question

1. Ankle Pain

answer

Fracture, Ligament Injury, Infection, Gout/Psuedogout

question

2. Back

answer

MSK, Infection, Tumor, Kidneys, Lungs, Abdominal Organs

question

3. Sore throat

answer

Pharyngitis (Strep v Mono), URI, Epiglottitis, Abcess

question

5. Left Arm Weakness

answer

Stroke, Radiculopathy, Thoracic Outlet, MSK

question

10. 40 yo vaginal bleeding

answer

menstruation, DUB, ectopic, miscarriage, infections, endo cancer

question

11. 60 yo vaginal bleeding

answer

endometrial cancer, atrophic vaginitis, cervical polyps, rectal or urinary bleeding

question

13. HTN

answer

Heart Failure, CAD, Stroke, Kidney Failure, PVD, Retinopathy

question

18. Adolescent Weight Loss

answer

Depression, Anorexia, Hyperthyroidism, Drugs, Diabetes, Cancer

question

20. Pediatric Bed Wetting

answer

Recent Stressors, UTI, Constipation, Diabetes

question

21. Pediatric SOB

answer

Pulmonary (Asthma, Croup, Pneumonia), Cardiac, Anemia

question

22. Old Person Check Up

answer

CVD (Chest Pain, SOB, Orthopnea), Cancers (Eso, Lung, Colon, Breast/Prostate, Skin)

question

24. Crying Baby

answer

Colic, Ear Infection, GI Infection, MSK Injury

question

25. Mental Status Change in an Old Person

answer

Alzheimers, Depression, Stroke, Infection, Drugs

question

26. Diabetes Check Up

answer

Diabetes, Retinopathy, CAD, CKD, PVD, Neuropathy/Ulcers

question

28. Child with Vom & Diarrhea

answer

Infection (Bacterial, Viral, Parasitic), Medications, Allergies, Dehydration

question

30. Obesity

answer

Diet/Exercise, Eating D/O, PCOS, Thyroid Dz

question

35. Temper Tantrum

answer

Seizures, Arrythmia, Cyanosis, Self-harm, Punishment

question

38. Diarrhea

answer

Infection (Travel, Pets, Sick Contacts), Medication, IBD, IBS, Pancreatic Dz

question

40. Hearing Loss

answer

Sensoryneural, Conductive, Infection, Tumor, Medications

question

Bandlike headache- bilat lasts for hours or days recurrent constant, not throbbing better with massage normal vital signs, normal neuro

answer

tension headache

question

unilateral throbing headache photophobia sonophobia aura recurrent no fever, no weakness in extremities

answer

classic migraine

question

throbbing, one-sided headache fevers jaw pain visual changes tender over temporal artery age over 50

answer

temoporal arteritis

question

recent upper resp infection pain in cheek below eye dull, constant ache, worse leaning over nasal discharge nad stuffiness tenderness to palpation of maxillary sinus no weakness in extremities

answer

sinusitis

question

pain centered over eye first episode red eye decreased visual acuity dilated pupil

answer

glaucoma (closed angle)

question

hx of trauma on warfarin headache mental status changes ataxia focal weakness visual changes

answer

subdural hematoma

question

unilateral sudden and intense headache pain behind eye lasts a couple hrs each day and gone recurrent time of day lacrimation blushing of face

answer

cluster headache

question

headache syncope very severe intensity first episode vomiting mental status changes stiff neck

answer

subarachnoid bleed

question

heavy substernal pressure feeling SOB Nausea diaphoresis lasts minutes to starting couple hours ago Diaphoretic abnormal vital signs no high fever

answer

acute coronary syndrome

question

pleuritic chest pain sob unilateral swollen lower leg hx of DvT in past not on warfarin tachycardia tachypnea no pain to palpation of chest wall unilateral swollen leg

answer

pulmonary embolism

question

pleuritic chest pain cough sputum production fever dullness to percussion abnormal breath sounds increased tactile fremitus

answer

PNA

question

pleuritic unilateral chest pain sudden onset SOB increased HR increased RR Decreased unilateral breath sounds Decreased tactile fremitus

answer

Pneumothorax

question

Ripping chest pain sudden onset pain may migrate to neck or back blood pressure difference between arms heart murmur (if aortic insufficiency) pulse differences between sides

answer

aortic dissection

question

pain better sitting up and leaning forward. pleuritic started after viral URI Cardiac rub fever

answer

pericarditis

question

sharp pain hurts with mvt and twisting point tenderness causing pain in chest

answer

costochondritis

question

unilateral pain paresthesia of skin unilateral dermatome unilateral blistering rash on a dermatome fever

answer

herpes zoster

question

heartburn sour taste coming up to mouth pregnant better with antacids no fever no pleuritic pain no abdominal pain

answer

esophageal reflux

question

dyspnea on exertion pedal edema orthopnea hx of HTN, smoking, coronary disease rales in lungs gallop heart rhythm distended neck vein distneded liver

answer

heart failure

question

dyspnea cough weight loss pursed lip breathing chronic condition, smoking hx tachypnea increased chest AP diameter clubbing of fingers decreased air entry prolonged expiratory phase

