Non-Specific Patient Presentations

Question 1

Fatigue

Answer 1

normal unless persistent

psych or physical- depression, anxiety, substance abuse

Question 2

Chronic Fatigue

Answer 2

from Epstein Barr Virus

Question 3

Unintentional Weight Loss

Answer 3

from depression, anorexia nervosa, bulimia

disease of organ system- cancer

Question 4

Low Grade Fever

Answer 4

<101

Question 5

Moderate Fever

Answer 5

=102

Question 6

High Grade Fever

Answer 6

> 103

Question 7

Fever in Newborns

Answer 7

99

Question 8

Inflammatory Cytokines released during fevers

Answer 8

IL-1

TNF-a

Question 9

Regulate temperature

Answer 9

hypothalamic nuclei

Question 10

Fever of Unknown Origin

Answer 10

at least 3 weeks
>101
failure to diagnose after 3 outpatient visits or 3 days hospitalized

Question 11

Likely Causes of FUO

Answer 11

Infection
Neoplasms
Autoimmune
Misc
Idiopathic

Question 12

Headache Alarms

Answer 12

Visual Loss- GCA
Disequilibrium- Claudication
Confusion/ lethargy
new onset seizure

Question 13

Migraines

Answer 13

mostly young women (20-30)
unilateral, alternates sides
lasts 4-72 hours
aura; light and work aversion

Question 14

Tension Headache

Answer 14

all ages and both genders
late in day
30min - 1 week
band- like distribution

Question 15

Cluster Headache

Answer 15

wake people up
present w/ red eyes and nasal stuffiness
may cause Horner’s Syndrome

Question 16

Preganglionic or postganglionic lesion in sympathetic nervous system b/t hypothalamus and eye

Answer 16

larger than normal pupil

Question 17

Giant Cell Arteritis

Answer 17

age 60+
arteries are inflamed
can cause blindness

Question 18

Therapy for GCA

Answer 18

prednisone

Question 19

Brain Tumors

Answer 19

cause HA and interrupt sleep
nausea and visual changes that get more severe
worse in morning
likely produces other physical and neurological issues

Question 20

Stroke Observation

Answer 20

F- face paralyzed?
A- can arms be held parallel to ground?
S- speech slurred?
T- Time to hospital ASAP