A mother brings her infant to you and you notice the child is filthy and unkept what do you
do? - ANS-Call baby protective offerings
A affected person comes in with Left side of the mouth drooping and headache is it due to
proper sided trigeminal neuralgia, left sided trigeminal neuralgia, left sided nerve paralysis or
proper sided nerve paralysis? - ANS-Right sided nerve paralysis (Bell's palsy-"drooping
mouth")
A affected person has pain upon shoulder abduction enjoy when at 60-one hundred twenty
ranges what does this suggest? - ANS-Rotator cuff sickness
Test:
Drop arm take a look at for supraspinatus, shoulder impingement
Empty can
Neers impingement
A affected person whos an athlete changed into driven down and suddenly twisted his foot,
he had trouble extending his leg. Is the harm at the Right meniscus, the left meniscus, the
right cruciate ligament or the left cruciate ligament. - ANS-Meniscus vs Cruciate ligament
A lady had ache at the lateral a part of her shoulder, it hurt when she slept on it, it harm it to
abduct it 20% and then very painful abducting it 60-80%. What was the prognosis? Bicipital
tendonitis, deltoid tendonitis, tricep tendonitis - ANS-Deltoid Tendonitis
(Bicipital would be extra medial and triceps would be extending the arm and lower back)
A women has leucorrhea with watery discharge and difficult urination. What is DX? -
ANS-Bacterial vaginosis
AAA (Abdominal Aortic aneurysm) is existence threatening and can take place - ANS-as a
pulsatile mass on the edges of the umbilicus (may be left of right)
Acromegaly - ANS-sickness in which pituitary gland produces an excessive amount of
increase hormone. Usually as a result of a non-cancerous tumor. Middle aged adults are
most typically affected.
Enlarged faces, hands and feet
prompt remedy is needed to avoid critical infection
Acute pancreatitis - ANS-pancreas will become infected over a brief period of time.
Symptoms encompass
-higher abdominal pain that radiates to the returned
-Rebound tenderness
-fever
-rapid pulse
-nausea & vomiting
Tests: PFT (pancreatic function take a look at) cat test, MRCP test, blood checks :
amylase/lipase those are usually expanded three instances better than ordinary at some
stage in acute pancreatitus.
Common reasons: Alcohol & gallstones
Als vs MS (top or decrease motor lesion) - ANS-Als (amyotrophic lateral sclerosis) aka Lou
Gerig's ailment, a nervous system ailment which wears away the nerves for your brain and
,spinal twine deals with nerves that affect movement, later stages slurred speech , problem
breathing hassle swallowing and paralysis.
Most humans stay 5 years or much less after analysis.
MS (more than one sclerosis)
symptoms can come and pass and simplest affects motion and also can affect intellectual
health, bladder manage, senses and sensitivity to temperature
An athlete has pain between the 3rd & 4th metatarsal bone and cannot step on it. What is
DX? - ANS-Morton's Neuroma
Anemia-microcytic vs pernicious - ANS-Microcytic anemia-under eighty MCV (imply
corpuscular volume) - iron poor anemia
Pernicious anemia-decrease in pink blood cells normally caused by b12 defeciency. Caused
via an autoimmune ailment that assaults the intrinsic component of the protein lining the
cells of the belly
ankylosing spondylitis - ANS-a form of rheumatoid arthritis that generally reasons irritation of
the joints among the spinal vertebrae. Reduces flexibility in the spine results in a hunched
forward posture ache in returned and joints. Usually influences males in early maturity
anorexia vs bulemia - ANS-Anorexia-humans significantly lessen their meals intake to lose
weight.
