Clinical Reasoning — Flashcards

Herniation-like lightning pain and older male is suggestive of _____

Hint: diagnosis

What hip movement worsens the pain associated with a psoas abscess? _____

Hint: flexion or extension

What is the likely diagnosis for a patient with an acute, massive increase in AST/ALT in the setting of hypotension? _____

Unconjugated bilirubin with high reticulocyte count = _____

Hint: cause

How do you confirm dx of esophageal cancer following barium swallow? _____

Patient with coma, absence of brainstem reflexes, and positive apnea test is suggestive of _____

Hint: diagnosis

Pleural effusion and atelectasis result in _____ breath sounds, _____ tactile fremitus, and _____ to percussion

Hint: decreased/increased

New onset enuresis is managed with _____ before treatment is started

Hint: next step

Lung abscesses may present with _____ on CXR, which suggests cavitation.

What is the likely diagnosis in a middle-aged patient with a history of steroid use that presents with progressive groin, thigh, or buttock pain for the past six weeks? The pain is worst with abduction and internal rotation. _____