1
Q
Palpitations
A
Arrhythmias Anemia Stimulants/Drugs Cancer Anxiety Congenital heart conditions Hyperthyroidism
2
Q
Chest Pain
A
Emergency: Myocardial Infarction Aortic Dissection Unstable Angina Acute Coronary Insufficiency Pulmonary Embolus Pneumothorax Arrhythmias
Non-emergency: Stable Angina Myocarditis/Pericarditis Aortic Stenosis Mitral Regurgitation / Mitral Valve Prolapse Pneumonia Pleuritis Chest trauma (rib fracture) Costochondritis Peptic Ulcer Disease Cholecystitis Pancreatitis Lung tumor Drug use
3
Q
Syncope
A
Arrhythmias Vasovagal Orthostatic hypotension Migraine Seizures Medications TIA
4
Q
Dyspnea
A
Emergency PE Anaphylaxis Pneumothorax Status asthmaticus
Non-Emergency Pneumonia COPD Asthma Anemia Heart Failure
5
Q
Cough
A
Pneumonia COPD Acute bronchitis Asthma GERD Chronic bronchitis TB Allergic rhinitis chronic Sinusitis Common cold Cancer Drugs Smoking
6
Q
Constipation
A
IBS IBD Hemorrhoids Cancer Obstruction Pneumonia Dehydration Diverticulosis Hypothyroidism Depression
7
Q
RUQ pain
A
Emergency MI Obstruction Trauma Retroceccal Appendicitis
Non-ER Peptic ulcer Peptic ulcer disease Pancreatitis Cholecystitis Cholangitis Choledocholithiasis Hepatitis Hepatic abscess Congestive Heart Failure Nephrolithiasis Urolithiasis Pyelonephritis Herpes zoster pericarditis Pneumonia COPD gastritis Duodenitis IBD
8
Q
Diarrhea
A
IBS Viral/Bacterial gastroenteritis Ulcerative colitis Crohn disease Carb/Fat malabsorption Meds Diabetic enteropathy HIV enteropathy
9
Q
Heartburn and Indigestion
A
ED
MI
Acute coronary insufficiency
Non-ED GER GERD Infective esophagitis Pill esophagitis Allergic Eosinophilic esophagitis Functional heartburn Hiatal hernia Peptic ulcer disease Cancer (gastric or esophageal) Gastritis Dyspepsia/Functional Gas
10
Q
Rectal pain
A
Anal fissure Perirectal abscess Proctalgia fugax Proctitis or proctocolitis Pilonidal disease Perianal streptococcal cellulitis Sexual abuse Syphilis/STI Colon cancer Constipation Hemorrhoids
11
Q
Rectal Itching
A
Pruritus ani Pinworms Cancer Infection STI Poor hygiene
12
Q
Rectal Bleeding
A
Hemorrhoids
Diverticular disease
Condyloma acuminata
Cancer of colon/rectum/anus
13
Q
Dizziness
A
Brainstem dysfunction MS Migraine Vertigo Trauma Orthostatic hypotension Arrhythmias
14
Q
Headache
A
Tension / Cluster / Mixed Headache Migraine w/ or w/o aura Begin exertional headache Sinusitis/Pharyngitis/Otitis media Dental disorders Meningitis Trigeminal neuralgia Optic neuritis Cervical spine disorders Temporal arthritis Carbon monoxide/hypoglycemia Drugs Intracranial tumor Hydrocephalus Subdural hematoma Pseudotumor cerebri intracerebral hemorrhage Brain abscess
15
Q
Confusion
A
Confusion Dementia Depression Delirium Stroke TIA Trauma/TBI
16
Q
Fatigue
A
Depression Anxiety Infection Drug or alcohol/Meds Anemia Hypo/Hyperthyroidism Sleep apnea HF Cancer Mononucleosis Hepatitis Fibromyalgia Chronic fatigue syndrome
17
Q
Fever
A
