Term
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Definition
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Term
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Definition
*w fever only Viral Pharyngitis Bacterial Pharyngitis Strept Pharyngitis Scarlet Fever (rash)
Acute HIV 2' Syphilis
*w cough Mycoplasma Pneumonia PCP Pneumonia
*w abd pain IMN (LLQ) Hepatitis A/B/C (RLQ) |
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Definition
*painful Laryngitis Pharyngitis Voice Overuse GERD Laryngeal Cancer (otalgia/odynophagia)
*painless Benign Polyp Goitre (dysphagia) Mitral Stenosis (dysphagia) TIA/Stroke (CN 9,10) |
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Definition
*local Esophageal CA Esophagitis (HIV, HSV, pill) Esophageal Stricture GERD
Plummer Vinson Achalasia Zenker Diverticulum
*systemic ALS Systemic Sclerosis Mitral Stenosis Goitre Globus Hystericus |
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Definition
*w constitutional symptoms Hodgkin NHL CA Gastric (virchow) TB
*w/o constitutional symptoms Thyroid Nodule |
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Definition
*constant, w wt loss TB HIV Lymphoma Hyperthyroidism
*constant, w/out wt loss Menopause
*intermittent Pheochromocytoma Carcinoid (liver) |
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Definition
*w fatigue Pregnancy Gastritis (anemia) Depression HIV
*w polyuria UTI DM DI HyperCa++
*w no nausea ICP (headache)
*w hematemesis (see Upper GI Bleed)
*w dizziness (see CNS) *w abd pain (see GI) |
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Definition
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Term
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Definition
*dry URI assoc cough Reactive Airway Laryngitis Acute Bronchitis Atypical Pneumonia
GERD (chronic)
*productive Bact Pneumonia (acute)
Postnasal Drip Asthma
Chronic Bronchitis Bronchiectasis Lung Abcess
*hemoptysis CHF (MS w Pulmonary Edema) TB CA Lung
Vasculitis (hematuria) |
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Term
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Definition
*exertional Pulmonary Edema (acute)
MS MVP
COPD (Bronchitis) Interstitial Lung Disease (Sarcoidosis, Asbestosis, CA, Fibrosis)
*at rest Asthma Pulmonary Embolism Pneumonia Pneumothorax
Interstitial Lung Disease (chronic/late) |
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Term
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Definition
*lightheaded/syncope Arrythmia MVP Anemia
Hypoglycemia Hyperventilation
*no lightheadedness (sympathetic) Caffeine Substance Abuse
Pheochromocytoma Carcinoid (liver)
Hyperthyroidism Anxiety (see below)
*psychologic (timeline, ppt factor) Social Phobia Avoidant Personality Panic Attack
GAD Acute Stress Disorder
PTSD Specific Phobia |
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Term
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Definition
*w unstable VS (RS/CV) Angina Pectoris Myocardial Infarction
Pericarditis Dissecting Aortic Aneurysm
Pleurisy (Pulmonary Embolism, Pneumonia, Pneumothorax)
Cocaine Use Anxiety
*stable VS (GI/MSK) Esophageal Spasm GERD PU
Costochondritis Muscle Strain Acute Chest Syndrome (Sickle) |
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Term
*GI* FLANK PAIN DIFFUSE LQ PAIN |
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Definition
(7) *flank pain - hematuria Kidney Stone Acute Pyelonephritis Acute Glomerulonephritis RCCA
*diffuse - crampy GastroEnteritis Food Poisoning
* w wt loss Irritable Bowel Syndrome (stress) 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 Diverticulitis
*female pt PID Endometriosis Dysmenorrhea Vaginitis Cystitis Spontaneous Abortion |
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Term
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Definition
*related to food - recurring Gastritis PUD GERD Cholecystitis Mesenteric Ischemia
*related to alcohol - acute Acute Pancreatitis Alcoholic Hepatitis Boerhave Syndrome
*radiating to back - jaundice Chronic Pancreatitis Pancreatic CA CholangioCA Gall Stone Cholangitis
*not related to food Myocardial Infarction Abdominal Aortic Aneurysm |
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Term
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Definition
*w/o jaundice Acute Cholecystitis Calcular Cholecystitis
PUD
*w jaundice Acute Hepatitis
Ascending Cholangitis (shock) Acute Gall Stone Cholangitis Sclerosing Cholangitis Fitz Hugh Curtis |
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Term
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Definition
*w trauma Splenic Rupture Rib Fracture
*w/o trauma Perforated PU Splenic Infarct Pneumonia |
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Term
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Definition
*GI Acute Appendicitis Gastroenteritis Crohn Ileitis
*GYN Ovarian Torsion Rupture Ovarian Cyst Ectopic Pregnancy |
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Term
