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Flashcards in Diff Dx - General Deck (4)
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1

Abdominal Aortic Aneurysm

Risk Factors:
-smoking
-CAD
-recent infection
-age
-heredity
Signs and Symptoms
-Aneurysm:
-back pain, left lower quadrant, flank pain
-syncope
-LE motor/sensory loss
-awareness of pulse in abdomen
-ruptured aneurysm:
-acute, stabbing pain
-cold, pulseless legs
-drop in BP with sudden tachycardia
-lightheaded, nausea


2

Constitutional Signs and Symptoms

Fever
Diaphoresis
Nausea, vomiting, diarrhea
Fatigue, malaise
Dizziness, Syncope
Unexplained weight loss

3

What to screen for ANY PATIENT that walks through the door?

Constitutional signs and symptoms
Positive medical history
-personal or family
-recent infection, recurrent cold/flu
-recent h/o trauma
-h/o immunosuppresion
Vital Signs
Clinical presentation

4

Clinical Presentations where something "doesn't look right"

-insidious onset with no known cause
-fluctuating symptoms
-unrelieved by rest or change of position
-unable to alter symptoms during exam
-no discernable pattern of symptoms
-bilateral symptoms
-bilateral carpal tunnel
-night pain
-pain constant and intense
-pain that is poorly localized
-colicky pain
-symptoms unrelieved by tx