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V: Vasculitis I: Septic arthritis T: Hemarthrosis A: RA, SLE, scleroderma, AS, reactive arthritis, rheumatic fever, and sarcoidosis M: Gout, pseudogout, apatite-related arthropathy I: Osteoarthritis N: Metastasis, primary tumor of bone or cartilage, and paraneoplastic syndrome |
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T: Chronic repetitive use A: RA M: DM, hypothyroidism, acromegaly, gout, obesity Idioapthic C: Congenitally narrowed carpal tunnel Other: Pregnancy |
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V: PVD (occlusive arterial disease), DVT I: Thromboangitis obliterans, spinal stenosis (lumbar) |
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Secondary hypercholesterolemia |
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Definition
M: Hypothyroidism, DM, cholestasis I: Nephrotic syndrome, obesity (nonalcoholic steatohepatitis) |
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Definition
V: Supraventricular tachycardia, rapid atrial fibrillation, ventricular tachycardia, torsades de pointe M: Hypokalemia, hypomagnesium, fever, anemia, hyper/hypothryoidism, acromegaly N: pheocromocytoma S: Drug ingestion (sympathomimetic agents), acquired long QT (antidysrhythmics, antidepressants, antiemetics), drug withdrawal, anxiety, anorexia nervosa (electrolyte disturbance) Congenital/genetic: Wolff-Parkinson-White syndrome, Jervell and Lange Neilsen syndrome, Romano-Ward syndrome |
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Definition
V: CHF, acute coronary syndrome, pulmonary embolism I: Pneumonia T: Pneumothorax M: DKA I: COPD/asthma, massive atelectasis N: Large pleural effusion |
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Definition
V: Aortic dissection, MI, PE, pulmonary infarction I: Pericarditis, pneumonia, bronchiectasis, TB, empyema, subphrenic abscess, herpes zoster T: Pneumothorax, fractured rib, chest wall injury A: SLE (serositis) M: DKA I: Dressler syndrome, esophageal spasm, peptic ulcer disease, GERD N: Malignant pericarditis S: Cocaine ingestion (coronary vasospasm), other sympathomimetic ingestion, anxiety C: Hiatal hernia |
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Definition
A: Rheumatic valvular disease I: Degenerative valve calcification, hypertrophic cardiomyopathy C: Congenital bicuspid valve |
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Definition
V: Acute aortic dissection, dilatation of the aortic root (Marfan Syndrome) I: Bacterial endocarditis, syphilis of the aorta T: Chest trauma (Acute AR) |
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A: Rheumatic valvular disease I: Idiopathic valvular degeneration N: Left atrial myxoma C: Congenital valvular lesion |
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V: Ruptured chordae tendinae or papillary muscle (secondary to ischemia) I: Bacterial endocarditis A:Rheumatic valvular disease, RA I: MVP C: Dilation of the mitral ring |
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Definition
V:Renal vascular disease (fibromuscular dysplasia), coarctation of the aorta M: Drugs, endocrine disease (Conn syndrome, Cushing syndrome, hyperthyroidism, congenital adrenal hyperplasia) I: Sleep apnea, renal parenchymal disease N: Pheochromocytoma |
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Definition
V: PE, CHF, acute coronary syndrome I: Pneumonia T: Pneumothorax, aspiration of foreign body M: DKA I: Exacerbation of COPD/asthma, massive atelectasis N: large pleural effusion, significant ascites S: Sympathomimetic ingestion, drug withdrawal syndrome, anxiety (diagnosis of exclusion) |
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Definition
V: CHF, PE I: Pneumonia, URTI (pharyngitis, laryngitis, tracheitis, tracheobronchitis), pertussis, TB T: Inhalation injury, aspiration of foreign body A: Sarcoidosis I: Postnasal drip, GERD, aspiration pneumonitis, COPD/asthma, ACEI Neoplasm C: Anatomic abnormalities in the tracheobronchial tree or compressing the tracheobronchial tree, cystic fibrosis, alpha1-antitrypsin deficiency |
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Definition
V: PE, pulmonary hypertension (mitral stenosis), ateriovenous malformation, vasculitis I: TB, lung abscess, pneumonia, bronchitis T: aspiration of foreign body A: Goodpasture syndrome, Wegener granulomatosis M: Coagulopathy I: Bronchiectasis N: Bronchogenic carcinoma |
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Definition
