Differentials

Question 0

Testicular pain

Answer 0

Testicular torsion (RED)
Torsion of hydatid of Morgani (blue nodule under scrotum)
Epididymo-orchitis (gradual onset, symptoms of UTI)
Tumour
Trauma
Acute hydrocoele

Question 1

Differential for clubbing

Answer 1

Cardiac:Bacterial endocarditis
Cyanotic congenital heart disease
Bronchiectasis 
Bronchial carcinoma
Lung abscess
Empyema
Fibrosing alveolitis
Hepatic cirrhosis
Crohns/UC

Question 2

Otalgia with no aural findings

Answer 2

Dental disease
TMJ disorders
Maxillary sinusitis
Inflammatory/malignant lesions of pharynx/ P. tongue, larynx
Conditions in back of the neck and cervical spine

nb this is usually referred pain following either the CN or dermatomes

Question 3

Ocular pain

Answer 3

Do NOT confuse with orbital pain (eg. migraines)!!!

Corneal abrasion
Keratitis
Uveitis
Glaucoma
Episcleritis and scleritis

Question 4

Altered vision acute

Answer 4

Trauma
Branch/central retinal aa/vv occlusion
A. Ischaemic optic neuropathy

Question 5

Altered vision subacute

Answer 5

Uveitis
Orbital inflammation
Acute glaucoma
Optic neuritis
Age related macular degeneration

Question 6

Altered vision gradual

Answer 6

Uveitis
Optic nerve compression
Age related macular degeneration
Cataract

Question 7

Altered vision transient

Answer 7

Migraine
TIA
Syncope
Anterior ischaemic optic neuropathy