Bulimia-human beings binge and purge
anorexia can stem from distorted body picture or trauma and can be a manner for them to
take control of their lives
Bulimia-people may also vomit or use laxatives or overexercise to save you weight gain
purple flags-
weight that increases or decreses appreciably in per week 5-20 lbs
chapped or cracked lips due to dehydration,blood shot eyes, mouth sensitivity, eroding
enamel enamel
Antioxidants - ANS-Beta carotene, diet C , vitamin E, Selenium, lycopene, lutein, zeaxanthin
Arthritis (RA) - ANS-an autoimmune disease influences bones and joints mainly inside the
fingers causing deformities. Symmetrical (generally on both sides) in contrast to
osteoporosis it effects the "lining of your joints"
signs:
gentle, warm, swollen joints, joint stiffness generally worse in mornings and after periods of
inaction, fatigue , fever , lack of appetite.
Rheumatoid nodules and not embedded beneath the skin and can be movable you could
press them in a bit
Asthma remedy - ANS-Bronchiadialators, steroids and anti-inflammotory
Bronchiodialators:
Bronchodilators consist of quick appearing beta2-agonists consisting of albuterol,
lengthy-appearing beta2-agonists (which include salmeterol, formoterol), anticholinergic
marketers (eg, ipratropium) and theophylline.
Atopic eczema vs contact dermatitus - ANS-Atopic dermatitis (exzema) may be found on
many areas of the pores and skin and normally appear on both aspects of the frame caused
by a faulty code within the gene and the protein barrier which causes a gene mutation
Contact dermatitus is simply at the area that got here in contact with the irritant
Auto-immune neuromuscular illnesses - ANS-Myathenia Gravis- (handiest motor loss)
MS (Multiple sclerosis) (motor and sensory loss)
Guillian Barre (ascending paralysis) paralysis as a result of a virus or micro organism that
spreads through the frame
, B12 , intestines can't take in s/s fatigue what form of anemia is that this? - ANS-Pernicious
anemia
B6 (pyroxidine) in excess can motive .... - ANS-Severe nerve damage consisting of tremors,
intense sensitivity to sunlight, nausea and heartburn.
It can interfere with antibiotics
Basal mobile carcinoma w/o remedy what's the most possibly risk? Local tissue damage,
remote metastasis or organ failure? - ANS-They can develop deeper into the skin and
spread to other elements of the frame.
Bells palsy vs trigeminal neuralgia - ANS-Bells palsy-affects one side of face, man or woman
cannot devour drink , drooling, swallow, smile and it's miles painful, mouth droops and there
is no sensation or feeling (may be because of viral or bacterial infections)
trigeminal neuralgia-sharp taking pictures insufferable pain (medication does now not assist
ache) burning pain no longer attributed to an contamination but as an alternative a nerve
Best check to evaluate a person's control in their diabetes over the past 2-3 months -
ANS-Glycosylated hemoglobin test (HbA1c)
Betablockers - ANS-atenolol (also referred to as Tenormin)
bisoprolol (additionally referred to as Cardicor or Emcor)
carvedilol.
Labetalol (additionally known as Trandate)
metoprolol (additionally known as Betaloc or Lopresor)
propranolol (also referred to as Inderal or Angilol)
sotalol.
Borderline personality disease - ANS-mental fitness disorder that modifications the way you
feel approximately your self and others, inflicting issues functioning in everyday existence.
Symptoms:
risky moods, conduct and relationships, emotions of worthlessness,lack of confidence,
impulsiveness
Treatment:
communicate remedy , medications and in extreme cases...Hospitilization
BP ranges- - ANS-BP degrees
Normal systolic much less than a hundred and twenty diastolic-much less than eighty
Elevated one hundred twenty-129 / much less than 80
Stage 1-High BP -a hundred thirty-139 /eighty-89
Stage 2-High BP-a hundred and forty +/ninety +
Stage 3- Hypertensive disaster-Higher than 180/one hundred twenty +
Breast has an orange peel look around nipple, no ache to the touch - ANS-Breast Cancer
BUN and creatine checks are used to assist verify what orga - ANS-Kidney characteristic.
Increased BUN ranges can be due to excessive protein diets, being pregnant , dehydration
and intense burns
Candida - ANS-A fungal contamination normally at the pores and skin or mucous
membranes because of candida. (may be inside the mouth espeially in infants and people
with HIV or aids will present as thick white coating on tongue)
Dicharge-White, cottage cheese