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Definition
*w alternating BM Diverticulitis Crohn Ileitis Ulcerative Colitis GE
*female pt Ovarian Torsion Rupture Ovarian Cyst Ectopic Pregnancy |
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Term
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Definition
Colorectal CA IBD IBS Diverticulosis
Crohn Ileitis Ulcerative Colitis Gastroenteritis
(related to food) Food Poisoning Infectious Diarrhea Travelers Diarrhea Amebiasis, Giardiasis Cryptosporiasis Hepatitis A
(related to meds) Pseudomembranous Colitis
(w greasy stool) Celiac Disease Chronic Pancreatitis Lactose Intolerance
(w systemic) Hyper/poThyroidism Carcinoid Small Bowel Lymphoma
(constipation only) Low Fiber Fe Tablets Substance Abuse Hypothyroidism Depression |
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Term
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Definition
Bleeding PU Bleeding Esophageal Varices Mallory Weiss (painful)
Gastritis Gastric CA GERD |
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Term
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Definition
Colorectal CA IBD (leads to CA) Upper GI Bleed
Diverticulosis Hemorroids Anal Fissure Proctitis
Ischemic Bowel Disease Angiodysplasia |
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Term
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Definition
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Term
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Definition
*location - w assoc symptoms Migraine (FH or PH) Tension (stress) Cluster (rhinorrhea, lacrimation)
Sinusitis (sinus tenderness) Meningitis (nuchal rigidity) Encephalitis (fever, confusion)
Stress Acute HTN Caffeine Withdrawal Analgesic Withdrawal Depression
Migraine complicated (neuro symptoms) Partial Seizure (neuro symtpoms) CNS Vasculitis (same)
Intracranial Neoplasm (neuro symptoms) Pseudotumor Cerebri (female, obese, OCP) Intracranial Abcess (neuro symptoms) Intracranial Venous Thrombosis (same)
Subarachnoid Hemorrhage (worst in life) Intracranial Hemorrhage (increase ICP) Verterbral Artery Dissection (same)
Temporal Arteritis (jaw pain) TMJ Disorder (same) Carotid Artery Dissection (origin of TA)
Trigeminal Neuralgia (cheek pain) |
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Term
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Definition
PROXIMAL *w neuro symptoms Stroke TIA Seizure Todd Paralysis Complicated Migraine
Intracranial Neoplasm Subdural Hemorrhage Epidural Hemorrhage CNS Vasculitis
*progressive Polymyositis (symmetric) Dermatomyositis (w rash) Duchenne (child) Becker (adolescent) MS (female) (episodic)
* w stiffness & pain PMR (old female) (w TA) Fibromyalgia (yng female) Myotonia (w arrhythmia/cataract)
DISTAL *ascending, yng pts GBS (LMNL) (post URI/GIT) ALS (U&LMNL) (muscle twitches)
*w sensory symptoms, progressive Syringomyelia (pain/temp, incontinence) Neurosyphilis (gait, incontinence)
*face MG (worse w use) Lambert Eaton (improves w use)
Facial Nerve Palsy Horner Syndrome IC Neoplasm (CN #7 compression)
*hand Carpal Tunnel Syndrome (Hypothyroidism) Median Nerve Overuse Medial Epicondylitis Cervical Osteoarthritis
*miscellaneous Hyperventilation (hypocalcemia) Multiple Myeloma (bone aches)
Conversion (reflexes N) Malingering (2ary gain)
Steroids (proximal) Statins (rhabdomyolysis) Diuretics (hypokalemia)
Raynaud Syndrome (blue digits) |
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Term
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Definition
TYPE *resting Parkinsonism (bradykinesia) Cerebral/Brainstem (stroke, tumor, trauma, infection) TIA (transient)
*postural Essential (FH +, alleviated w alcohol) Liver Cell Failure (estrogen changes) Wilson Disease (personality changes)
*intention Cerebellar (dysarthria, nystagmus, gait) MS (episodic)(nystagmus, incontinence)
*reversible Physiologic (stress, fatigue, stimulants, excessive caffeine, alcohol withdrawal, hypoglycemia, hyperthyroidism)
NB: Chronic Alcoholism can cause ALL types of tremor! NB2: Alcohol Withdrawal 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) |
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Term
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Definition
*neuro Stroke Generalized Tonic Clonic Seizure Convulsive Syncope Vasovagal Syncope
Trauma Tumor/Abcess Infection (meningitis, encephalitis)
*cardiac Arrythmyia HOCM Aortic Stenosis
*lifestyle Hypoglycemia Heat Stroke Dehydration induced Orthostatic HypoTN Drug induced Orthostatic HypoTN Substance Abuse/Withdrawal Malingering |
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Term
DIZZINESS/VERTIGO (LIGHTHEADED vs SPINNING) |
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Definition
*peripheral - episodic BPPV (<1min) (no HL) Meniere (~20mins) (w HL) Labrynthitis (~dys-wks)(w HL) Vestibular Neuritis (~dys-wks)(no HL)
*central - continuous Acoustic Neuroma (schwannoma) (w HL) Brainstem/Cerebellar Tumor(neuro symptoms) VestibuloBasilar Insuffic(atherosc)(neuro)
