CSA Stage 1 (I)
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- Created by: Eltanova
- Created on: 15-10-20 17:40
Mr. Fischer is a 69 year old man who has come to the hospital complaining of coughing which stated 3 months ago (no sputum), but blood appeared last week. He noticed unintentional weight loss of 6kg in the past 2 months. He is a cigarette smoking for the
Lung Cancer (Bronchogenic carcinoma)
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Mr. Fischer is a 69 year old man who has come to the hospital complaining of coughing which stated 3 months ago (no sputum), but blood appeared last week. He noticed unintentional weight loss of 6kg in the past 2 months. He is a cigarette smoking for the
1. TB
2. PE
2. PE
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Suspected PE - We use the acronym PDASOFT/ICE to get more information. What does that stand for?
P = PE --> ask about Hx of heart problems (pulmonary oedema), recent major operations (PE)
D = Drugs --> Specifically about blood thinners (aspirin, warfarin), or the pill contraceptive (does not cause clots but most birth control pills do increase a wom
D = Drugs --> Specifically about blood thinners (aspirin, warfarin), or the pill contraceptive (does not cause clots but most birth control pills do increase a wom
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Mrs Louise Hartley is 36 years old who has come to the hospital complaining of suddenly coughing up blood for the past day. She has mild chest pain that gets worse when she takes a deep breath, which began around the same time as the cough. No other signi
Pulmonary Embolism
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Mrs Louise Hartley is 36 years old who has come to the hospital complaining of suddenly coughing up blood for the past day. She has mild chest pain that gets worse when she takes a deep breath, which began around the same time as the cough. No other signi
TB
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What is Myalgic encephalomyelitis?
Persistent disabling fatigue lasting > 6 months, affecting mental and physical function, presents > 50% of the time, and presents with at least 4 or more of the following:
*Myalgia (~80%)
*Polyarthralgia (arthritic pain and joint[s] pain)
*Decreased me
*Myalgia (~80%)
*Polyarthralgia (arthritic pain and joint[s] pain)
*Decreased me
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What is the management for myalgic encephalomyelitis?
* NSAIDS or Steriods does not respond (no inflammation) - if it does, need to reconsider diagnosis
* Low dose tricyclic antidepressants (amitriptyline/pregabalin) may improve pain, particularly with tramadol = may improve pain, sleep and morning stiffnes
* Low dose tricyclic antidepressants (amitriptyline/pregabalin) may improve pain, particularly with tramadol = may improve pain, sleep and morning stiffnes
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Can you name at least 6 Differential Diagnosis for Chronic fatigue syndrome?
1. Infectious disease (e.g. HIV, Lyme disease, TB)
2. Neuroendocrine disease (e.g. Thyroiditis, Cushing's disease, Addison's disease)
3. Haematological disease (e.g. Malignancy, Lymphoma)
4. Rheumatologic disease (e.g. Fibromyalgia, Polymyalgia rheumatic
2. Neuroendocrine disease (e.g. Thyroiditis, Cushing's disease, Addison's disease)
3. Haematological disease (e.g. Malignancy, Lymphoma)
4. Rheumatologic disease (e.g. Fibromyalgia, Polymyalgia rheumatic
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What are "yellow flags"?
Psychosocial risk factors for developing persisting chronic pain and long-term disability:
* Belief that pain and activity are harmful
* Sickness behaviours such extended rest
*Social withdrawal
* Emotional problems such as low mood, anxiety or stress
*
* Belief that pain and activity are harmful
* Sickness behaviours such extended rest
*Social withdrawal
* Emotional problems such as low mood, anxiety or stress
*
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Assessing the History of presenting complaint, what does the acronym "STREP throat" stand for?
S = Start --> How did it begin? Onset (sudden/gradual)?
T = Timing --> When did it begin? How long having symptom(s)? Particular time it is worse (nocturnal/all the time/mornings)?
R = Recognition --> What was the first thing you noticed?
E = Exacerbat
T = Timing --> When did it begin? How long having symptom(s)? Particular time it is worse (nocturnal/all the time/mornings)?
R = Recognition --> What was the first thing you noticed?
E = Exacerbat
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Pain symptoms. What does the acronym "SOCRATES" stand for?
S = Site --> Where is the pain? Can you point it with one finger?
O = Onset --> Gradual/sudden?
