Quiz #2 Flashcards Preview

Advanced Clinical Reasoning > Quiz #2 > Flashcards

Flashcards in Quiz #2 Deck (18)
Loading flashcards...
1

DDX for fatigue

Cancer
Anemia
Depression
Endocrine
Malabsorption/Nutritional Def.
HIV
Sleep Apnea

2

3 Most common causes of fatigue

Depression
Thyroid
Anixety

3

Anemia PE Findings

Conjunctiva pallor
Nail beds pallor
SOB; tachycardia
Delayed cap refill
Petechiae
Jaundice

4

Labs to order for fatigue

CMP
CBC with iron panel
Thyroid panel
Lipid panel
UA
Glucose
Hemoccult

5

Risk factors for DM

Age > 45 y/o
1st degree relative with DM
HTN
Dyslipidemia
Gestational DM
Obesity
Sedentary lifestyle

6

Diagnosis Criteria for DM

1. two fasting glucose > 126
2. one glucose level > 200 w/ sx
3. A1c > 6.5%
4. positive 2 hr oral glucose tolerance test

7

Signs/Symptoms of hypothyroidism

Constipation
Weight gain
Fatigue
Hair loss
Constipation
Menstrual irregularities
Cold intolerance

8

PE Exam Findings for hypothyroidism

Weight gain
Hair loss
Decreased/slow relaxation phase on DTRs
Dryness in skin

9

Labs for hypothyroidism

CBC
CMP
Thyroid panel
Iron study (after thyroid result)
Blood glucose
Lipid panel

10

Signs/Symptoms of hyperthyroidism

Weight loss
heat intolerance
Anxiety
Palpitations
Tachycardia
Hyperdefecation
Menstrual irregularities

11

PE Findings of hyperthyroidism

Exophthalmos
Pretibial myxedema
Tachycardia
Dry skin
Lid retraction
Thyroid may be diffuse, firm
Hyperactive bowel sounds
Tremor

12

Tx for hyperthyroidism

Methimazole
PTU
Radioactive Iodine Ablation
Beta Blocker

13

Risk Factors for Thyroid Cancer

Head/Neck Radiation
Family hx of thyroid CA
Rapid growth
Hoarseness, vocal cord paralysis
Dysphagia
Calcifications (salted appearance)
Cervical lymphadenopathy

14

Types of Thyroid Cancer

1. Papillary
2. Follicular
3. Medullary
4. Anaplastic

15

Thyroid Nodule Workup

1. Check TSH
If TSH high/normal, ultrasound
If TSH low, thyroid radioactive iodine uptake scan
2. If uptake cold, biopsy
3. If uptake warm, do not need biopsy unless characteristics of cancer
4. If ultrasound shows > 1-1.5 cm, biopsy
5. If > 0.5 with characteristics of cancer, biopsy

16

Common causes of anemia

Menses
GI bleed
Pregnancy
PCOS
Drugs

17

Signs/Symptoms of anemia

Dyspnea on exertion
Fatigue
palpitations
Chest pain/syncope if severe enough

18

Iron deficiency lab results

Low serum iron, high TIBC, low ferritin, high platelet count