*other Orthostatic Hyoptension (dehydration) MVP MS |
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Term
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Definition
*SNHL (inner ear) Cochlear Nerve Damage (Loud noise, post Viral, Head trauma, Familial) Presbycusis (aging) Meniere (episodic) (vertigo, tinnitus) Tumor (Schwannoma)
*CHL (middle & external ear) Otosclerosis (gradual) Infection (OM) Effusion (post URI) Wax Impaction FB Impaction
*w balance problems see Dizziness.. |
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Term
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Definition
*sudden retinal artery occlusion retinal vein occlusion
acute angle glucoma retinal detachment
temporal arteritis
*gradual cataract open angle glucoma retinopathy |
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Term
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Definition
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Term
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Definition
*progressive Alzheimer Dementia (gradual) (old age) Vascular Dementia (stepwise) (ministrokes)
Lewy Body Dementia (fluctuate) (parkinson) Creutzfeldt Jacob (rapidly) (myoclonus)
Subdural Hematoma (old pt/trauma)(lucid) Intracranial Neoplasm (neuro symptoms)
*reversible Wernicke Encephalitis (B1/alcohol) (gait) SCD (B12/gastritis) (gait, WNT) Depression (pseudodementia) (sadness)
NPH (gait, incontinence) Neuro Syphilis (gait, incontinence, WTN) HIV Dementia (>1mo)
Hypothyroidism Hypoglycemia |
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Term
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Definition
*according to duration Schizophrenia (>6mo) Schizophreniform (1-6mo) Brief Psychotic Disorder (<1mo) (stress)
Schizotypal (magical thinking) Schizoid (prefers isolation)
*w mood disturbance Schizoaffective Disorder (2wks+sad/manic) Mood Disorder w Psychotic Features Depression w Psychotic Features
Substance induced Psychosis Illness induced Psychosis |
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Term
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Definition
*according to duration Normal Bereavement (2mo) Adjustment w Depressed Mood (strong reaction to stressful event) Major Depressive Disorder (6-12mo) (early morning awakening) Seasonal Affective Disorder (winter time)
*according to severity Dysthymic (>2yrs) (less severe) Cyclothymic (>2yrs) (dysthymia/hypomania) Bipolar I (manic+/-depressive episode) Bipolar II (hypomanic+depressive episode)
(NB:manic=1wk, hypomanic=4dys)
*w pyschotic features Major Depression w Psychosis Schizoaffective Disorder Substance Induced Mood Disorder |
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Term
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Definition
*psychiatric Major Depression (early morning awakening) Atypical Depression (increased sleep & wt) (able to react happily to pleasant stuff)
Adjustment Disorder (severe response to stress) PTSD (>1mo) (flashbacks, avoids triggers) Acute Stress Disorder (3dys-1mo) GAD (>6mo) (unrelated to anything) Psychotic/Delusional Disorder
*organic Colorectal CA Hypothyroidism Renal Failure Anemia HyperCalcemia
*w polydypsia DM DI 1ary Polydypsia
*sleep related Obstructive Sleep Apnea Narcolepsy (excessive daytime sleepiness) Chronic Fatigue Syndrome (Caregiver) Workshift Sleep Disorder |
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Term
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Definition
Stress induced Insomnia Caffeine induced Insomnia
Insomnia w Circadian Rhythm Disorder Insomnia w Major Depressive Disorder
Obstructive Sleep Apnea 1ary Hypersmonia Daytime Fatigue |
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Term
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Definition
(10) *oliguria UTI
*polyuria DM DI |
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Term
URINARY BLEED (infection, stone, cancer) |
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Definition
*beginning of stream - urethra UTI (urethritis)
*all through stream - kidney/ureter Acute Pyelonephritis Acute IgA Glomerulonephritis (post URI/GI) Renal Stone RCC PCKD
*termination of stream - bladder/prostate UTI (cystitis) Bladder Stone Bladder Cancer UTI (prostatitis) Prostate Cancer
*bleeding other orifices Coagulation Disorder |
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Term
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Definition
Urethritis Cystitis Prostatitis UTI
*w flank radiation Pyelonephritis Kidney Stone |
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Term
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Definition
Stress Incontinence (gradual leak) -weakened pelvic floor, put added pressure eg. pregnancy, prostate surgery, obesity with exercise, cough/sneeze/laugh
Urge Incontinence (sudden loss) -damage to nerve or muscle eg. MS, DM, Stroke, Parkinson, UB Stone
