ISM:gkFinitegkM Chaptergk12:gkDifferencegkEquationsgkandgkMathematicalgkM
n ath odels
Anj14njyearnjoldnjmalenjpresentsnjtonjthenjEDnjwithnjhisnjmothernjfornjevaluationnjofnjannjareanjofnjbloodnjinnjthe
ftnjeye.njHenjstatesnjtherenjhasnjbeennjnonjrecentnjtraumanjornjinjurynjbutnjhasnjbeennjcoughingnjforcefullynjwit
anjrecentnjcold.njHenjhasnjnonjvisualnjdisturbances,njnonjeyenjpain,njornjdischargenjfromnjthenjeye.njOnnjphysic
njexamination,njthenjpupilsnjarenjequal,njround,njandnjreactivenjtonjlight,njwithnjanjvisualnjacuitynjofnj20/20njinnje
hnjeyenjandnj20/20njbilaterally.njTherenjisnjanjhomogeneous,njsharplynjdemarcatednjareanjatnjthenjlateralnjasp
tnjofnjthenjbasenjofnjthenjleftnjeye.njThenjcorneanjisnjclear.njBasednjonnjthisnjdescription,njwhatnjisnjthenjmostnjlik
ynjdiagnosis?
Conjunctivitis
Acutenjiritis
Cornealnjabrasion
Subconjunctivalnjhemorrhagenj-njanswer--Subconjunctivalnjhemorrhage
Younjconductednjanjwhispernjtestnjandnjconcludenjthenjpatientnjhasnjhearingnjloss.njYounjthennjexaminenjthen
atientnjwithnjanjtuningnjfork,njusingnjthenjWebernjandnjRinnenjmaneuvers.njThenjabnormalnjresultsnjarenjasnjfo
ws:njbonenjconductionnjisnjgreaternjthannjairnjonnjthenjleft,njandnjthenjpatientnjhearsnjthenjsoundnjofnjthenjtuning
orknjbetternjonnjthenjleft.njWhichnjofnjthenjfollowingnjisnjmostnjlikely?
Otosclerosisnjofnjthenjleftnjear
Exposurenjtonjchronicnjloudnjnoisenjofnjthenjrightnjear
Otitisnjmedianjofnjthenjrightnjear
Perforationnjofnjthenjrightnjeardrumnj-njanswer--Otosclerosisnjofnjthenjleftnjear
Anj27njy.o.njfemalenjhasnjhadnjheadaches,njmusclenjaches,njandnjfatiguenjfornjthenjlastnj2njmonths.njShenjwas
eennjlastnjweeknjbynjanothernjprovidernjinnjyournjclinicnjwhonjorderednjanjcompletenjlaboratorynjworkup.njAllnjo
thenjlabnjtestsnjwerenjnormal.njShenjisnjseeingnjyounjtodaynjtonjfollow-
up.njAlthoughnjthenjpreviousnjprovidernjdocumentednjthatnjanjcompletenjhistorynjandnjphysicalnjexamnjwasnjp
formednjlastnjweek,njyounjwouldnjbenjsurenjtonjincludenjthenjfollowingnjduringnjyournjvisitnjtoday:nj
Anjreferralnjtonjanjneurologistnjtonjevaluatenjthenjheadaches
Anjreferralnjtonjanjrheumatologistnjtonjevaluatenjthenjmusclenjaches
Anjreassurancenjtonjthenjpatientnjthatnjallnjlabnjworknjisnjnormalnjandnjnonjadditionalnjtestsnjarenjrequired.
Anjscreeningnjfornjdepressionnj-njanswer--Anjscreeningnjfornjdepression
Certainnjsymptomsnjarenjconsiderednj"rednjflag"njregardingnjfornjpatientsnjpresentingnjwithnjheadache.njOfnjt
njfollowingnjdescriptions,njwhichnjwouldnjbenjthenjonenjmostnjlikelynjassociatednjwithnjanjmorenjseriousnjetiolo
?
Unilateralnjseverenjheadache
Painnjovernjthenjsinusesnjwithnjheadache
Agenjovernj50,njnewnjonsetnjheadache
Phonobianjandnjphotophobianjwithnjheadachenj-njanswer--Agenjovernj50,njnewnjonsetnjheadache
Anj28njyearnjoldnjpatientnjcomplainsnjofnjanj"verynjitchy"njrashnjonnjhisnjkneesnjandnjelbows.njHenjreportsnjthen
shnjhasnjcomenjandnjgonenjfornjseveralnjyears,njbetternjwithnjsomenjsunnjexposurenjinnjthenjsummernjbutnjwor
njinnjthenjwinter.njHenjhasnjtriednjsomenjover-the-
counternjlotionsnjbutnjnonenjseemnjtonjhelp.njOnnjexam,njyounjseenjscabbingnjandnjcrustingnjwithnjsomenjsilve