63 terms

Chiro Essentials: General Diagnosis Part 2

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Myocardial infarction has ST elevation, T wave inversion, and pathological Q waves.

Pericarditis has ST elevation too but no pathological Q waves.
Compare and contrast the EKG of a myocardial infarction vs pericarditis.
CHF, pneumonia, tuberculosis, or pleural metastases.
What can cause pleural effusion?
Obliteration of a costophrenic angle and the meniscus sign.
In pleural effusion, chest x-ray will show...
CURB 65 criteria: Confusion, Urea Elevated, Respiratory rate over 30, Blood pressure <90/60 or 65 years and older.
In pneumonia, what criteria do we use to refer someone to the hospital?
D-Dimer Test
What test when positive suggests pulmonary embolism?
Air in pleural cavity caused by trauma to the chest.
What causes tension pneumothorax?
To the opposite side.
In tension pneumothorax, the trachea will deviate...
Tuberculosis
Characterized by Ghon focus and complex with caseous necrosis and granulomas
Cough, night sweats, fever, hemoptysis, and weight loss
What are the symptoms of tuberculosis?
Ziehl Neelsen stain.
What sputum will be positive for tuberculosis?
Lowenstein Jenson or Middlebrook culture.
Bacilli causing tuberculosis grow best in what cultural mediums?
Chronic Bronchitis
Chronic productive cough, cyanosis, and bilateral ankle edema
CHF
DOE, PND, fatigue, basal crackles, and ankle edema
Fallot's tetralogy
Cyanosis and clubbing in an infant
Panic attacks
Feeling of doom, palpitation, and perioral numbness/tingling.
Pleural effusion
Stony dull percussion note in lung base.
Pneumonia
Fever, pleuritic chest pain, and cough
Pneumothorax
Unilateral hyper-resonant percussion note.
Pulmonary embolism
Pleuritic chest pain with hemoptysis
Sarcoidosis
Progressive SOB, red bumps on legs (Erythema Nodosum)
Asthma
Charcot Leyden Crysals and Curschmann's spirals
Chronic dilation of bronchi caused by long standing infection.
Bronchiectasis
Bronchiectasis, sinusitis, and situs inversus
Kartagener's syndrome
Chronic cough, SOB, and excessive production of mucopurulent sputum. This is especially in the mornings. Halitosis and clubbing of the fingers.
Symptoms of bronchiectasis
chronic bronchitis
Blue Bloater
Emphysema
Pink Puffer
Overinflated lungs, flattened diaphragm, large retrosternal and retrocardiac windows.
Emphysema X-ray will show...
Pulmonary stenosis, right ventricular hypertrophy, overriding aorta, and ventricular septal defect.
Tetralogy of Fallot
300 cc
How much fluid in pleural effusion is needed to obliterate the costophrenic angle on the PA x-ray view? How about the lateral?
Chronic (open angle) glaucoma
Tunnel vision wtih deep cupping of optic disc
Episcleritis
Localized area of redness on the sclera
Addison's disease
Hypotension, darkened skin creases, and Arroyo's sign
Sluggish pupils seen in addison's disease
What is Arroyo's sign?
CHF
Paroxysmal nocturnal dyspnea, basal crackles, ankle edema
Headache, polyuria, and hypertension
Conn's disease
Fibromyalgia
Insomnia and multiple tender points (11/18)
Hemochromatosis
bronze skin color, decreased libido, polyuria, polydipsia
HIV/AIDS
Weight loss, recurrent infections, purple skin, oral lesions
Lambert Eaton Syndrome
Bilateral ptosis in an older man with lung tumor
Lead poisoning
Anorexia, blue gum line, constipation
Lymphoma
Rubbery nodes in neck. Cyclical low grade fever
Pernicious anemia
Dyspnea, beef-red, sore tongue, paresthesia
Riboflavin deficiency
Magenta-colored tongue
Sarcoidosis
SOB, Red swollen bumps on legs
Sick Sinus Syndrome
Palpitations with bouts of slow and fast arrhythmias
<30:1
Addison's will have an Na:K ratio of...
Cortisol will fall
In Addison's disease, what happens when we inject ACTH
Excessive secretion of aldosterone. Presents with hypertension, headaches, muscle weakness, polyuria and polydipsia.

Hypokalemia, hypernatremia, elevated serum aldosterone
What is Conn's disease?
126mg/dL
Diabetes mellitus is positive if fasting blood glucose is >
Hemochromatosis
Autosomal recessive disorder resulting in excess accumulation of iron in the body
negative
A tensilon test for Lambert Eaton syndrome will be...
Positive
A tensilon test for Myasthenia gravis will be....
Lambert Eaton syndrome
Autoimmune disorer associated wtih small cell lung cancer
Chronic Myelogenous Leukemia
Philadelphia Chromosome
Acute Myelogenous Leukemia
Auer Rods
Leukemia
WBC Count >25,000/mm3 and thrombocytopenia
Hodgkin's lymphoma
Reed Sternberg Cells
Lambert Eaton Syndrome is most common in men while Myasthenia Gravis is most common in women
Lambert Eaton Syndrome is most common in (men/women) while Myasthenia Gravis is most common in (men/women).
Myasthenia Gravis
Neuromuscular junction acetylcholine receptors antibodies are present
Lambert-Eaton Syndrome
Neuromuscular junction calcium-gated channel antibodies are present.
Repeated episodes of osteolysis and excessive but ineffective osteoblastic activity.

Symptoms: Fatigue, increased hat size, visual or hearing defects; cotton wool appearance in the skull.

Can be caused by Paramyxo viral infection
Symptoms and cause of Paget's disease of bone
Pernicious anemia
B12 deficiency caused by lack of IF due to autoimmune destruction of parietal cells in the stomach
parietal cells in the stomach
What cells secrete IF