Subjective Data
Differentials
I. A. P.
MSK
100
List five subjective data history questions for the abdomen
What is appetitive, dysphagia, food intolerance, abdominal pain, nausea/vomiting, bowel habits, past abdominal history, medications and nutritional assessment?
100
Name two possible differential diagnosis when pt c/o dysphagia and/or difficult swallowing solid foods
What is esophageal stricture, webbing or narrowing (Schantzki ring) and neoplasm?
100
Name four things you inspect of the abdomen
What is
• Contour of abdomen
• Round, flat, protuberant,
scaphoid
• Scars and/or striae
• Engorged veins
• Visible peristalsis
• Visible pulsation
• Hair Distribution
• Evidence of hernia
100
Four assessment signs of inflammation
What is swelling, warmth, redness, and pain or tenderness?
200
List two subjective follow up questions for a patient regarding their appetite
What is recent weight loss, an increase or decrease, and eating the same amount?
200
Name two possible differential diagnosis for a pt c/o abd pain located suprapubic
What is Bladder infection, Constipation, Bladder cancer and Prostatitis?
200
What is striae?
200
Name three causes of decreased ROM
What is arthritis, joints with effusion, joints with
tissue inflammation or surrounding fibrosis, or bony fixation (ankylosis)?
300
List three subjective follow up questions for a patient complaining of dysphagia
What is
How long has this been occurring?
Does this occur with a certain type of food?
Have you had this in the past?
If you had in the past, did anything help it?
How does it feel?
300
Name two specific types of hernias
What is ventral hernias (defects in abdominal wall), prior surgery (incisional), and spontaneously (epigastric, umbilical, femoral and inguinal)
300
What is a lipoma (subcutaneous tumors/benign fatty tumors)?
300
Description of the Apley Test and possible diagnosis if patient has difficulty performing
What is ask patient to touch the opposite scapula using behind neck and under arm (see photos!) and rotator cuff disorder or adhesive capsulitis?
400
List three subjective follow up questions for a patient complaining of abdominal pain
What is where does it hurt, how long, describe the pain(burning, stabbing, cramping), does it keep you awake or awaken you from sleep, severity?
400
Pt presents with jaundice, name 1 extraheptic and 1 intraheptic possible differential diagnosis
What is
Extrahepatic
• Biliary obstruction
Intrahepatic
• Viral hepatitis
• Alcoholic hepatitis
• Drugs
• Sepsis
• Malignancy
• Sickle Cell
400
Exam performed when pt presents with RUQ pain suspicious for acute cholecystitis but does not have any tenderness on palpation in the RUQ and describe how to perform
What is Murphy sign and hook your fingers of your right hand under the costal margin, ask patient to take a deep breath and tenderness with a sudden stop in inspiratory effort is a positive sign?
400
Name this and possible cause
What is olecranon bursitis and trauma or rheumatoid or gouty arthritis?
500
List one subjective follow up questions for a patient for food intolerance and possible diagnosis
What is does this worsen with certain foods, after eating dairy running to bathroom (lactose intolerant), RUQ pain after fried foods (gallstones), and regurgitation with spicy foods (acid reflux/GERD)?
500
Possible diagnosis for pt presents with severe peri umbilical pain migrating to RLQ and one exam you would perform
What is acute appendicitis and testing for McBurney's Point, psoas, obturator, rovsing?
500
Name the exam being performed and if enlarged cause of enlargement
What is palpating spleen and portal hypertension, hematologic malignancies, HIV infection, infiltrative diseases like amyloidosis, and splenic infarct or hematoma ?
500
Describe how to perform the Varus test and possible diagnosis if positive
What is place one hand against the medial
surface of the knee and the other
around the lateral ankle then push laterally against the knee and pull medially at the ankle to open the knee joint on the lateral side (varus
stress) and Pain or a gap in the lateral joint line
points to ligamentous laxity and a
partial tear of the lateral collateral
ligament.