Clinical Reasoning — Flashcards

Flashcard 441: What is the likely diagnosis in a patient with weight loss, tachycardia, anti-thyroid peroxidase (TPO) antibodies, and the physical exam findings below? Thyroid gland: normal size, non-tender TSH: low Free T4: high Radioactive iodine uptake: < 5% _____

Answer: Painless (silent) thyroiditis

Flashcard 442: Superficial skin infection characterized by vesicles and pustules that rupture to form _____ crusts is impetigo.

Answer: honey-colored

Extra: Impetigo is a contagious superficial skin infection most commonly caused by S. aureus or S. pyogenes. It is characterized by the classic "honey-colored" crusts. Treatment is typically topical mupirocin for localized lesions.

Flashcard 443: _____ phenomenon is characterized by episodic vertigo triggered by loud noises, occurring in the setting of a perilymphatic fistula

Answer: Tullio

Flashcard 444: Diagnosis of a crescent-shaped intracranial collection on CT scan: _____

Answer: Chronic subdural hematoma

Extra: Chronic subdural hematoma typically presents in elderly or alcoholic patients after minor trauma due to tearing of bridging veins.

Flashcard 445: Persistent nonproductive cough and consolidation in the right middle lobe is suggestive of _____

Answer: right middle lobe syndrome

Flashcard 446: Can intestinal atresia be diagnosed with abdominal x-ray? _____

Answer: Yes

Flashcard 447: What is the most sensitive initial test for malabsorption syndromes? _____

Answer: Stool fat assay

Flashcard 448: On chest x-ray, a classic "3" sign created by indentation of the aorta is suggestive of what pathology? _____

Answer: Coarctation of the aorta

Flashcard 449: Cystic and sclerotic changes (moth-eaten appearance) on X-ray suggest a diagnosis of _____.

Answer: osteonecrosis

Flashcard 450: Assessment of cardiac risk and able to exercise = _____ Assessment of cardiac risk + not able to exercise = _____

Answer: exercise stress test