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21 Cards in this Set
- Front
- Back
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Pica occlusion --> brainstem indarction, features? (Lateral medullary syndrome) |
Dysphagia, dysarthria, Vertigo**, N.V., Nysragmus, ipsilateral ataxia, Ipsilateral horner Ipsilateral loss of pain and T on face + horner Contralateral loss of pain and T on limbs ((No limb weakness)) |
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Medial medullary syndrome features? (Anterior spinal artery occlusion) |
Ipsilateral tongue paralysis Contralateral limb weakness |
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Causes of TG neuralgia? |
Unknown Pressing on nerve by dilated small vessels Multiple sclerosis Neurosyphlis Tumors of posterior fossa
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Treatment for TG neuralgia? |
(Patient education, reassurance and empathatic support) Carpamazepine
Sx if medical treatment failed |
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Acute back pain and sciatica, cause |
Intervertebral disc prolapse |
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D dx of U incontinence include? |
UTI Diabetes Menopause STD |
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Back pain hx questions? |
Ask about: Fever (abcess)
Morning stiffness (ankylosis spondylitis)
Numbness, tingling or weakness in legs, lost control over passing urine? lost control over your bowels motion? Numbness in private area, difficulty having an erection (Cauda equina syndrome)
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In the Differential dx of delirium? |
Stroke! Head tumor! (Ask Qs about those and about causes of delirium: infection, endocrine..) |
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Important goal in scrotal examination? |
Confirm if the swelling is confined to the scrotum (you can get above it) |
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Hx of uterovaginal prolapse? |
Ask about urinary incontinence, ask about menopausal symptoms |
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Tx of uterovaginal prolapse? |
Insert pessary, if did not work --> surgery |
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Treatment of UTI? |
Trimethoprim (If pregnant --> cephalaxin) |
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2nd Dysmenorrhea ddx |
Endometriosis PID |
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Postmenopausal bleeding hx |
Pill/HRT s Previous pregnanciesPain with intercoursePap smear Pain with intercourse Pap smear |
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Tamoxifen increase the risk of which Ca? |
Endometrial Ca |
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D dx of UTI? |
STD |
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If endometrial thickness is > 4 mm? |
referral to Gynecologist to do diagnostic procedure (hystroscopy and D&C) |
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Io |
Lo |
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Meningitis mx |
O2, iv access Give bolus of fluid Take blood culture
Admit to hospital for LP Give antibiotics (ceftriaxone) + dexamethasone <if neonate up to 3 months, give cefotaxime+ ampicillin> |
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Hx of anorexia nervosa? |
R/O organic causes of wt loss (diarrhea, nausea, medications, cancer) |
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Oo |
Oo |
