Clinical Reasoning — Flashcards

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? _____

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

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? _____

Colicky abdominal pain, distension, obstipation + X-ray showing dilated small bowel loops with air-fluid levels and a transition point: _____

Hint: What is the diagnosis?

What is the likely diagnosis in a patient that presents with flu-like symptoms without a rash after being bitten by a tick two weeks ago? Laboratory exam reveals leukopenia, thrombocytopenia, and elevated LFTs. _____

CSF analysis in _____ syndrome will reveal albuminocytologic dissociation

What is the likely location of hemorrhage in a hypertensive patient that presents with occipital headache, neck stiffness, nausea/vomiting, and ipsilateral hemiataxia without hemiparesis? _____

Headache, systemic symptoms (fever/leukocytosis), history of sinusitis and cranial nerve symptoms (e.g. diplopia) is suggestive of _____

Hint: syndrome

What is the recommended diagnostic test for patients with chest pain that have intermediate-risk for CAD and a normal ECG test? _____

Inflammation of the small airways/bronchioles caused usually by RSV is suggestive of _____

Hint: diagnosis