CS Cases Flashcards
(70 cards)
1
Q
Ddx throbbing HA with weakness on R side and family history of migraines
A
hemiplegic migraine tension HA cluster HA TIA partial seizures pseudotumor cerebri Intracrainal neoplasm
2
Q
workup throbbing HA
A
MRI-brain
CT-head
CBC
ESR
3
Q
Ddx R temporal HA with ipsilateral rhinorrhea, eye tearing, and redness
A
cluster HA migraine trigeminal neuralgia intracranial neoplasm tension HA
4
Q
Ddx R temporal HA with fever, tenderness, jaw pain
A
temporal arteritis vasculitis migraine cerebral abscess cluster HA
5
Q
Workup R temporal HA with jaw pain
A
temporal artery biopsy ESR CRP CBC Doppler U/S carotid MRI-brain
6
Q
Ddx frontal HA with nasal dc, HA worsens with leaning forward
A
acute sinusitis migraine tension HA cerebral abscess meningitis
7
Q
Workup HA with nasal dc
A
CBC
XR-sinus
CT-sinus
8
Q
Ddx recurring HA, worse at the end of the day
A
tension HA migraine caffeine or analgesic withdrawal depression intracranial neoplasm
9
Q
Workup recurring HA
A
CBC electrolytes ESR MRI-brain LP-CSF analysis
10
Q
Ddx sudden onset HA with vomiting and left hemiplegia
A
subarachnoid hemorrhage meningitis intracerebral hemorrhage vertebral artery dissection migraine
11
Q
Workup sudden onset HA with vomiting and left hemiplegia
A
CT head w/o contrast LP CBC MRI CTA
12
Q
Ddx HA with fever, confusion, photophobia, nuchal rigidity
A
meningitis
subarachnoid hemorrhage
encephalitis
migraine
13
Q
Workup HA with fever, confusion
A
LP-CSF analysis Blood culture CBC CT-head MRI-brain
14
Q
Ddx HA in obese female, OCPs
A
pseudotumor cerebri
migraine
tension HA
intracranial neoplasm
15
Q
Workup HA obese female
A
UPT
LP
MRI-brain
visual field testing
16
Q
Ddx electric sensation to cheek lasting 1-2 minutes
A
trigeminal neuralgia tension HA migrane cluster HA TMJ temporal arteritis
17
Q
Workup electric sensation
A
MRI-brain
CBC
ESR
18
Q
progressive history of forgetfulness and HTN
A
vascular dementia Alzheimer NPH B12 deficiency hypothyroidism
19
Q
workup progressive forgetfulness and HTN
A
CBC TSH MRI-brain CT-head LP-CSF analysis
20
Q
history of forgetfulness and difficulty performing daily activities
A
AD
Vascular dementia
Depression
hypothyroidism
21
Q
gait disturbance, memory loss, urinary incontinence
A
NPH
AD
Vascular dementia
22
Q
change in mental status, myoclonus, ataxia, startle response
A
CJD
Vascular dementia
Wernicke encephalopathy
23
Q
insulin dependent diabetic with episodes
A
hypoglycemia TIA arrhythmia delirium medication induced
24
Q
slipped and now has AMS and HA
A
subdural hematoma
SIADH
CNS infection
25
loss of vision left eye, no eye pain, discharge, redness, or photophobia
RAO
RVO
acute angle-closure glaucoma
26
workup loss of vision
```
fluorescein angiogram
echo
doppler U/s
ESR/CRP
temporal artery biopsy
```
27
excessive sleep, crying spells, after loss of wife 2 months ago
normal bereavement
| adjustment disorder with depressed mood
28
workup depression
TSH
Urine toxicology
PHQ-9
29
4 week history fatigue, made two previous suicide attempts
MDD
substance induced mood disorder
persistent depressive disorder
30
workup bipolar
mood disorder questionnaire
urine toxicology
TSH
31
workup schizophrenia
urine toxicology
mental status exam
TSH
32
bugs crawling on bed and hearing voices
| substance ingestion
substance induced psychosis
| brief psychotic disorder
33
workup substance induced psychosis
urine toxicology
mental status exam
TSH
34
intermittent vertigo, tinnitus, nausea, and hearing loss
Meniere disease
BPPV