Mixed Incontinence (both) eg. meds
Overflow Incontinence (spill over) -mass effect blocking urine flow, eg. BPH, constipation, tumor
Functional Incontinence (non CNS, non MSK) eg. dementia, arthritis
Overactive Incontinence (frequency)
*w neuro symptoms NPH (gait, dementia) DM (tingling, vision) |
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Term
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Definition
*w/o constitutional symptoms BPH
*w constitutional symptoms Prostate CA RCCA |
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Term
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Definition
*w morning erection Psychogenic ED Drug Related ED
*no morning erection - organic ED due to DM ED due to HTN
*other Peyronie Disease |
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Term
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Definition
*secondary Pregnancy Premature Ovarian Failure Peri/Menopause Sheehan Syndrome Asherman Syndrome
*primary Anovulatory Cycles (DUB) PCOS
*endocrine - HPA axis Hyperprolactinemia 2ary to Prolactinoma Hyper/Hypothyroidism
Pitutary CA Adrenal CA Ovarian CA
*lifestyle Anxiety induced PTSD Depression Anorexia
UTI |
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Term
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Definition
*obstetric Ectopic Pregnancy Molar Pregnancy Spontaneous Abortion
*3rd trimester Placenta Previa (painless) Abruptio Placenta (painful)
*gynecologic Ruptured Ovarian Cyst Ovarian Torsion
Fibroid Endometrial Hyperplasia Endometrial Polyps
Cervical Polyps Cervicitis/PID Cervical CA
*post-menopausal Endometrial CA Cervical CA Atrophic Endometrium Atrophic Vaginitis
*endocrine Hyper/HypoThyroidism DM
*others Cervical Laceration Coagulation Disorder Dysfunctional Uterine Bleeding |
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Term
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Definition
Endometriosis (dysparunia, dyschezia) Adenomyosis (enlarge uterus, abd fullness)
Fibroid PID
IUD STD
Ovarian Cyst Ovarian CA |
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Term
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Definition
Vaginosis - Gardinella (fishy smell)
Vaginitis - Candida (cottage cheese) Vaginitis - Trichomonus (itching, frothy)
Cervicitis - Chlamydia (incubation 1-3wks) Cervicitis - Gonorrhea (incubation 2-5dys) |
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Term
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Definition
Atrophic Vaginitis Cervicitis
Endometriosis PID
Vaginismus (ms spasm, anxiety) Vulvodynia (chronic pain)
Depression Domestic Violence |
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Term
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Definition
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Term
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Definition
*w constitutional symptoms RA SLE
*w neuro symptoms Carpal Tunnel Syndrome Median n. Compression Radiculopathy C6,7 De Quervain Tendonitis
*lifestyle Domestic Violence Elder Abuse Substance Abuse Factitious Disorder |
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Term
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Definition
Lat. Epicondylitis (tennis elbow) Stress Fracture |
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Term
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Definition
*referred Angina MI
*overuse/trauma Tendinitis
*w meds Rhabdomyolosis (statins) Inclusion Body Myositis (cortizone)
*w constitutional symptoms Polymyositis
*lifestyle Domestic Violence Elder Abuse Substance Abuse Factitious Disorder |
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Term
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Definition
*w constitutional symptoms RA SLE
*w/o constitutional symptoms Gout Pseudogout
*overuse/trauma Rotator Cuff Injury Shoulder Dislocation Fracture Humerous
*lifestyle Domestic Violence Elder Abuse Substance Abuse Factitious Disorder |
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Term
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Definition
*w neuro symptoms Cervical Disc Herniation Cervical Disc Fracture Radiculopathy C4,5
*w/o neuro symptoms Muscle Strain |
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Term
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Definition
*w neuro symptoms Lumbar Disc Herniation Lumbar Disc Fracture Lumbar Radiculopathy
Tumor vertebral Canal Ankylosing Spondylitis
*w/o neuro symptoms Lumbar Ms Strain Malingering
*w claudication symptoms Lumbar Spinal Stenosis (pseudo) Periph Vascular Disease (true) LeRiche Syndrome (w ED) |
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Term
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Definition
*w constitutional symptoms RA SLE
*overuse/trauma Ms/Ligament Strain Labral Tear Tronchanteric Bursitis
Hip Fracture Pelvic Fracture Hip Dislocation
*lifestyle Domestic Violence Elder Abuse Substance Abuse Factitious Disorder |
