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Approach To Diagnosis Man 85

The document outlines an approach to diagnosing a 85-year-old man based on various symptoms. It discusses evaluating constitutional symptoms like weight change and metabolic syndrome. Gastrointestinal symptoms are addressed, including abdominal pain and various causes. Neurological symptoms are also covered, such as evaluating vertigo, blood pressure changes, and performing neurological exams. The diagnostic approach seems to be systematically addressing different body systems and potential symptoms to reach a diagnosis.

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Chatchada Mahaweerawat
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122 views18 pages

Approach To Diagnosis Man 85

The document outlines an approach to diagnosing a 85-year-old man based on various symptoms. It discusses evaluating constitutional symptoms like weight change and metabolic syndrome. Gastrointestinal symptoms are addressed, including abdominal pain and various causes. Neurological symptoms are also covered, such as evaluating vertigo, blood pressure changes, and performing neurological exams. The diagnostic approach seems to be systematically addressing different body systems and potential symptoms to reach a diagnosis.

Uploaded by

Chatchada Mahaweerawat
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Approach to diagnosis Man 85

Constitutional symptoms

Approach to diagnosis Man 85

Weight change
Metabolic syndrome Obese: waist circ >90cm (male), 80cm (female) + 2/4 1. TG >150 2. HDL <40 (male), 50 (female) 3. BP >130.85 4. FPG >100

Approach to diagnosis Man 85

Gastrointestinal symptoms
Abdominal pain: dont forget - Trauma - Lung - AMI - DKA - AAA - Hernia

Approach to diagnosis Man 85

Character

Mechanical (solid liquid) Ring ( ) (PlummerVinson syndrome) CA (smoking, GERD)

Motility (liquid

solid)
Intermittent DES

Progressive (weight loss)

Achlasia Scleroderma

Approach to diagnosis Man 85

Constipation in adult - DM - CA - Amitriptyline - IBS

Approach to diagnosis Man 85

Neurological symptoms

PE: vertigo 1. BP: orthostatic ( SBP/DBP > 20/10) 2. ENT: otoscope, Weber/Rinne 3. Neuro a. CN, motor, sensory (proprio) b. Cerebellar sign c. Romberg d. Marching (Unterberger) e. Nystagmus (spontaneous/gazeevoked/positional)

Approach to diagnosis Man 85

Approach to diagnosis Man 85

Musculoskeletal symptoms

Approach to diagnosis Man 85

Respiratory symptoms

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Approach to diagnosis Man 85

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Approach to diagnosis Man 85

Cardiovascular symptoms

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Approach to diagnosis Man 85

Genito-urinary symptoms

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Approach to diagnosis Man 85

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Approach to diagnosis Man 85

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Approach to diagnosis Man 85

Dermatologic symptoms

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Approach to diagnosis Man 85

Hematologic symptoms

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Approach to diagnosis Man 85

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