasis
Prostatitis / Prostate Cancer
*bleeding other orifices
Coagulation Disorder |
|
|
Term
INCONTINENCE
Key Qs:
1-sense of urgency?
2-w coughing/sneezing?
3-incomplete emptying/dribbling?
4-difficulty reach WC in time?
5-neurologic symptoms? |
|
Definition
Stress / Urge Incontinence
Mixed Incontinence
Overflow / Functional Incontinence
*w neuro symptoms
NPH / NS
DM / MS |
|
|
Term
OBSTRUCTION
Key Qs:
1-constitutional? |
|
Definition
*w/o constitutional symptoms
BPH / Prostatitis / UTI
Bladder Stone
*w constitutional symptoms
Prostate CA / Bladder CA / RCCA |
|
|
Term
ERECTILE DYSFUNCTION
Key Qs:
1-morning erection? erection 0-10?
2-stress? sad?
3-PMH? meds?
4-assoc? |
|
Definition
*w morning erection
Psychogenic ED
*no morning erection - organic
ED dt Vascular Disease
Drug Related ED
*other
Le Riche
Hypogonadism
Peyronie Disease |
|
|
Term
AMENORRHEA (1)
Key Qs:
1-previous menses?
2-systemic symptoms?
3-constitutional symptoms?
4-lifestyle? |
|
Definition
*secondary
Pregnancy / Premature Ovarian Failure
Peri/Menopause
Sheehan Syndrome / Asherman Syndrome
*primary
DUB / PCOS |
|
|
Term
AMENORRHEA (2)
Key Qs:
1-previous menses?
2-systemic symptoms?
3-constitutional symptoms?
4-lifestyle? |
|
Definition
*endocrine - HPA axis
Hyperprolactinemia / 2ary to Prolactinoma
Hyperthyroidism / Hypothyroidism
Pitutary CA / Adrenal CA / Ovarian CA
*lifestyle
Anxiety induced / PTSD
Depression / Anorexia
UTI |
|
|
Term
VAGINAL BLEED (1)
1-age? (childbearing)(postmenopausal)(all)
2-irreg menses?
3-spotting (inbetween cycles/postcoital) |
|
Definition
*obstetric
Ectopic Pregnancy / Molar Pregnancy
Spontaneous Abortion
*3rd trimester
Placenta Previa / Abruptio Placenta
*gynecologic
Ruptured Ovarian Cyst / Ovarian Torsion
Fibroid / Endometrial Hyperplasia
Endometrial Polyps / Cervical Polyps
Cervicitis / Cervical CA
PID |
|
|
Term
VAGINAL BLEED (2)
1-age? (childbearing)(postmenopausal)(all) |
|
Definition
*post-menopausal
Endometrial CA / Cervical CA
Atrophic Endometrium / Atrophic Vaginitis
*endocrine
HyperThyroidism / HypoThyroidism
DM
*others
Cervical Laceration
Coagulation Disorder
Dysfunctional Uterine Bleeding |
|
|
Term
PAIN W MENSES/DYSMENORRHEA
Key Qs:
1-LIQOR-A?
2-menstrual hx? |
|
Definition
Endometriosis / Adenomyosis
Fibroid
PID / STD
IUD
Ovarian Cyst / Ovarian CA |
|
|
Term
VAGINAL DISCHARGE
Key Qs:
1-describe?
2-menstrual hx?
3-sex hx? |
|
Definition
Vaginosis - Gardinella
Vaginitis - Candida / Trichomonus
Cervicitis - Chlamydia / Gonorrhea |
|
|
Term
PAIN W SEX/DYSPARUNIA/ABUSE
Key Qs:
1-location? (on entry/deep penetration)
2-age?
3-libido?
4-sex hx? |
|
Definition
*superficial
Atrophic Vaginitis
Vulvodyna
Vaginismus
Depression
Domestic Violence
*w deep thrusting
Endometriosis
Cervicitis
PID |
|
|
Term
DIFFUSE LQ PAIN
Key Qs:
1-female? old pt?
2-cramps?
3-wt loss?