C = Character --> Sharp/dull, burning/tingling, stabbing, crushing/tugging [Use patient's own words]
R = Radiation --> Pain moving to another area?
A = As
O = Onset --> Gradual/sudden?
C = Character --> Sharp/dull, burning/tingling, stabbing, crushing/tugging [Use patient's own words]
R = Radiation --> Pain moving to another area?
A = As
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What is BPPV?
Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you're spinning or that the inside of your head is spinning. BPPV causes brief episodes of mild to intense dizziness. It is usually trigger
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Mrs Branning is a 39 year old lady, who is complaining of dizziness. She reported it started a few weeks ago. She stated that she feels particularly dizzy when turning around in bed and when shifting from lying to a standing position. What is the likely D
Benign paroxysmal positional vertigo (BPPV)
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Mrs Branning is a 39 year old lady, who is complaining of dizziness. She reported it started a few weeks ago. She stated that she feels particularly dizzy when turning around in bed and when shifting from lying to a standing position. What are some likely
1. Meniere's disease
2. Vestibular neuronitis/labyrinthitis
3. Acoustic neuroma (Schwanomma)
4. Trauma
5. Anaemia
2. Vestibular neuronitis/labyrinthitis
3. Acoustic neuroma (Schwanomma)
4. Trauma
5. Anaemia
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What is Meniere's disease?
Meniere's disease is a disorder of the inner ear that can lead to dizzy spells (vertigo) and hearing loss. In most cases, Meniere's disease affects only one ear.
Note --> Some patients also experience a feeling of fullness in the affected ear. Most episod
Note --> Some patients also experience a feeling of fullness in the affected ear. Most episod
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What is Vestibular neuritis/labyrinthitis?
Labyrinthitis is an inner ear infection which affects your balance. It's sometimes called vestibular neuritis. It usually gets better by itself within a few weeks. Labyrinthitis and vestibular neuritis are caused by inflammation of your inner ear, usually
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What is Acoustic neuroma (Schwanomma)?
A vestibular schwannoma (also known as acoustic neuroma, acoustic neurinoma, or acoustic neurilemoma) is a benign, usually slow-growing tumour that develops from the balance and hearing nerves supplying the inner ear.
Any symptoms tend to develop gradual
Any symptoms tend to develop gradual
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Mrs Pritchard, a 72 year old lady who is complaining of dizziness. The dizziness mainly occurs when she stands up too quickly from a sitting position. She has high blood pressure, which was diagnosed many years ago. Her GP recently (1 month ago) changed
Postural hypotension
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Mrs Pritchard, a 72 year old lady who is complaining of dizziness. The dizziness mainly occurs when she stands up too quickly from a sitting position. She has high blood pressure, which was diagnosed many years ago. Her GP recently (1 month ago) changed
1. Meniere's disease
2. Vestibular neuritis/labyrinthitis
3. Acoustic neuroma (Schwanomma)
4. Trauma
5. Anaemia
6. BPPV
2. Vestibular neuritis/labyrinthitis
3. Acoustic neuroma (Schwanomma)
4. Trauma
5. Anaemia
6. BPPV
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What is prochlorperazine and what is it indicated for?
Prochlorperazine is an anti-sickness medicine. It can help stop you feeling or being sick (nausea or vomiting).
Note --> You can take prochlorperazine to treat: morning sickness. feelings of dizziness (vertigo)
Note --> You can take prochlorperazine to treat: morning sickness. feelings of dizziness (vertigo)
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Other cards in this set
Card 2
Front
Mr. Fischer is a 69 year old man who has come to the hospital complaining of coughing which stated 3 months ago (no sputum), but blood appeared last week. He noticed unintentional weight loss of 6kg in the past 2 months. He is a cigarette smoking for the
Back
1. TB
2. PE
2. PE
Card 3
Front
Suspected PE - We use the acronym PDASOFT/ICE to get more information. What does that stand for?
Back
Card 4
Front
Mrs Louise Hartley is 36 years old who has come to the hospital complaining of suddenly coughing up blood for the past day. She has mild chest pain that gets worse when she takes a deep breath, which began around the same time as the cough. No other signi
Back
Card 5
Front
Mrs Louise Hartley is 36 years old who has come to the hospital complaining of suddenly coughing up blood for the past day. She has mild chest pain that gets worse when she takes a deep breath, which began around the same time as the cough. No other signi
Back
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