Abdominal Pain
Altered Mental Status
Back pain
Chest pain
Fever
100
How do you treat mild-moderate c. diff?
Vancomycin PO (125mg q6hr x 10 days)
100
What initial bedside test assesses the patient’s response to voice and pain?
Glasgow Coma Scale (GCS)
100
What potentially fatal vascular emergency presents with sudden-onset tearing back pain and may be associated with a widened mediastinum on chest X-ray.
Aortic dissection
100
What presents with chest pain, dyspnea, and may show S1Q3T3 on EKG?
Pulmonary embolism
100
What fever-associated diagnosis is characterized by fever for ≥3 days, conjunctival injection, strawberry tongue, and cervical lymphadenopathy in children?
Kawasaki disease
200
What is Charcot's Triad
Fever, RUQ pain, and jaundice
200
What is asterixis, or "flapping tremor," is a classic physical exam finding of?
Hepatic Encephalopathy
200
What causes back pain, 'saddle' anesthesia, and urinary retention?
Cauda equina syndrome
200
Reproducible chest wall tenderness on palpation is most consistent with what benign cause of chest pain?
Costochondritis
200
In a febrile neutropenic patient, the absolute neutrophil count must be below what threshold to be considered high risk?
500 cells/µL
300
Name something that starts with 'E' that can cause pancreatitis.
Ethanol, estrogen, erythromycin, ERCP, EBV, echovirus, emboli.
Bonus: can also be caused by scorpion bites
300
What metabolic derangement, often seen in alcoholics or malnourished patients, may present with confusion, ataxia, and ophthalmoplegia?
Wernicke encephalopathy
300
If a patient has a history of IV drug use and back pain, what should you be concerned about?
Spinal epidural abscess.
300
What chest pain diagnosis is characterized by ST-segment elevations in all leads and a friction rub on auscultation?
Pericarditis
300
What tick-borne illness presents with fever, headache, myalgias, thrombocytopenia, and a rash on the wrists and ankles and is treated empirically with doxycycline?
Rocky Mountain spotted fever
400
Female patient presents with sudden onset RLQ pain. US shows a whirlpool sign. What is the dx?
Ovarian torsion
400
Rapid correction of what electrolyte abnormality can lead to central pontine myelinolysis?
Hyponatremia
400
What inflammatory condition often causes morning stiffness and improved symptoms with exercise in younger adults?
Ankylosing spondylitis
400
What syndrome mimics ACS but is typically triggered by emotional or physical stress and shows apical ballooning on echocardiogram?
Takotsubo cardiomyopathy
400
A returning traveler with fever, recent mosquito exposure, and a positive thick and thin smear may have this life-threatening parasitic infection?
Malaria
500
What eponymous syndrome presents with right upper quadrant pain and "violin-string" adhesions between the liver capsule and peritoneum, often in the setting of pelvic inflammatory disease.
Fitz-Hugh-Curtis syndrome
500
What toxic alcohol leads to anion gap metabolic acidosis and calcium oxalate crystals in the urine? The antidote is fomepizole.
Ethylene glycol
500
Back pain can sometimes be caused by a UTI. Name a nitrite negative cause of UTI
Enterococcus, S. Saprophyticus, pseudomonas, acinetobacter
500
Wellen's syndrome
500
What zoonotic disease presents with undulating fevers, arthralgia, and hepatosplenomegaly, and is associated with unpasteurized dairy?
Brucellosis