4-pass gas? |
|
Definition
*crampy
GastroEnteritis
Food Poisoning
IBS (stress)
* w wt loss
Celiac Disease (gluten)
Crohn Ileitis
Chronic Pancreatitis
Parasitic (Ameobasis, Giardiasis)
*no flatulence
Intestinal Obstruction
Small Bowel CA
Colon CA
Volvulus
Ileus
Hernia
*old pt
Mesenteric Ischemia
Mesenteric Infarction
Diverticulosis
*female pt
PID
Endometriosis
Dysmenorrhea
Vaginitis
Cystitis
Spontaneous Abortion |
|
|
Term
|
Definition
*GI
Acute Appendicitis
Gastroenteritis
Crohn Ileitis
*GYN
Ovarian Torsion
Rupture Ovarian Cyst
Ectopic Pregnancy |
|
|
Term
|
Definition
*GI
Diverticulitis
Crohn Ileitis
Ulcerative Colitis
GE
*GYN
Ovarian Torsion
Rupture Ovarian Cyst
Ectopic Pregnancy |
|
|
Term
|
Definition
|
|
Term
|
Definition
*13 Chief Complaints*
JAW PAIN
WRIST PAIN
ELBOW PAIN
ARM PAIN
SHOULDER PAIN
NECK PAIN
LOWER BACK PAIN
HIP PAIN
GROIN PAIN (ISOLATED / REFERRED)
KNEE PAIN
CALF PAIN
ANKLE PAIN
HEEL/FOOT PAIN |
|
|
Term
|
Definition
Temporal Arteritis, Carotid A Dissection
TMJ Disorder, Domestic Violence |
|
|
Term
ANY JOINT PAIN (applied to all MSK cases)
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*monoarticular, w/o constitutional symp
Gouty Arthritis
Pseudogout
Osteoarthritis
^^Osteoporosis^^
*polyarticular, w constitutional symptoms
RA
SLE
Sjogren Synd
*w bruising
Domestic Violence
Elder Abuse
Substance Abuse
Factitious Disorder |
|
|
Term
WRIST/HAND PAIN
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*w neurologic symptoms
Carpal Tunnel, De Quervain Tendonitis
Median N. Compression, C Radiculopathy 6,7
*w overuse/trauma (w/o neurologic sympt)
Carpal Bone Fracture, Ms/Lig Strain
(see ANY JOINT PAIN)...
*monoarticular, w/o constitutional symp
*polyarticular, w constitutional symp
*w bruising |
|
|
Term
ELBOW PAIN
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*overuse/trauma
Lat. Epicondylitis, Medial Epicondylitis
Stress Fracture, Ms/Lig Strain
(see ANY JOINT PAIN)...
*monoarticular, w/o constitutional symp
*polyarticular, w constitutional symp
*w bruising |
|
|
Term
ARM PAIN
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*referred
Angina, ^^MI^^
*overuse/trauma
Tendinitis, Ms Strain
*w constitutional symptoms
Polymyositis, Dermatomyositis
Inclusion Myositis
*w meds
Statins, Steroids
(see ANY JOINT PAIN)...
*w bruising |
|
|
Term
SHOULDER/ARM PAIN
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*overuse/trauma
Rotator Cuff Injury
Shoulder Dislocation, Fracture Humerus
(see ANY JOINT PAIN)...
*monoarticular, w/o constitutional symp
*polyarticular, w constitutional symp
*w bruising |
|
|
Term
NECK PAIN / UPPER BACK PAIN
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*w neurologic symptoms
C Disc Herniation, C Radiculopathy C4,5
C Disc Fracture
^^Meningitis^^
*overuse/trauma (w/o neurologic symptoms)
Osteoarthiritis, Muscle Strain
^^Osteoporosis, Metastatic Cancer^^ |
|
|
Term
LOW BACK PAIN
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*w neurologic symptoms
L Disc Herniation, Lumbar Radiculopathy
L Disc Fracture
Tumor Vertebral Canal
Ankylosing Spondylitis
*overuse/trauma (w/o neurologic symptoms)
L Ms Strain, Malingering
*w claudication symptoms
L Spinal Stenosis, PAD
LeRiche Syndrome
*misc
Kidney Stone, ^^Cancer Metastasis^^
AAA |
|
|
Term
HIP PAIN
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*overuse/trauma
Ms/Ligament Strain, Labral Tear
Tronchanteric Bursitis
Hip Fracture, Pelvic Fracture
Hip Dislocation
(see ANY JOINT PAIN)...