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Term
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Definition
"ISOLATED"
*overuse/trauma - athletic Pubalgia Osteitis Pubis Adductor Tendinitis Labral Tear
Muscle Strain Ligament Strain Chondral Injury Stress Fracture "REFERRED"
*urinary UTI Pyelonephritis Kidney Stone
*male Orchitis Epididymitis Testicular Torsion
*female Ovarian Cyst 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 |
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Term
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Definition
*w constitutional symptoms RA SLE
Gout Pseudogout
Septic Arthritis Lyme Arthritis Reactive Arthritis
ParvoB19 Arthritis Disseminated Gonorrhea Arthritis w IBD
*overuse/trauma Osteoarthritis Menisceal Tear Ligament Damage |
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Term
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Definition
*w immobility DVT
*trauma/overuse Superficial Venous Thrombosis Cellulitis Baker Cyst Rupture
*w meds Rhabdomyolosis (statins) Inclusion Body Myositis (cortizone)
*w constitutional symptoms Polymyositis |
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Term
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Definition
*w constitutional symptoms RA SLE
*overuse/trauma Foot Sprain Splinter Foreign Body |
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Term
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Definition
*according to location Heel Fracture Stress Fracture
Plantar Fascitis
Splinter Foreign Body |
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Term
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Definition
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Term
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Definition
*chest Hemothorax Pneumothroax Pneumonia
*abdomen Rib Fracture Rupture Spleen Hemoperitoneum |
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Term
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Definition
Domestic Violence Rape
Substance Abuse Consensual Violent Sex
Osteogenesis Imperfecta |
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Term
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Definition
Hyperthyroidism Cancer HIV
Diet/drugs Anorexia Malabsorption |
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Term
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Definition
*endocrinal Hypothyroidism Cushing PCOS
DM Reactive Postprandial Hypoglycemia Insulinoma
*other Smoking Cessation Atypical Depression Drug Side Effect |
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Term
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Definition
*D.E.M.D.E.M.C.C.C.* Diagnosed Educate Monitor Diet Exercise Meds Compliance Complications Chronic Illness Effect |
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Term
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Definition
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Term
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Definition
*S.P.I.K.E.* protocol Setup Perception Invitation Knowledge Emotions Strategy/Summary |
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Term
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Definition
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Term
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Definition
Neonatal Sepsis Meningitis
Acute OM
URI Pneumonia
*w vomiting UTI Pyelonephritis
GE (bact, viral, paras) Food Poisoning
Volvulus Intususseption
*w rash Measles Rubella Roseola Fifth Disease Varicella Chickenpox Scarlet Fever |
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Term
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Definition
*w vomiting Pyloric Stenosis Partial Dudenal Atresia GERD GE
*w fever Hepatitis UTI OM
*w constipation Hisrchsprung Imperforate Anus Anal Stenosis
Hypothyroidism Lead Poisoning Low Fiber Diet
*w certain foods Colic Formula Allergy Lactose Intolerance GERD
*acute abd Intussusception Appendicitis Meckel Diverticulum
Volvulus Enterocolitis Blunt Trauma
Strangulated Hernia Testicular Torsion
*inconsistent hx Somatoform Malingering Child Abuse IBS |
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Term
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Definition
Bact Conjunctivitis Viral Conjunctivitis
Keratitis Uveitis
Seasonal Allergies |
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Term
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Definition
Constitutional Short Stature Genetic Causes
Chronic Renal Insufficiency Cystic Fibrosis
GH Deficiency Hypothyroidism
Malabsorption Failure to Thrive |
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Term
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Definition
ADHD Opposition Defiant Disorder Conduct Disorder
Adjustment Disorder Age Appropriate Behaviour
Substance Abuse Intoxication
Manic Episode Hyperthyroidism |
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