answer

COPD

question

Recurrent attacks of dyspnea cough wheezing hx of asthma wheezing

answer

asthma

question

fatigue generalized weakness pallor

answer

anemia

question

sudden onset change in voice choked on food or denture stridor cyanosis

answer

airway obstruction

question

substernal chest pain dyspnea nausea hx of smoking HTN Diaphoresis (list any abnormal vital signs)

answer

myocardial infarction

question

acute shortness of breath wheezing hx of exposure to allergen hives hypotension tachypnea tachycardia

answer

anaphylaxis

question

RUQ pain- intermittent can last several hours occurs after fatty meal no fever tender right upper quadrant

answer

biliary colic

question

RUQ pain radiates to R scapula FEver + murphy's sign tender right upper quadrant

answer

cholecystitis

question

epigastric RUQ pain taking aspirin or NSAIDs blood in stool pain may radiate to back epigastric and RUQ tenderness

answer

peptic ulcer disease

question

epigastric and RUQ pain hx of alcoholism hx of gallstone epigastric and RUQ tenderness

answer

pancreatitis

question

fever jaundice RUQ pain behavior that leads to hep virus exposure Jaundice tender enlarged liver - Murphy fever

answer

Hepatitis

question

midabdominal pain migrating to RLQ anorexia feverish acute onset RLQ tenderness +obturator sign + psoas sign fever

answer

appendicitis

question

LLQ pain fever diarrhea often vomiting fever LLQ tenderness

answer

diverticulitis

question

Fever lower abd pain vaginal discharge sexually active fever low abd tenderness +pain with cervical motion tenderness shuffling gait

answer

Pelvic inflammatory disease

question

lower abd pain may radiate to top of shoulder late period or known pregnant lower abd tenderness

answer

Ectopic pregnancy

question

sudden onset unilateral lower pain nausea and vomiting can start with exercise lower abd tenderness

answer

ovarian torsion

question

bright red blood streaks usually on stool or toilet paper hx of patient able to palpate hemorrhoid no abd tenderness no fever

answer

hemorrhoid

question

pain with defacation bright red blood with straining at stool no fever no abd tenderness

answer

anal fissure

question

abd cramps blood mixed with stool may be recurrent age > 40 pallor

answer

diverticulosis

question

diarrhea prominent bloody stool vomiting others with same illness acute onset fever diffuse abd tenderness no rebound

answer

infectious diarrhea

question

fever diarrhea chronic onset positive family history fever diffuse abd tenderness

answer

inflammatory bowel disease

question

emotional, stressful situation quick recovery in minutes no seizure activity normal vital signs (when recovered)

answer

vasovagal

question

palpations chest discomfort shortness of breath medication history abn heart rate irregular heartbeat

answer

arrhythmia

question

alcohol ingestion medication as cause dehydration tachycardia hypotension when standing advanced age

answer

orthostatic hypotension

question

shortness of breath anginal chest discomfort family history of same age 60 and up narrow pulse pressure displaced PMI

answer

aortic stenosis

question

palpitations dizziness shortness of breath younger athlete family history occurs with exercise heart murmur

answer

hypertrophic cardiomyopathy

question

previous arthritis of the knee red, swollen, tender calf swelling and fullness behind knee

answer

baker cyst rupture

question

red, swollen, tender calf distal break in skin of leg fever inguinal adenopathy

answer

cellulitis

question

chronic leg swelling chronic skin changes not red or tender no fever inguinal adenopathy lower abd mass

answer

lymphatic obstruction

question

pain and swelling recently in leg risk factor for hypercoagulable state lower leg red, warm, swollen, tender

answer

DVT

question

dyspnea on exertion pedal edema orthopnea hx of HTN, smoking, coronary disease rales in lungs gallop heart rhythm distended neck vein distended liver

answer

heart failure

question

foamy urine weight gain edema also around face fatigue edema bilaterally

answer

nephrotic syndrome

question

jaundice fatigue right upper quadrant pain jaundice ascites right upper quadrant tenderness mental status changes edema bilaterally

answer

liver failure

question

pain, cramp, paresthesia in legs elevated bmi red legs and ankles with skin changes bilateral edema

answer

obesity/venous insufficiency

question

temporal history of medications followed by vomiting no blood in emesis vomiting no fever abdomen soft, nontender

answer

medications (chemotherapy, general anesthesia, opioids)

question

may be other people also sick abd cramps and pain diarrhea possible vomiting possible fever abd tenderness

answer

GI- rotavirus, norovirus, food poisoning, campylobacter

question

hx of occurring on boat, moving car vertigo vomiting possible nystagmus

answer

vestibular system (motion sickness, benign paroxysmal vertigo)

question

headache scotoma (for migraine) vomiting may have unilateral weakness mental status changes

answer

CNS migraine mass lesion bleeding arterovenous malformation seizure trauma pseudotumor cerebri

question

vomiting possible blood in emesis anorexia fever abd tenderness possible rebound

answer

vomiting from abd organs appendicitis cholecystitis acute hepatitis peptic ulcer bowel obstruction torsion of gonads

question

weakness fatigue dehydration darkening of skin vomiting dry mucous membranes

answer

endocrine and toxins (alcohol DKA)

question

vomiting chest pain back pain SOB increased resp rate heart murmur unequal pulse

answer

acute cardiovascular illness Myocardial infarction pulmonary embolism aortic dissection

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