مشروع صغير ؛ مردود كبير : مقولات طبية until proven otherwise

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ACOUSTIC NEUROMA - Presentation

المقولة Any unilateral sensorineural hearing loss is an acoustic neuroma until proven otherwise

MCCQE 2000 Review Notes and Lecture Series - ENT المرجع

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NASAL OBSTRUCTION - Etiology

child with polyps - cystic fibrosis until proven otherwise

MCCQE 2000 Review Notes and Lecture Series - ENT

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Neurology

Seizure Disorders - clinical Pearl

Motor and/or sensory partial seizures indicates structural disease until proven otherwise

MCCQE 2000 Review Notes and Lecture Series - Neurology

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Cardiology

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Atrial Flutter - Clinical Pearl

Narrow complex tachycardia at a rate of 150 is atrial flutter with 2:1 block until proven otherwise

MCCQE 2000 Review Notes and Lecture Series - Cardiology

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Pulmonary Valve Disease - signs

PR:associated with pumonary hypertenion early diastolic murmur at base - AR until proven otherwise

MCCQE 2000 Review Notes and Lecture Series - Cardiology

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Obstetrics/Gynecology

Abnormal Uterine Bleeding - Gynecological causes

Postmenopausal bleeding : endometrial cancer until proven otherwise

MCCQE 2000 Review Notes and Lecture Series - Gynecology

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Pediatrics

Gastrointestinal Disease

Maloration of the intestine

If vomiting with bilious material maloration with volvulus until proven otherwise

MCCQE 2000 Review Notes and Lecture Series - Pediatrics

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Sports Medicine

It has been suggested that an athlete will have no secondary gain issues so it is fair to infer that any athlete unable to participate has significant pathology until proven otherwise.

Arvidson EB, Micheli LJ. Spine and trunk problems in athletes. Curr Opin Orthop 1990;1(3):361–4.

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ACUTE MEDICAL EMERGENCIES

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A structured approach to medical emergencies - Circulation

the hypotensive, warm, vasodilated pyrexial patient is “septic” until proven otherwise.

ACUTE MEDICAL EMERGENCIES - The Practical Approach - BMJ Books 2001

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The patient with a rash

The presence of a purpuric rash in an ill patient is due to overwhelming septicaemia until proven otherwise

ACUTE MEDICAL EMERGENCIES - The Practical Approach - BMJ Books 2001

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Management of specific tachydysrhythmias

Ventricular tachycardia (VT)

When in doubt about the etiology of a wide-complex
tachycardia, treat as ventricular tachycardia until proven
otherwise.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Traumatic injuries - Primary survey - Circulation

Always assume that hypovolemic shock is present, and treat it until proven otherwise.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Allergic reactions and anaphylactic syndromes -
Differential diagnosis

clinical syndromes that appear to be anaphylaxis should be
treated as anaphylaxis until proven otherwise

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Altered mental status

An awake, alert patient with a unilateral dilated pupil has a posterior communicating aneurysm until proven otherwise.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Ear pain, nosebleed and throat pain (ENT)

OE in an immunocompromised host,especially with erythema and/or fever,should be considered malignant OE until roven otherwise.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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THROAT PAIN - How long has the pain been present?

A sore throat of greater than 2 weeks duration in a atient over the age of 40 years should be considered cancer until roven otherwise.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Fever in adults

Localized pain, erythema, and swelling of a joint causing painful limited range of movement in the setting of systemic fever should prompt consideration of a septic joint until proven otherwise.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Joint pain

In patients with monoarticular arthritis, septic arthritis should be presumed until proven otherwise, especially if these patients have systemic signs of toxicity.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Pelvic pain

Any child that is perimenarchal should be assumed pregnant until proven otherwise.

All women of childbearing age should be considered regnant until proven otherwise.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Rash

Fever with sudden onset of a petechial rash in a college student is meningococcemia until proven otherwise.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Scrotal pain

Any asymptomatic testicular mass, firmness or induration is a malignancy until proven otherwise.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Syncope

Any neurologic complaint that is accompanied by chest or upper back pain should be considered an aortic dissection until proven otherwise.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Vomiting

A history of bilious vomiting in a young child is an ominous finding and suggests malrotation of the gut or intussusception until proven otherwise.

An Introduction to Clinical Emergency Medicine - Cambridge University Press 2005

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Nephrology
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Respirology
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Hematology
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Dermatology
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Psychiatry
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Gastroenterology
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Infectious Diseases