Clinical Reasoning — Flashcards

Flashcard 281: When elevated intracranial pressure is suspected, _____ should precede _____ because of the risk of cerebral herniation

Answer: neuroimaging

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Flashcard 282: _____ is used to diagnose aortic rupture

Answer: CT angiography

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Flashcard 283: V/Q scan to help diagnose PE requires normal _____ to begin with

Answer: ventilation

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Flashcard 284: Physical exam: **decreased** tactile fremitus, **dullness** to percussion, and **decreased** breath sounds. Diagnosis? _____

Answer: Pleural effusion

Extra: Physical exam findings for **Pleural Effusion**: - Tactile Fremitus: **Decreased** - Percussion: **Dull** - Breath Sounds: **Decreased** *Note: In contrast, pneumonia (consolidation) presents with increased tactile fremitus.*

Flashcard 285: Low pelvic pain, urinary freq/urgency. A(n) _____ should be performed to look for a(n) _____

Answer: urinalysis

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Flashcard 286: What is the likely diagnosis in an immunocompromised patient with fever, pleuritic chest pain, hemoptysis and pulmonary nodules with ground-glass opacities (halo sign) on CT? _____

Answer: Invasive aspergillosis

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Flashcard 287: What does a thick-walled rigid (porcelain) GB indicate in US? _____

Answer: Chronic inflammation

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Flashcard 288: What is the likely diagnosis in a patient that developed sudden-onset abdominal pain, nausea, and vomiting after returning from a hike and eating leftover Chinese food? _____

Answer: Bacillus cereus food poisoning

Extra:  https://onlinemeded.org/spa/gastroenterology/acute-diarrhea/acquire?ref=anki 

Flashcard 289: What is the likely diagnosis for firm, dome-shaped, flesh-colored papules with central umbilication?\n\n_____

Answer: Molluscum contagiosum

Flashcard 290: What imaging study is used to confirm the diagnosis of a colovesical fistula? _____

Answer: Abdominal CT with oral or rectal contrast (not IV)

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