25 Questions
What is the most commonly reported symptom associated with hearing loss in leukemia patients?
Tinnitus
Which symptom is much rarer compared to hearing loss with associated tinnitus in leukemia patients?
Facial nerve palsy
What type of symptoms have been reported as initial symptoms leading to the diagnosis of leukemia?
Bilateral and unilateral symptoms
Which of the following is a less common initial symptom for the diagnosis of leukemia?
Bilateral facial numbness
Among the symptoms mentioned, which one is not typically associated with hearing loss in leukemia patients?
Nausea
What type of hearing loss did the patient experience?
Sudden bilateral deafness
What was the underlying medical condition that caused the sudden hearing loss?
Chronic myeloid leukemia
What is the significance of the term 'hyperleukocytosis' in this context?
It describes an abnormally high white blood cell count
What is the likely mechanism by which chronic myeloid leukemia led to the patient's sudden bilateral deafness?
Nerve compression by leukemic infiltrates
What is the significance of this case report in the medical literature?
It highlights a rare complication of chronic myeloid leukemia
What type of clinical practice guideline does the text discuss?
Sudden hearing loss
Which medical journal is the reference from?
Acta Otolaryngologica
In what year was the reference published?
1979
Who are the authors of the clinical practice guideline?
Stachler RJ, Chandrasekhar SS, Archer SM, et al.
What is the title of the clinical practice guideline?
Sudden hearing loss
What happened to the patient's WBC count by the end of his 10-day admission?
It decreased to 22,800/μL
When did the patient's WBC count return to normal levels?
Within 1 week of discharge
What was the patient's WBC count at normal levels?
6600/μL
During the patient's hospital stay, did his WBC count increase significantly?
No, it decreased
How long did it take for the patient's WBC count to return to normal after discharge?
1 week
What is indicated by the phrase 'review of systems was negative'?
No abnormalities were found during the review of body systems
Which of the following symptoms was NOT mentioned as being absent during the review of systems?
Nausea
What does the term 'early satiety' refer to?
Feeling full or satiated after eating a small amount of food
Based on the information provided, which of the following can be inferred?
The patient has no concerning symptoms or complaints
Which of the following is the most likely reason for performing a review of systems?
To assess the patient's overall health and identify any potential issues
Test your knowledge on interpreting medical reports based on review of systems that are negative for weight loss, fevers, infection, and early satiety.
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