labyrinthitis
vestibular neuronitis
35
workup vertigo and tinnitus
Dix-Hallpike maneuver
audiometry
VDLR/RPR
MRI-brain
36
dizziness on standing, furosemide for HTN
orthostatic hypotension
cardiac arrhythmias
BPPV
37
workup orthostatic hypotension
orthostatic vital signs
rectal exam
ECG
occult blood and leukocytes stool
38
dizziness on moving head to left, room is spinning, nystagmus on Dix-Hallpike
BPPV
Meniere
vestibular neuronitis
labyrinthitis
39
workup BPPV
audiometry
electronystagmograph
MRI-brain
40
URI 2 days ago, now dizziness
vestibular neuronitis
41
workup vestibular neuronitis
audiogram
CT-head
MRI-brain
42
URI 2 days ago and dizziness and not hearing well
labyrinthitis
43
workup
audiogram
| electronystagmogram
44
rhythmic jerking, lost control of bladder, confused
generalized tonic-clonic seizure
substance abuse
malingering
hypoglycemia
45
workup seizure
```
CBC
electrolytes, glucose
urine toxicology
EEG
MRI-brain
LP-CSF
```
46
dizzy and unsteady, transient loss of consciousness, HTN and DM
drug induced orthostatic hypotension
hypoglycemia
syncope
47
falling and losing consciousness, palpitations, CABG
cardiac arrhythmias
aortic stenosis
syncope
48
workup arrhyhtmias
ECG
Holter monitoring
echo
CT-head
49
20 minute R sided arm and face numbness, history of HTN, migraine, DM, smoking
TIA
stroke
migraine with sensory aura
50
workup tia
CT-head
MRI-brain with DWI
doppler U/S carotid
echo
51
slurred speech, right facial drooping and numbness
stroke
TIA
seizure with Todd paralysis
52
ascending loss of strength and numbness in legs after recent URI
```
GBS
MS
transverse myelitis
spinal cord compression
peripheral neuropathy
```
53
workup GBS
CBC
MRI-spine
EMG
nerve conduction studies
54
weakness and tingling of leg, R eye pain with reduced vision, electric shocks down spine upon flexing her neck
MS
stroke
CNS vasculitis
55
tingling and numbness in hands and feet
| history of DM
peripheral neuropathy
alcoholic peripheral neuropathy
B12 deficiency
56
workup diabetic peripheral neuropathy
HbA1c
ESR
B12
57
double vision and droopy eyes at night
| hypothyroidism
Myasthenia graves
MS
Horner syndrome
botulism
58
workup myasthenia
```
ice pack test
tensilon test
Anti-Ach receptor Ab
EMG
CXR
```
59
hemiparesis after tonic-clonic seizure
Todd paralysis
TIA
stroke
60
tingling middle finger, relieved by rest
| 20lb weight gain
carpal tunnel syndrome
overuse injury of median nerve
cervical disc disease
medial epicondylitis
61
fatigue, hopelessness, and worthlessness
| fights with husband about money
depression
adjustment disorder
hypotyhroidism
anemia
62
fatigue, insomnia, and nightmares about a murder that he witnessed
avoided mall
PTSD
depression
GAD
63
fatigue, weight loss and constipation
| family history of colon cancer
colon cancer
hypothyroidism
renal failure
depression
64
fatigue and daytime sleepiness, snores heavily and naps 3-4x/day
HTN
OSA
hypothyroidism
chronic fatigue syndrome
narcolepsy
65
fatigue, thirst, increased appetite, polyuria
DM
atypical depression
primary polydipsia
diabetes insipidus
66
workup DM
HbA1c
GTT
UA
67
tired during the day, changed to night shift last week
shift work sleep disorder
sleep apnea
depression
anemia
68
night sweats, cough, swollen glands after emigrating from Africa
```
TB
acute HIV infection
lymphoma
leukemia
hyperthyroidism
```
69
workup TB
```
PDD
CBC
CXR
sputum gram stain
HIV antibody/RNA levels
```
70
sweating, weight loss, palpitations, diarrhea
hyperthyroidism
pheochromocytoma
carcinoid syndrome
TB
