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Flashcards in Symptoms Deck (49):
1

Fatigue that is loner than ____ months and fluctuates in severity is usually functional and the patient may have identifiable stressors

6 months

2

Fatigue associated w/ psychiatric causes is frequently worse when? and alleviated by what?

worse in the morning and may be alleviated by activity

3

Who is physiologic fatigue common in

mothers of newborns
shift workers
athletes who overtrain

4

when is fatigue worsened w/ organic dz?

with activity

5

Darkening of the skin + fatigue points to what?

Addison's

6

pale appearance + fatigue points to what?

anemia

7

Diagnosis with persistent or relapsing fatigue not previously present

chronic fatigue syndrome

8

Lab tests for fatigue with no obviously PE finding

CBC, ESR< comprehensive metabolic profile, UA< thyroid, pregnancy testing, HIV (if suspected)
creatinine kinase (if muscle weakness)

9

A nonanemic patient with low serum ferritin can receive what to help relieve symptoms of fatigue?

Iron

10

what is considered a fever?

temp above 38.3ºC (101 F)

11

when are fevers typically the highest?

evening

12

when are fevers typically the lowest?

morning

13

antipyretic meds supress what?

prostaglandin formation

14

why do many patients with fever experience myalgia

hypothalamus increases muscle tone to generate heat and raise body temperature

15

what fevers can produce convulsions

104-106 F

16

what conditions can cause reucrrent or intermittent fever?

malaria
hepatitis B
leptospirosis
brucellosis
disseminated fungal infections

17

a cyclic pattern of high fevers for 1-2 weeks alternating with afebrile periods are pathognomonic for what?

PelEbstein fever ogf Hodgkin's disease

18

Fevers persisting for 3 weeks, exceeding temp of 101 F and eluding 1 week of intensive diagnostic study

fever of unknown origin (FUO)

19

Fever plus petechial eruptions on teh skin can suggest what?

meningococcemia or Rockyu Mountain supotted fever

20

Petechiae at the juntion of the hard and soft palate and fever occur w/ what

mononucleosis

21

Splinter hemorrhages and conjunctival petechiae suggest what?

endocarditis

22

what is an important sign of Lyme disease?

erythema chronicum migrans

23

common causes of increased metabolic rate

chronic infection
hyperthyroidism
excessive exercise
malignancy

24

what is unintended weight loss

>5% in 1 month
>10% in 6 months

25

what test measures the absorptive capacity of the proximal small intestine [19] and is used to determine whether defects in the intestinal epithelium are responsible for malabsorption.

D-xylose test

26

what is the leading cause of unexplained weight loss

major depression (especially in elderly)

27

what is the prototypical occult neoplasm associated w/ dramatic weight loss?

carcinoma of the pancreas

28

sudden, transient loss of consciousness and postural tone followed by spontaneous recovery

syncope

29

sensation of impending syncope w/o loss of consciousness

presyncope

30

what type of syncope is always sudden in onset w/ little prodrome

cardiac

31

most common cause of syncope. have a prodrome of weakness, light-headedness, diaphoresis and nausea

vasovagal

32

reflux (neurally-mediated) syncope that occurs during or immediately after provocative stimuli such as coughing, swallowing, warm places, pain, urinating

situational syncope

33

what is orthostatic hypotension

decrease in systolic BP of >20 mmHg and in diastolic BP >10 within three minutes of standing

34

type of vertigo due to abnormalitites in the vestibular end organs

peripheral vertigo

35

vertigo due to the abnormalitites in the central nervous system

central

36

most common type of peripheral vertigo

BPPV

37

what type vertigo is usually sudden w/ onset and severity and only lasts for a few minutes

peripheral

38

what type vertigo is more gradual in onset with mild intesntiy but can be chronic

central vertigo

39

type of vertigo that starts w/ movement

peripheral

40

what test is used to illict BPPV

Dix-Hallpike

41

what is a positive test w/ the Dix Halpike test?

patient will report vertigo and exhibition a mixed torsional and vertical nystamgus w/ upper pole of eye beating toward the affected ear

42

what manuever is done to treat BPPV

Epley manuver

43

what type ulcer is formed because of high acid

duodenal

44

when does pain occur w/ a duodenal ulcer?

2-3 hours after a meal

45

what relieves pain w/ a duodenal ulcer?

food

46

what may aggreavate a gastric ulcer

food

47

main way to see peptic ulcers

radiographic studies- barium swallow and endoscopy

48

How can GERD be documented

esophageal mamometry and pH monitoring

49

tx for H pyloria

pepto bismol, PPI and tetracycline for 2 weeks