*monoarticular, w/o constitutional symp
*polyarticular, w constitutional symp
*w bruising |
|
|
Term
GROIN PAIN - ISOLATED
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*overuse/trauma
-medial
^^Stress Fracture^^, Pubalgia
Adductor Tendinitis, Osteitis Pubis
-lateral
Pelvic Fracture
Ms/Lig Strain, Labral Tear
(see ANY JOINT PAIN)...
*w bruising
Sexual Abuse
Factitious |
|
|
Term
GROIN PAIN - REFERRED
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*urinary
UTI
Pyelonephritis
Kidney Stone
*male
Orchitis
Epididymitis
Testicular Torsion
*female
Ovarian Cyst Rupture/Torsion
Ectopic Pregnancy
PID
Endometriosis
*abdomen - acute
Appendicitis
Diverticulitis
Psoas Abcess
Aortic Aneurysm
*abdomen - chronic
Hernia
Malignancy
Diverticulosis
IBD
*lower back/buttocks
Lumbar Radiculopathy
Postoperative Neuralgia
Ankylosing Spondylitis |
|
|
Term
KNEE PAIN
Key Qs;
1-fever, rash
2-stiffness
3-abd pain, genital discharge
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*w inflammatory symptoms
Septic Arthritis , Disseminated Gonorrhea
Lyme Arthritis, ParvoB19 Arthritis
Arthritis w IBD, Reactive Arthritis
*overuse/trauma
Menisceal Tear, Ligament Damage
(see ANY JOINT PAIN)...
*monoarticular, w/o constitutional symp
*polyarticular, w constitutional symp
*w bruising |
|
|
Term
CALF PAIN
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*w immobility
^^DVT^^ (VV, PE)
*overuse/trauma
Cellulitis, Myositis
Superficial Venous Thrombosis
Baker Cyst Rupture, Rupt Gastrocnemius
Ms/Tendon Strain
*w constitutional symptoms
Polymyositis, Dermatomyositis
Inclusion Myositis
*w meds
Statins, Steroids
(see ANY JOINT PAIN)...
*w bruising |
|
|
Term
ANKLE PAIN
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*overuse/trauma
Ms/Lig Strain
Splinter, Foreign Body
(see ANY JOINT PAIN)...
*monoarticular, w/o constitutional symp
*polyarticular, w constitutional symp
*w bruising |
|
|
Term
HEEL PAIN
Key Qs:
1-other joints involved?
2-fever/fatigue/wt loss?
3-bruises/trauma/overuse?
4-weakness/tingling/numbness? |
|
Definition
*overuse/trauma
Heel Fracture, ^^Stress Fracture^^,
Plantar Fascitis, Achilles Tendinitis
Splinter, Foreign Body |
|
|
Term
|
Definition
|
|
Term
|
Definition
7 Chief Complaints:
HEADACHE
WEAKNESS/NUMBNESS
TREMOR/FALL
LOC/SEIZURE
DIZZINESS/VERTIGO
HEARING LOSS
VISION LOSS |
|
|
Term
((Alcohol Withdrawal Timeline))
(check for LOC, Seizure, Dizziness, Tremor) |
|
Definition
6-12hrs; tremor w sympathetic overactivity
12-24hr; tremor w hallucination(w insight)
24-48hrs; withdrawal seizures
48-72hrs(DT); tremor w fever, confusion, sympathetic overactivity, visual hallucinations (no insight) |
|
|
Term
INCONTINENCE
Key Qs:
1-sense of urgency?
2-w coughing/sneezing?
3-incomplete emptying/dribbling?
4-difficulty reach WC in time?
5-neurologic symptoms? |
|
Definition
*old pt
Stress, Urge
Mixed
Overflow, Functional
*w neuro symptoms
NPH, NS
DM, MS |
|
|
Term
HEADACHE (1)(2)
Key Qs:
1-location/quality/duration?
2-any fever/fatigue?
3-any weakness/tingling/numbness? |
|
Definition
W/O NEUROLOGICAL SYMPTOMS
*most common
Migraine, Tension
Cluster, Refractive
*facial involvement
Temporal Arteritis, Carotid A Dissection
TMJ Disorder, Trigeminal Neuralgia
*w flu-like symptoms
Sinusitis, Meningitis
Encephalitis, CNS Vasculitis
*lifestyle
Caffeine Withdrawal, Analgesic Withdrawal
Depression, Stress
HTN
W NEUROLOGICAL SYMPTOMS
*mass effect
-gradual
^^IC Neoplasm^^, IC Abscess
IC Venous Thrombosis, Pseudotumor Cerebri
-sudden; spontaneous/traumatic
Subarachnoid Hge, IC Hemorrhage
Vert A. Dissection, Carotid A. Dissection
*w seizure
Complicated Migraine, Partial Seizure |
|
|
Term
WEAKNESS/TINGLING/NUMBNESS (1)
Key Qs:
1-location/examples/progressive?