URI Gastroenteritis UTI PID Prostatitis Pharyngitis Sinusitis Meningitis Osteomyelitis Enterovirus
18
Q
Unintentional Weight loss
A
Cancer DM Hyperthyroidism Addison's disease Anorexia nervosa Depression or anxiety HIV/AIDS Crohn disease TB Cystic fibrosis Diet
19
Q
Unintentional Weight Gain
A
Hypothyroidism
Cushing syndrome
Diet
20
Q
Lower Extremity Limb Pain
A
ED
Peroneal compression
DVT
Fracture
NON-ED Tenosynovitis Bursitis Osteomyelitis Osteoarthritis RA Septic arthritis Gout Iliopsoas tendinitis Proximal fibular fracture Patellar tendinitis MCL sprain Medial Meniscus tear ACL tear Baker cyst Ankle sprain Shin splints Achilles tendinitis Planter fasciitis Viral infections Fibromyalgia Acute leukemia Sickle cell disease Lupus Lyme arthritis Tarsal tunnel syndrome Neuritis
21
Q
Upper Extremity Limb Pain
A
Tenosynovitis (tendinitis) Bursitis Myositis Osteomyelitis Osteoarthritis Rheumatoid arthritis Septic arthritis Strain - RROM Sprain - PROM Shoulder dislocation Acromioclavicular joint injury Bicipital tendinitis Rotator cuff tear Olecranon bursa Lateral Humeral Epicondylitis Wrist fracture Bennett fracture (first metacarpal) Finger fracture Fibromyalgia Viral infection Thoracic Outlet Syndrome Carpal Tunnel Syndrome Impingement
22
Q
Acute Low Back Pain
A
ED Cauda Equina Aortic Aneurysm Gallstones Spinal Fracture
Non-ED Tumor Osteomyelitis Herniated disk Sciatica Strain Ankylosing spondylitis Spinal stenosis Pyelonephritis Pleuritis Pelvic inflammatory disease
23
Q
RLQ pain
A
Emergency: Appendicitis Intestinal obstruction Perforated Ulcer Aneurysm Abdominal wall Hematoma
Non-ED IBD Mesenteric Adenitis Diverticulitis Cholecystitis/cholelithiasis Nephrolithiasis (kidney stones) Pyelonephritis Psoas abscess Hernia
24
Q
LUQ pain
A
ED Splenic rupture Splenic aneurysm/infarction MI Intestinal obstruction
Non-ED Gastritis Pancreatitis Splenic enlargement Pyelonephritis Nephrolithiasis Herpes zoster Pneumonia COPD Diverticulitis IBD
25
LLQ pain
```
ED
Obstruction
Appendicitis
Aneurysm
Abdominal Wall Hematoma
```
```
Non-ED
Diverticulitis
IBD
Salpingitis
Ureteral Calculi
Pyelonephritis
Nephrolithiasis
Psoas abscess
Hernia
```
26
Epigastric pain
```
ED
MI
Early Appendicitis
Obstruction
Mesenteric thrombosis
```
```
Non-ED
Peptic ulcer
Gastritis
Pancreatitis
Duodenitis
Gastroenteritis
Mesenteric Adenitis
GERD
IBD
```
27
Umbilical pain
```
ED
Early Appendicitis
Mesenteric Thrombosis
Obstruction
Aneurysm
```
```
Non-ED
Gastroenteritis
Pancreatitis
Hernia
Mesenteric Adenitis
IBD
```
28
Hypogastric pain
ED
Appendicitis
Obstruction
Abdominal Wall Hematoma
```
Non-ED
Cystitis
Diverticulitis
Salpingitis
Hernia
Nephrolithiasis
IBD
```
29
Diffuse Abdominal Pain
```
ED
Obstruction
Early Appendicitis
Aneurysm
Perforation
```
```
Non-ED
Peritonitis
Pancreatitis
Leukemia
Sickle cell crisis
Gastroenteritis
Mesenteric Adenitis
Mesenteric Thrombosis
IBD
Diverticulosis
IBS
Cancer
```
OSCE 3
flashcards
Decks in class (13)
# Cards
