Clinical Reasoning — Flashcards

Flashcard 231: If hypercalcemia is found on labs, the next step is to _____

Answer: check ionized calcium (or correct for albumin)

Flashcard 232: Pathologic jaundice = _____

Answer: Coombs

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 233: LOC and post-ictal state (sleepiness, confusion) is suggestive of _____

Answer: generalized seizure

Extra:  https://onlinemeded.org/spa/neurology/seizure/acquire?ref=anki 

Flashcard 234: What is the preferred diagnostic test for fibromuscular dysplasia? _____

Answer: Non-invasive imaging (e.g. CT angiography, duplex ultrasound)

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 235: Acute pancreatitis typical imaging = _____ Acute pancreatitis imaging (if unclear labs) = _____

Answer: ultrasound

Extra:  https://onlinemeded.org/spa/gastroenterology/pancreatitis/acquire?ref=anki 

Flashcard 236: _____ for nephrolithiasis if non-pregnant

Answer: Non-contrast CT scan

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 237: Right adnexal tenderness, fever, peritoneal signs and normal adnexa on U/S = _____

Answer: acute appendicitis

Extra: https://onlinemeded.org/spa/obgyn?ref=anki

Flashcard 238: How is sx gallstones diagnosed? _____

Answer: U/S

Extra:  https://onlinemeded.org/spa/gastroenterology/gallbladder/acquire?ref=anki 

Flashcard 239: **Rapidly increasing head circumference and bulging fontanelles** are symptoms of _____ and should be followed with _____

Answer: hydrocephalus

Extra: In infants with an open fontanelle, **head ultrasound** is an appropriate initial screening tool; however, **CT or MRI** is needed to definitively show ventricular dilation and identify the cause.

Flashcard 240: What is the best diagnostic test for nephrolithiasis? _____

Answer: Non-contrast helical CT

Extra:  https://onlinemeded.org/spa/nephrology/kidney-stones/acquire?ref=anki