d/d d/d - djyoti

[ArchivalUser]

---transient ischemic attack


a 68 yo f information given by husband, c/o difficulty with speech which started few hours ago. she seem to be confusing objects name
one month ago she complained that he could not open her eyes butthis only lasted for few second , she now gives clear history with clear sppeech / her medical history is significant for hypertension and two previous heart attack.she has not expericenced chest pain with this episode. she used o smoke cigrette about a pack per day but gave up smoking 3 years ago at the time of her first heart attack . she lives with her husband




dont forget to add these extra
aphasia

ataxia

numbness

motor

vision

abnormal move tremor

dizziness

nausea vomiting

fatigue

presence of irritability

concentrating

difficulty sleeping

chest pain

sob


htn
tia


examine the head for injury

tongue bite

aall

sterognosis


graphethesia

point localization

extintion


afeter all the exam


dont forget cerebellar

[ArchivalUser]

--d/d of tia

cva

hypoglycemia

cns mass

cerebral absces subdural hematoma

drug abuse

seizure disorder


ct

bt pt ptt

eeg

fbs

ecg

toxicology or dug screening

[ArchivalUser]

tb


a 57 yo M CO HOMELESS AFTER he had a fight with his mother

went to abar got injury

or whatever istuation


he is unemployed uses alcohol lives with other people

has cough night sweating anorexia loss of weight cough with blood

smokes cogrette assumses that it is due to cigrette


dont forget to


ill contact travel ppd past h

drug abuse std

hiv

also dont forget deliriun tremens

thyroid

living conditions


so thorough respiratory and other system




pneumonia


lung abscess

bronchitis

aspirations


cxray

ppd


sputum culture

ct

bronchoscopy

alcohol withdrawal precaution

alcohol counselling


respiratory isolation

[ArchivalUser]

--uti


urine

amount color smell duration --blood pus

fever chills

nausea vomiting


through sexual history and evaluation

vaginal discharge




through gyne obs


dont forget gi

do all appendicitis test

dont forget genital


dont forget menstruation


d// pyelo

vaginitis

pid

appendicitis

herpes

ectopic?

[ArchivalUser]

d/d of pain abdomen

appendicitis

pid


ectopic

ruptured ovarian

mittlesmertz

endometriosis

crohn

diverticulitis

urolithiasis

malingering

inestinal obustruction

inv

pelvic rectal genital and rectal examination

hcg

u/a

cbc and differencial

urea creatinine elctrolyte

plain xary abdomen erect supine

usg .ct

laproscopy




d/d of pain in right hypochondriym

acute chole

choledocho

pancretitis

apd

hepatitis

cholangitis

mi

pleuritis

perforated du

hepatitis

amoebic liver abscess pyogenic liver abscess



pain in epigastric


du gu gerd ulcer cancer

pancreatitis

pancreattic cancer

perforated du

chole


inv

pelvic rectal and fobt

plain xray kub

erect supine

endoscopy

usg ct

ercp

hida

bariom

helicobacterpylori

stool opc

[ArchivalUser]

d/d of chest pain

unstable angina

stable angina

mi

aortic dissection

pericarditis

myocarditis

aortic dissection

aortic anerysm rupture

pleuritis
pneumonia

abscess

pleural effusion

esophagitis

gerd

pud

boerheave

mallory weiiss

vascular cause

some tumour at back

costochondritis

muscular strain


cxray /sputum test abg pft

echo ecg and cath / thallium /stress test

pcwp abg

ventrilography

esophagoscopy barium 24 hour ph monitoring helicobacter

aspiration of pleural fluid

[ArchivalUser]

d/d of headache


migraine

sinusitis

cluster headache

temporal arteritis

tension headache

hypertension

pseudotumour cerebrir

electrolyte

phaeochromo

viral

teeth temapromandibular

head trauma

brain tumour

vascular

trigeminal


inv

cbc esr
ct brain and lp

mri

ct sinuses

xray paranasal sinuses

prolactin

bun and creatinine blood sugar

polysomnography if slleep disorder and nocturnal pulse oximetry

catacholamine if phaeo or cushing suspected

[ArchivalUser]

vertigo or dizziness


-menier

labyranthitis

vestibulitis

benign positional

acoustic

cerebellar

endolymphatic fistula?

syncopoe

orthostatic hypotension



inv

audiometry /tympanometry

dix hall pike manoevure

mri

eletrolyte and bun creatine

rpr/vdrl

brain evoked potenentil

electronystagmography

[ArchivalUser]

tremor

parkinsonism

essential

physiological

hypoglycemia

huntigton

wilson disease

liver disease

lead

multiple sclerosis

liverf ailure

rhematic horea

drug induced

nervousness

hyperthyroidism

cerbellaer



cbc

mri

blood sugar

ast alt

drug screen --mercury arsenic lead

slit lamp exam for keysher fleisher ring

[ArchivalUser]

bloody urine



bladder cancer

uti

benign enlargement of prostrate

prostatic cancer

renal cell carcinoma

nephrolithiasis

drug induced

beet rifampicin

scostosomiasis


dre
ua/ toludin blue

cbc/ bun/creatine

usg

xray kub/ usg /ct / mri

cytology

afb culture urine c/s

cystoscopy