Review of Systems Findings
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Questions and Answers

What is the most commonly reported symptom associated with hearing loss in leukemia patients?

  • Nausea
  • Vertigo
  • Tinnitus (correct)
  • Facial nerve palsy
  • Which symptom is much rarer compared to hearing loss with associated tinnitus in leukemia patients?

  • Headache
  • Vertigo
  • Dizziness
  • Facial nerve palsy (correct)
  • What type of symptoms have been reported as initial symptoms leading to the diagnosis of leukemia?

  • Only bilateral symptoms
  • Unilateral and vertigo symptoms
  • Only unilateral symptoms
  • Bilateral and unilateral symptoms (correct)
  • Which of the following is a less common initial symptom for the diagnosis of leukemia?

    <p>Bilateral facial numbness</p> Signup and view all the answers

    Among the symptoms mentioned, which one is not typically associated with hearing loss in leukemia patients?

    <p>Nausea</p> Signup and view all the answers

    What type of hearing loss did the patient experience?

    <p>Sudden bilateral deafness</p> Signup and view all the answers

    What was the underlying medical condition that caused the sudden hearing loss?

    <p>Chronic myeloid leukemia</p> Signup and view all the answers

    What is the significance of the term 'hyperleukocytosis' in this context?

    <p>It describes an abnormally high white blood cell count</p> Signup and view all the answers

    What is the likely mechanism by which chronic myeloid leukemia led to the patient's sudden bilateral deafness?

    <p>Nerve compression by leukemic infiltrates</p> Signup and view all the answers

    What is the significance of this case report in the medical literature?

    <p>It highlights a rare complication of chronic myeloid leukemia</p> Signup and view all the answers

    What type of clinical practice guideline does the text discuss?

    <p>Sudden hearing loss</p> Signup and view all the answers

    Which medical journal is the reference from?

    <p>Acta Otolaryngologica</p> Signup and view all the answers

    In what year was the reference published?

    <p>1979</p> Signup and view all the answers

    Who are the authors of the clinical practice guideline?

    <p>Stachler RJ, Chandrasekhar SS, Archer SM, et al.</p> Signup and view all the answers

    What is the title of the clinical practice guideline?

    <p>Sudden hearing loss</p> Signup and view all the answers

    What happened to the patient's WBC count by the end of his 10-day admission?

    <p>It decreased to 22,800/μL</p> Signup and view all the answers

    When did the patient's WBC count return to normal levels?

    <p>Within 1 week of discharge</p> Signup and view all the answers

    What was the patient's WBC count at normal levels?

    <p>6600/μL</p> Signup and view all the answers

    During the patient's hospital stay, did his WBC count increase significantly?

    <p>No, it decreased</p> Signup and view all the answers

    How long did it take for the patient's WBC count to return to normal after discharge?

    <p>1 week</p> Signup and view all the answers

    What is indicated by the phrase 'review of systems was negative'?

    <p>No abnormalities were found during the review of body systems</p> Signup and view all the answers

    Which of the following symptoms was NOT mentioned as being absent during the review of systems?

    <p>Nausea</p> Signup and view all the answers

    What does the term 'early satiety' refer to?

    <p>Feeling full or satiated after eating a small amount of food</p> Signup and view all the answers

    Based on the information provided, which of the following can be inferred?

    <p>The patient has no concerning symptoms or complaints</p> Signup and view all the answers

    Which of the following is the most likely reason for performing a review of systems?

    <p>To assess the patient's overall health and identify any potential issues</p> Signup and view all the answers

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