V: Infarct, vascular lesion I: TB (granuloma), histoplasmosis, aspergilloma, abscess, consolidation T: Hematoma I: Fluid filled cyst, artifact N: Bronchial carcinoma (squamous cell carcinoma, adenocarcinoma, small cell carcinoma, large cell carcinoma), metastatic disease, and benign neoplasm (bronchial adenoma, hamartoma) |
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Definition
I: Abscess, pneumonia, TB T: Punctured by fractured rib, penetrating injury (stab wound, gunshot wound), mechanical ventilation, barotrauma I: Spontaneous pneumothrorax, COPD/asthma (bleb rupture), central line insertion, thoracentesis, ascent in plane Neoplasm C: Rupture of subpleural bleb, cystic fibrosis |
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Definition
T: Ingestion of caustic substance A: Collagen vascular disease (scleroderma) M: Iron-deficiency anemia (Plummer-Vinson syndrome) I: Benign esophageal stricture, achalasia, neurogenic disorders (stroke, Parkinson disease, bulbar palsy, Guillain-barré syndrome, ALS) N: Esophageal, pharyngeal, mediastinal (lung, lymphoma) C: Pharyngeal pouch |
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Definition
V: esophageal varices, angiodysplasia, aortoenteric fistula T: Mallory-Weiss tear, nose bleed (swallowed blood) M: Coagulopathy I: Esophagitis, gastritis, peptic ulcer disease Substance abuse and psychiatric |
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Definition
V: Ischemic colitis I: Bacterial, parasitic or viral gastroenteritis, pseudomembranous colitis A: celiac disease, Whipple disease M: Drug reactions, carcinoid syndrome, hyperthyroidism I: IBD, IBS, malabsorption, runner's diarrhea C: cystic fibrosis, lactose intolerance |
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Definition
I: PID/ tubo-ovarian abscess, psoas abscess T: Musculoskeletal injury I: Appendicitis, mesenteric adenitis, ascending diverticulitis, incarcerated hernia Crohn disease, ruptured ectopic pregnancy, ovarian torsion, renal colic |
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Definition
I: Viral hepatitis T: Resorption of a large hematoma A: Autoimmune hepatitis M: Hemolysis I: Biliary obstruction (Stone/Stricture) N: Obstructing biliary lesion S: alcoholic or toxic hepatitis C: Gilbert syndrome |
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Definition
V: Right-sided heart failure (congestive hepatomegaly) I: Acute pyelonephritis, right-sided pneumonia, viral hepatitis T: MSK injury A: Autoimmune hepatitis I: Acute cholescystitis, duodenal ulcer/PUD |
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Definition
V: Leaking or ruptured AAA, myocardial infarction, aortic dissection, right-sided heart failure (congestive hepatomegaly) I: Viral hepatitis, pneumonia T: MSK injury A: Autoimmune hepatitis I: Perforated viscus, acute cholecystitis, pancreatitis (e.g. biliary stones), duodenal ulcer/PUD S: Alcoholic pancreatitis, alcoholic/toxic hepatitis |
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Definition
V: Leaking/ruptured AAA, aortic dissection I: PID/tubo-ovarian abscess T: MSK injury I: Sigmoid diverticulitis, incarcerated hernia, perforated viscus, Crohn disease, ulcerative colitis, ruptured ectopic pregnancy, ovarian torsion, and renal colic |
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Definition
V: esophageal varices, aortoenteric fistula, angiodysplasia, ischemic colitis I: Invasive diarrhea (eg enteroinvasive E. coli) T: Mallory-Weiss tear, anorectal trauma, anal fissures M: Coagulopathy I: Diverticular disease, IBD, proctitis Neoplasm |
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Definition
V: Stroke (atonic colon) T: Spinal cord injury (atonic colon), anal fissure M: Hypothyroidism, hypercalcemia, drugs (chronic laxative use), diet I: IBS, fecal impaction, bowel obstruction (adhesions), rectal stricture N: Bowel tumor C: Hirschsprung disease |
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Definition
I: Giardia lambia, postinfectious malabsorption (villous sloughing) A: Celiac disease, Whipple disease I: Chronic pancreatitis, biliary obstruction C: Cystic fibrosis |
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Definition
I: UTI A: Wegener granulomatosis, Goodpasture syndrome M: Sickle cell anemia, coagulopathy, drugs I: Glomerulonephritis, stones (bladder, renal) N: Bladder or kidney tumor |
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Definition
V: ruptured/leaking AAA I: UTI M: Coagulopathy, sickle cell crisis I: renal colic, hemorrhagic cystitis, incarcerated/strangulated hernia, appendicitis, diverticulitis |
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Definition
I: UTI, STI, vaginitis T: Passage of stone I: Urethral syndrome |