2-weakness/tingling/numbness/incontinence?
3-any stiffness?
4-any medications? |
|
Definition
PROXIMAL
*w neuro symptoms
Stroke, TIA
CNS Vasculitis
(w seizures)
Seizure
Todd Paralysis, Complicated Migraine
(mass effect)
-gradual
IC Neoplasm
-traumatic
Subdural Hge, Epidural Hge
*progression
Polymyositis, Dermatomyositis
Duchenne, Becker
MS
* w stiffness & pain
Fibromyalgia, PMR
Myotonia
(misc)
Thyrotoxicosis, Corticosteroids |
|
|
Term
WEAKNESS/TINGLING/NUMBNESS (2)
~FALL RISK~
Key Qs:
1-location/examples/progression?
2-weakness/tingling/numbness/incontinence?
3-any stiffness?
4-any medications? |
|
Definition
DISTAL
*CNS
GBS, ALS
NS, Syringomyelia
*PNS
Diabetes Mellitus, Alcoholism
Multiple Myeloma, Raynaud Syndrome
*face
MG, LE
BP
HS, IC Neoplasm
*hand
(see MSK-wrist)
*psychologic
Hyperventilation, Conversion
Malingering
*meds
Steroids, Diuretics
Statins |
|
|
Term
TREMOR/ABNORMAL GAIT/FREQUENT FALLS
~FALL RISK~
Key Qs:
1-describe position?
2-constant/intermittent?
3-associated symptoms?
4-alcohol intake? last drink?
NB: Basal Gang ~ Movement & Posture
(ex. tremor, chorea, athetosis)
Cerebellum ~ Coordination & Balance
(ex. finger to nose, RAM, gait) |
|
Definition
*resting
Parkinsonism, Wilson Disease
Stroke, TIA, Tumor, Trauma, Infection
Alcoholism
*postural
Essential, Physiologic
(anxiety, stress, stimulants, fatigue,
excessive caffeine, alcohol withdrawal,
hypoglycemia, hyperthyroidism)
Alcoholism
*purposeful/intention
Cerebellar Stroke, Tumor
MS
^^Alcoholism^^ |
|
|
Term
LOC(SYNCOPE,FAINT,BLACKOUT)/SEIZURE (1)(2)
Key Qs:
1-pls describe more/was it witnessed?
2-any prodroma symptoms?
(palpitations, sweating, pallor)
3-duration of shaking?
(1-2min or 10-30sec)
4-any postictal symptoms?
(confusion, incontinence, tongue biting) |
|
Definition
*(-prodroma/+postictal)(1-2min shaking)
GTC Seizure (dt CNS insult), Epilepsy
^^Alcohol Withdrawal^^
Drug Withdrawal, Substance Abuse
*(+prodroma/-postictal)(10-30secs shaking)
Convulsive Syncope, Vasovagal Syncope
*(-prodroma/-postictal)(10-30secs shaking)
Cardiogenic Syncope
-Arrhythmias, Valvular Disease (AS/MS)
-MVP, HOCM
*lifestyle
HypoTN, Hypoglycemia, Heat Stroke
Malingering |
|
|
Term
DIZZINESS(LIGHTHEADED)/VERTIGO(ROOM SPINS)
~FALL RISK~
Key Qs:
1-pls describe meaning? course? duration?
2-w HL?
3-w neurological symptoms?
4-any medications? risks of falling? |
|
Definition
*episodic
BPPV, Vestibular Neuritis
Meniere, Labrynthitis
*continuous - w neuro symptoms
Acoustic Neuroma
VestibuloBasilar Insuff, Cerebellar Tumor
Multiple Sclerosis
*misc
Hypoglycemia, HypoTN, Heat Exhaustion
MVP, AS |
|
|
Term
HEARING LOSS
Key Qs:
1-unilat/bilat?
2-words understood/mumbled?
3-can hear in noisy areas?
