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easy pass cs a useful thread not to miss - bobby101
#31
let us talk about cough

causes -sinusitis and post nasal drip/urti/ reflux/ viral and bacterial infection of upper tract/ bronchitis acute chronic acute on chronic/ copd --bronchitis emphysema restrictive lung disease asthma pnemonia bronchiolitis bronchictasis bronchiolitis obliterans bronchogenic carcinma gforeign body obstruction / pressure to nerve by vessels / pulmonary embolism acute cough

drugs-- addiction to cough medicines /ace inhibitors


inv cxray sinuses egd barium swallow sptum for afb ppd placement abg pulse oximetry
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#32
let us talk about fever


detail history and exam

acute chronic


rti urti bronchitis pnemonia bronciecatsis low grade fever with loss of weight and loss of appetite/ bronchogenic cancer/lung abses with constitutional disturbace and faliure to thrive fever with chill and rigor with a history of aspiratuion in an alcoholic/cyst -- obstructive pnemonia

histoplasmosis coccididochmycosis aspergillosis pulmonary tb atypical pnemonia pleural effusions

postoperative atelextasis rib fracture


gi -- cholecystiisis cholangitis

pancreatic abscess infected psedocyst liver abscess diveticulitis appendicitis whipple's disease abdominal tb/ spontaneuous bacterial peritonitis perfoarted du and visera strangulated visecera

typhoid salmonell shigella campylobacter esceherichia coli actinomycis psedotuberculosis / ulcerative colitis/ oppourtinstic infection

renal - pyelonephritis glomerulonephritis malignancy hypernephroma sle perinephric abscess cystitis

psosa s absess

genitourinary-- pid fallopian tubal absescss salpingooophritis batholin cyst abscess gonococcal

cardiac-- bacterial endocarditis fungal marantic

pericarditis

constrictive tuber cular pericarditis

brain --abscess and malignancy -- bactwerial fungal opportunistic infection

absess anywhere

factious fever

drug fevr anesthesia fever malignant hyperthermia

psychiatric drug --serotinn syndrome

vascualr vasculitis pan sle

rhematic fever and rhematoid arthritis

endocrine --thyroid crisis thyroiditis




investigationas


c/s pan culture blood cs x 3

urinalysis urine c/s

cxr

culture of artocentesis fliuid culture after lumbar puncture

cbc cmp

ct mri

usg cholagiography

ct abdomen and pelvis po and iv contrast ercp usg laproscopy

bleeding scan

stool for ova paracyte cyst leucocyte and different organism

stool for clostrodium toxicity

aspiration of cyst absecss and examination

bone marrow biopsy



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#33
TX
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#34
review
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#35
d/d of chest pain

embolism /pnemonia pnemothorax

mi cardiac tamponade aortic dissection/anemia/ heart failure

myocarditis /pericarditis/cocaine /costochondritis and musculoskeletal pain

gerd /esophageal rupture gastritis

psychogenic panic/conversion/malingering

investigation-of chest pain --ekg echo chest xray/ct/cbc cmp/calcium ace sometimes

sputum c/s sometimes/gram stain

endoscopy /bronchoscopy

if ca suspected -- bronchoscopy / biopsy /mediastinoscopy/ lymph node biopsy


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#36
chest pain with cough

bronchitis

copd

pleuritis pleural effusion

bronchogenic ca

pnemonia pnemothorax pulmonary embolism

chf with angina or mi

pericarditis myocarditis
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#37
dont forget tb -in nursing home gys/traveller;s /sick contact history

actually causes of cough is bb cc /



bronchitis brincieactasis bronchogenic ca

chronic bronchitis

congestive heart failure

dont forget sinusitis for chronic nagging cough
dont forget hiv -- pnumocystic carinii

dont forget cystic fibrosis

dont foeget aspiration asthma allergy

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#38
please forward it after you read so that it comes to front for me easier to pick next day
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#39
i canot post anything in forum
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#40
THANKS NEVER SAY DIE


BBC CSI IS MY PNEMONIC FOR COUGH-

BRONCHITIS

BRONCHIECTASIS

CONGESTIVE HEART FAILURE

CARCINOMA

SINUSITIS

INFECTION



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