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Definition
V: Hemorrhage into testicular tumor I: epididymitis, orchitis, cellulitis or fasciitis (Fournier gangrene) T: Acute injury I: Incarcerated/strangulated inguinal hernia, torsion of testicular appendages N: Testicular tumor C: Testicular torsion (bell-clapper deformity) |
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Definition
I: UTI T: Posttraumatic urethral stricture I: Bladder calculi N: Prostatic enlargement (BPH or malignancy), bladder tumor C: urethral stricture |
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Definition
I: Syphilis, herpes, chancroid, granuloma inguinale, lymphogranuloma venerum T: Repetitive trauma A: Behçet disease N: Malignancy |
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Definition
V: Migraine, subarachnoid hemorrhage, temporal arteritis I: Cerebral abscess, meningitis, sinusitis T: Head injury, concussion, intracranial hemorrhage (subdural hematoma, epidural hematoma) I: Post-lumbar puncture headache N: Brain tumor S: Carbon monoxide posioning Other: tension headache, cluster headache, acute angle closure glaucoma, occipital neuralgia |
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Definition
V: Intracranial hemorrhage I: Meningitis, encephalitis T: Head Injury, post-brain injury seizure M: Hypoglycemia, hypocalcemia, hyponatremia, hypoxia I: Nonadherence with antiseizure medication regimen, drug interactions N: Brain tumor S: Drug withdrawl, sympathomimetic agents, serotonin syndrome, neuroleptic malignant syndrome, pseudoseizure Other: Epilepsy, eclampsia |
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Definition
V: Stroke, intracranial hemorrhage I: Acute otitis media, otitis externa, parotitis, herpes zoster oticus, Lyme disease T: Mandible fracture, blunt injury to face, laceration I: Bell palsy, post-facial surgery condition N: Brain tumor, facial neuroma, acoustic neuroma, parotid tumor, cholesteatoma |
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Definition
V: Stroke (ischemic or hemorrhagic) I: Cerebral abscess, encphalitis, meningitis, sepsis T: Traumatic brain injury, intracranial hemorrhage, hypotension M: Hypoglycemia, hypoxia, electrolyte disturbance I: Prescription medications N: Brain tumor S: Accidental toxic exposure, drug withdrawl, use of street drugs, malingering, mental illness Other: Postictal state |
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Definition
V: Ischemic stroke (embolism or thrombosis), hemorrhagic stroke, transient ischemic attack, arterial dissection, vasculitis T: Traumatic intacranial hemorrhage M: Todd's paralysis (postseizure), hypoglycemia |
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Definition
V: Poststroke pain I: Epidural abscess, discitis, apical lung pneumonial, postherpetic neuralgia, HIV neuropathy T: Posttraumatic spinal cord injury, spinal fracture, dislocation, or ligamentous injury with spinal cord or nerve compression M: Diabetes, nutritional deficiency I: Postsurgical pain, postradiation myelopathy N: Primary or spinal cord tumor, metastatic cancer with spinal cord or nerve involvement or compression S: Alcohol neuropathy, diethyltoluamide (DEET) |
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Definition
V: Vertebral artery dissection T: Cervical spine fracture, dislocation or ligamentous injury; muscle strain I: Pressure sores caused by spine board immobilization |
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Definition
V: Spinal cord infarction, aortic dissection I: Epidural abscess, discitis T: Spinal fracture, dislocation, ligamentous injury with spinal cord compression or cauda equina syndrome N: Primary or metastatic neoplasm with erosion or compression of spinal cord or cauda equina, spinal cord tumor |
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Definition
Scalp contusion Scalp laceration Skull fracture Epidural hematoma Subdural hemorrhage Subarachnoid hemorrhage |
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Definition
V: Vasculitis I: Septic arthritis T: Hemarthosis A: RA, SLE, Scleroderma, AS, reactive arthritis, rheumatic fever, sarcoidosis M: Gout, pseudogout, apatite-related arthopathy I: Osteoarthritis N: Metastasis, primary tumor of bone or cartilage, and paraneoplastic syndrome |
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Definition
T: Chronic repetitive use syndrome A: RA M: DM, hypothyroidism, acromegaly, gout, obesity Idiopathic C: Congenitally narrowed carpal tunnel Other: Pregnancy |
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