4-assoc w dizziness? |
|
Definition
*SNHL
Cochlear Nerve Damage, Presbycusis
Medications
*CHL
Otosclerosis
Infection, Effusion
TM Perforation, Wax/FB Impaction
*w balance problems(see Dizziness/Vertigo)
Meniere
Labrynthitis
Acoustic Neuroma |
|
|
Term
VISION LOSS
Keys Qs:
1-sudden/gradual?
2-painful/less? |
|
Definition
*sudden
retinal a occlusion, retinal v occlusion
retinal detachment, temporal arteritis
*w pain
optic neuritis, narrow angle glaucoma
*gradual
cataract, open angle glucoma
diabetic retinopathy, refractive error |
|
|
Term
*PSYCH*
(analyze CC in HPI, ask any assoc S/S, then shift immed to PH, to uncover risk factors or leading clues, to narrow DD) |
|
Definition
6 Chief Complaints:
CONFUSED/FORGETFUL
HALLUCINATION/PYSCHOSIS
DEPRESSION
FATIGUE
INSOMNIA
ANXIETY |
|
|
Term
|
Definition
|
|
Term
((explaining Insomnia types))
(imp to determine treatment method) |
|
Definition
TYPES OF INSOMNIA!!
**primary(10%)/secondary
primary-hyperarousal (after excluding all other possible causes)
secondary-all other causes
**acute(temporary)/chronic
acute-few dys/wks, resolves on own
chronic-4nights/wk, for more than 1mo
**onset/maintenance/terminal
onset-mind can't relax, body not ready to sleep, overstimulation, circadian changed & not aligned w light/darkness outside
maintenance-second half of sleep is light, so easily aroused from sleep, whether from etoh, eating too much (alot of energy), meds or subs abuse, or environmental (light/noise/temp) or medical conditions (pain, urination, hot flashes/intolerance) etc
NB:
circadian rhythm disorder=
delayed/advanced phase
jet lag/work shift |
|
|
Term
CONFUSED/FORGETFUL
Key Qs:
1-course?
2-affect? support? ADL/IADL
3-neuro?
4-screen; sad, cold, Etoh, STDs?
by exclusion= Alzheimer (pt>65yo) |
|
Definition
*progressive
Alzheimer Dementia (exclude ALL others)
Vascular Dementia
Lewy Body Dementia
Creutzfeldt Jacob
Subdural Hematoma
Intracranial Neoplasm
*reversible
Wernicke Encephalitis
SCD (B12/gastritis)
Depression
HIV Dementia
NPH
Neuro Syphilis
Hypothyroidism
*fluctuating (acute)(disoriented)=Delerium
Delerium Tremens
Hypoglycemia
Hypoxia (Resp or Heart failure)
Acute Liver Failure
Uremia (Renal Failure)
Electrolyte Imbalance
Fever
Meds Side Effect |
|
|
Term
HALLUCINATIONS/PSYCHOSIS
Key Qs:
1-duration?
2-mood? |
|
Definition
*according to duration
Schizophrenia
Schizophreniform
Brief Psychotic Disorder
Schizotypal
Schizoid
*w mood disturbance
Schizoaffective Disorder
Mood Disorder w Psychotic Features
Depression w Psychotic Features
*misc
Substance induced Psychosis
Illness induced Psychosis |
|
|
Term
DEPRESSION
Key Qs:
1-duration?
2-severity?
3-pyschosis? |
|
Definition
*according to duration
Normal Bereavement
Adjustment w Depressed Mood
Major Depressive Disorder
Seasonal Affective Disorder
*according to severity
Dysthymic
Cyclothymic
Bipolar I
Bipolar II
(NB:manic=1wk, hypomanic=4dys)
*w pyschotic features
Major Depression w Psychosis
Schizoaffective Disorder
Substance Induced Mood Disorder
Domestic Violence!! |
|
|
Term
FATIGUE
Key Qs:
1-psych;sad?stress?sleep?
2-organic;pallor?polyuria?intolerant cold?
3-assoc? |
|
Definition
*psychiatric
Major Depression
Atypical Depression
Adjustment Disorder
Domestic Violence!!
Acute Stress Disorder
PTSD
GAD
Psychotic/Delusional Disorder
*organic
Colorectal CA
Anemia
Hypothyroidism
*w polyuria/dypsia
DM
DI
HyperCalcemia
1ary Polydypsia
*sleep related
Obstructive Sleep Apnea
Narcolepsy
Chronic Fatigue Syndrome (Caregiver)
Workshift Sleep Disorder
Jet Lag |
|
|
Term
INSOMNIA
Key Qs:
1-falling/maintaining/awakening?
