Clinical Reasoning — Flashcards

Flashcard 281: V/Q scan to help diagnose PE requires normal _____ to begin with

Answer: ventilation

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Flashcard 282: 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 283: When elevated intracranial pressure is suspected, _____ should precede _____ because of the risk of cerebral herniation

Answer: neuroimaging

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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: What is the preferred imaging modality for diagnosis of acute appendicitis during pregnancy? _____

Answer: Ultrasound (graded compression technique)

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Flashcard 286: What does a thick-walled rigid (porcelain) GB indicate in US? _____

Answer: Chronic inflammation

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

Flashcard 287: Low pelvic pain, urinary freq/urgency. A(n) _____ should be performed to look for a(n) _____

Answer: urinalysis

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Flashcard 288: What is the next step in evaluation of acute kidney injury in an elderly patient with BPH who presents with rising creatinine and urinary urgency without hematuria, weight loss, or elevated PSA? _____

Answer: Renal ultrasound

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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 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