Professional Documents
Culture Documents
Word Associations
This study sheet is used to help you recognize key words and patterns associated with
certain diagnosis. It is NOT intended to steer you to remember answers to test, but instead
to help you recognize the intent or most likely diagnosis. The information of that specific
diagnosis is up to your level of knowledge. Its to help narrow that differential so you can
focus on the specifics of the most likely diagnosis.
CARDIO
Description Diagnosis Associated
DOE, PND, edema. Echo w/ LVH or CHF
RVH, hypokinesis
S3 CHF, dilagted cardiomyopathy
High output heart failure Pregnancy, thyrotoxicosis, anemia,
beriberi, pagets disease
Low output heart failure Ischemic heart disease, HTN, dilated
CM, valve disease, arrhythmia
Heart failure after URI Myocarditis
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PANCE/PANRE Word Associations
PULMONARY
Description Diagnosis Associated
Rapid, deep labored breathing Kussmaul breathing DKA, Metabolic
acidosis
s/p thoracic trauma. Multiple rib Flail chest (pain control, incentive
fractures. Chest wall moves in with spirometry, pulmonary toilet,
inspiration, out with expiration. intubation)
GI/NUTRITION
Description Diagnosis Associated
Fat, forty, female, fertile w/ RUQ pain Cholelithiasis or Cholecystitis
Fever, RUQ pain, radiation to back Cholecystitis
Elevated Alkaline phosphatase, Cholecystitis
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PANCE/PANRE Word Associations
urinary bilirubin
blood or mucus
Abdominal pain, diarrhea after Staphylococcus aureus infectious
picnic/party. Eaten ham, cream, diarrhea
custards, mayonnaise
Acute bacterial diarrhea w/ prodrome Campylobacter jejuni most common
of HA, F, then crampy abd pain & cause of acute bacterial diarrhea
diarrhea
GU/ELECTROLTES
Description Diagnosis Associated
Hyaline Casts Normal (may be present after febrile
illness, strenuous exercise)
Increased BUN/Cr, low FeNa Prerenal Failure (Azotemia)
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PANCE/PANRE Word Associations
NEURO
Description Diagnosis Associated
Head trauma, disoriented lucent Epidural Hematoma
coma
Lens shaped hemorrhage Epidural Hematoma
Concave Subdural Hematoma
distress
HEENT
Description Diagnosis Associated
< 70 yo blindness DM retinopathy (MCC)
> 70 yo blindness Macular degeneration
Afferent papillary defect, marcus- Optic nerve lesion. Tertiary syphilis
gunn pupils (marcus-gunn)
Bilateral pinpoint pupils Pontine hemorrhage
Bilateral DILATED pu;ils Anticholinergics, TCA, anti-
parkinsonian drugs, profound
hypoxemia
or lower eyelid
Painful swelling of upper or lower Hordeolum
eyelid
Painless, yellow triangular nodule on Pinguecula (more common on nasal
conjunctivia side)
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PANCE/PANRE Word Associations
Smoker, white mouth lesion cannot Leukoplakia, rule out oral cancer
be rubbed off
Gray pharyngeal pseudomembrane, Diphtheria
rash, splenomegaly, supraclavicular
LAD
HEMATOLOGY/ONCOLOGY
Description Diagnosis Associated
Philadelphia chromosome CML
Auer rods AML
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PANCE/PANRE Word Associations
INFECTIOUS DISEASE
Description Diagnosis Associated
MRSA spider bite appearing lesion that
turns into abscess. Tx w/ Vanco +/-
rifampin, gentamicin, linezolid
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PANCE/PANRE Word Associations
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PANCE/PANRE Word Associations
MSK/RHEUMATOLOGY
Description Diagnosis Associated
Shoulder pain after repetitive Rotator cuff injury (SITS muscles)
activity, point tenderness at anterior
humerus or AC joint. + drop arm test
or apprehension test
Football player with burning pain, Brachial plexus neurapraxia,
numbness, tingling from shoulder to stinger. Caused by stretching of
hand which resolves brachial plexus
FOOSH, Radial fracture w/ dorsal Colles Fx; Tx = volar splint
displacement, dinner-fork deformity
Typing, secretary wrist pain and Carpal Tunnel syndrome
numb/tingling from wrist to hand.
New mothers, pregnant may worsen
Pain at base of thumb, distal radial deQuervains tenosynovitis
styloid. Pain reproduced with ulnar
deviation of clenched fist.
Hand injury after a punch Boxers fracture. Ulnar gutter w/
intrinsic plus positioning. ORIF if
angulation > 40 degress
Tibial pain after running (military Shin splints, stress fracture. Get
recruits), athletic activity (running bone scan if negative x-ray
sports)
Knee injury during football game ACL (look for description of lachman
or drawer test)
8 10yo male with limp, knee pain Legg-Calve-Perthes Disease
12 15yo overweight male knee SCFE
pain, limp, hip pain (knee XR normal)
Adolescent male with knee pain, Osgood-schlatter disease
tenderness over tibial tuberosity
Retropatellar knee pain esp. in Patellorfemoral pain syndrome
females increased Q angle, strengthen
quadriceps
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PANCE/PANRE Word Associations
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PANCE/PANRE Word Associations
Teenage female with long bone pain Ewing sarcoma periosteal onion
without trauma or injury. XR w/ lytic skin reaction
mass, multi-laminated periosteal
reaction
Painless bony mass. Plain films = Osteochondroma
stalky or broad-based projection from
bone surface
Lytic lesions in the back or skull Multiple myeloma
PSYCHE
Description Diagnosis Associated
Deterioration of cognitive function, Dementia
memory
Rapid onset of cognitive symptoms, Delerium
mental status fluctuations, anxiety,
irritability
REPRO
Description Diagnosis Associated
Frothy, clear white or yellow-green Trichomonas
to gray adherent vaginal discharge,
dysuria, vaginal pruritis. Vulvar and
cervical erythema. Flagellated
protozoa
Fishy odor, Thin grayish vaginal Bacterial vaginitis; Gardnerella
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PANCE/PANRE Word Associations
occipital LAD
Pregnant, HA, visual disturbance Pre-eclampsia
Pregnant, seizures Eclampsia
DERM
Description Diagnosis Associated
Procainamide, hydralazine & rash Lupus-type eruptions
Photosensitive rash TCN, Sulfa drugs
base
Infant or pediatric w/ grouped Herpetic whitlow
vesicles on thumb or tapioca
vesicles on thumb
Pain preceding vesicular rash in Herpes Zoster (if involved eye =
dermatomal pattern herpes keratitis. NO steroids. Get
immediate ophthalmology referral)
Hx URI the palpable purpuric rash to HSP (Hx post Strep A infection)
buttocks, posterior thighs
Honey colored crusts on Impetigo. Tx = Mupirocin
erythematous base around nose &
mouth
Small white papules on diffusely red Koplick spots Rubeola (Measles).
base on buccal mucosa Spots occur before rash
Cough, coryza, conjunctivitis Rubeola (Measles)
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PANCE/PANRE Word Associations
PEDIATRICS
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