2-affect on life?
3-2ary; medical/psychologic/life style? |
|
Definition
*difficulty initiating
Stress Induced Insomnia
Anxiety
Caffeine Induced Insomnia
Stimulants
Circadian Rhythm Disorder
(Delayed Phase, Work Shift, Jet Lag)
Hyperarousal (excluded ALL causes)
*difficulty maintaining
Obstructive Sleep Apnea
Restless Leg Syndrome
Alcohol / Substance Abuse
Medical Illness (Thyroid, Menopause)
*early morning awakenings
Major Depression
Advanced Phase |
|
|
Term
ANXIETY
Key Qs:
1-duration?
2-ppt factor?ANXIETY
Key Qs:
1-duration?
2-ppt factor? |
|
Definition
Avoidant Personality
Social Phobia
Specific Phobia
Panic Attack
GAD
Acute Stress Disorder
PTSD |
|
|
Term
|
Definition
|
|
Term
|
Definition
7 Chief Complaints:
MVAccident
Assault/Abuse
Refill-DM,HTN,Hlipidemia,Menopause,Ashtma
Healthfair Referral
Preemployment/Health Insurance
Terminal Patient/Breaking Bad News
Rash |
|
|
Term
|
Definition
|
|
Term
|
Definition
*chest
Hemothorax
Pneumothroax
Pneumonia
*abdomen
Rib Fracture
Rupture Spleen
Hemoperitoneum |
|
|
Term
|
Definition
Domestic Violence
Rape
Substance Abuse
Consensual Violent Sex
Osteogenesis Imperfecta |
|
|
Term
| REFILL-DM, HTN, HLIPIDEMIA, Menopause, Asthma |
|
Definition
*D.E.M.D.E.M.C.C.C.*
Diagnosed
Educate
Monitor
Diet
Exercise
Meds
Compliance
Complications
Chronic Illness Effect |
|
|
Term
| HEALTHFAIR REFERRAL- DM, HTN |
|
Definition
|
|
Term
| PREEMPLOYMENT/HEALTH INSURANCE |
|
Definition
|
|
Term
| TERMINAL PATIENT/BREAKING BAD NEWS |
|
Definition
*S.P.I.K.E.* protocol
Setup
Perception
Invitation
Knowledge
Emotions
Strategy/Summary |
|
|
Term
RASH
Key Q;
itchy?
(border, elevation, spread)
(itch, burn, numbness)
(tender, blister)
(assoc-red eye, joint pain)
(insect bite,animal contact,recent travel) |
|
Definition
Herpes Zooster
Viral Exanthem
Contact Dermatitis
Atopic Dermatitis (Eczema)
Seborrheic Dermatitis
Dermatits Herpetiformin |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
PEDS- NOISY BREATHING
Key Qs;
1-fever
2-food/foreign body |
|
Definition
*fever
Epiglottitis / Croup / Bronchiolitis
*no fever
FB Aspiration |
|
|
Term
PEDS- FEVER
1-how much/how measured?
2-lethargy, feeding?
3-daycare?
4-red eyes? rash? assoc symptoms? |
|
Definition
*high grade
Neonatal Sepsis / Meningitis
Pneumonia / Pertussis
Pyelonephritis / Febrile Convulsion
*low grade
URI / Acute OM
GE / Hepatitis
UTI / Viral Exanthem |
|
|
Term
PEDS- FEVER W RASH
Key Qs;
1-how much/how measured?
2-lethargy, feeding?
3-daycare?
4-red eyes? rash? assoc symptoms?
(high/low fever, face/trunk, flat/raised, non/itchy |
|
Definition
*high grade
Roseola / Scarlet
*low grade
Measles / Rubella
*itchy
Fifth / Varicella
NB: Viral Exanthem (measles, rubella etc) |
|
|
Term
PEDS- JAUNDICE
Key Qs;
1-age
2-extent of jaundice, pale stool/tea urine
3-breastfeeding |
|
Definition
*early onset
Physiologic Jaundice / Rh-ABO Incompatible
*late onset
Neonatal Sepsis / Cephalohematoma
Breastfeed Jaundice / Breastmilk Jaundice |
|
|
Term
PEDS- VOMITING
Key Qs;
1-fever
2-non/bilious
3-onset
4-bloody stool |
|
Definition
NO FEVER, NO DIARRHEA
*non-billious
Pyloric Stenosis / Head Injury
Reflux / Formula Allergy
*bilious
Meconium Ileus / Dudenal Atresia
Volvulus / NEC
*misc (different presentation than adult)
Meningitis / UTI
*w fever (see FEVER)
*w diarrhea (see DIARRHEA) |
|
|
Term
PEDS- DIARRHEA
Key Qs;
1-fever? flatulence?
2-red current jelly/greasy stool
3-food allergy, formula fed
4-stress, meds |
|
Definition
*fever
GE / Food Poison
Pseudomembranous Colitis
*abdominal distension
LI / Food Allergy
IBS / Intussusception |
|
|
Term
PEDS- CONSTIPATION
Key Qs;
1-bloody/melena
2-painful/less |
|
Definition
Hirschsprung / Meckel Diverticulum
Imperforate Anus / Anal Stenosis
Anal Fissure
Low Fiber / Dehydration
Hypothyroidism / Lead Poison |
|
|
Term
PEDS- BLOODY STOOL
Key Qs;
1-red/black tarry
2-pain/less
3-assoc symptoms |
|
Definition
*bright red
Intussusception / Anal Fissure
*black tarry
Volvulus / NEC
Meckel Diverticulum |
|
|
Term
PEDS- ABD PAIN
Key Qs;
1-fever
2-vomiting
3-other symptoms |
|
Definition
*w fever
Appendicitis / Gastroenteritis
UTI (poly/dysuria/bedwetting)
*abd distention (see VOMITING)
*stress
IBS / Somatoform
Malingering / Child Abuse
*misc
Infantile Colic
BluntTrauma / TesticTorsion/ StrangHernia |
|
|
Term
PEDS- INCONSOLABLE CRYING
Key Qs;
1-fever |
|
Definition
OM / UTI
Infantile Colic / Formula/Cow Milk Allergy
Teething / Trauma
NB; Consolable Crying
Hunger / Thirst
Emotional Distress / Physical Reassurance
NB; Day care infections; URI > GE > UTI |
|
|
Term
PEDS- ENURESIS
Key Qs;
1-frequency, timing, dry nights before
2-constipation, snoring
3-urinary, diabetic, neurologic symptoms
3-environmental changes, stress |
|
Definition
Nocturnal Enuresis / Secondary to DM
Secondary to Constipation / to UTI |
|
|
Term
PEDS- (NEW ONSET) DIABETES
Key Qs;
1-hyperglycemia symptoms
2-emergency kit, hypoglycemia symptoms
3-infections, neuro symptoms |
|
Definition
|
|
Term
PEDS- RED EYE
1-ill contact
2-constitutional symptoms |
|
Definition
Bact Conjunctivitis / Viral Conjunctivitis
Seasonal Allergies
Keratitis
Uveitis |
|
|
Term
PEDS- SHORT STATURE
1-FH
2-any medical illness
3-assoc vomiting or diarrhea
4-other developmental milestones |
|
Definition
Constitut Short Stature / Genetic Causes
Chr Renal Insufficiency / Cystic Fibrosis
GH Deficiency / Hypothyroidism
Malabsorption / Failure to Thrive |
|
|
Term
PEDS- BEHAVIOR PROBLEMS
Key Qs;
1-age |
|
Definition
ADHD
Opposition Defiant Disord / Conduct Disord
Adjustment Disorder / Age Appropr Behav
Substance Abuse / Intoxication
Manic Episode / Hyperthyroidism |
|
|
Term
|
Definition
|
|
Term
| ITCHING/PRURITIS (ALSO SEE RASH) |
|
Definition
Celiac Disease
Atopic Dermatitis
Contact Dermatitis
Chicken Pox
Primary Biliary Cirrhosis
Cholangio Carcinoma |
|
|
Term
PEDS SEIZURE
Key Qs;
1-fever? high grade (febrile convulsion)
2-duration shaking? (<10min simple)
3-assoc? irritable/lethargy (meningitis!) |
|
Definition
*high grade fever
Febrile Convulsion
Meningitis
Occult Bacteremia
*no fever
Hyponatermia (diluting formula)
CAH (hirsutism etc..) |
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