Approaches Flashcards

1
Q

Ankle / Leg Swelling

A

History and Key Questions

PC - Site, onset, duration, redness, warmth, pain, rash. trauma, bite / sting

Systemic - N&V, fever, sweating, weight loss

PMH - recent surgery, immobility, fractures, IHD, DM, Stroke, bowel disease / GU, thyroid

DH - COCP / HRT, steroids, amlodipine, allergies

SH - smoking, alcohol, long-distance travel

Examination and Special Tests

Examine the limb - site, size, shape, colour, tender, temperature, ulcers (between toes)

Systemic exam led by history - heart, lungs, GI, vascular

Differential Diagnosis & Supporting Features

Lymphoedema - non-pitting, malignancy, FH, obesity

DVT - unilateral, red, tender, risk factors

Venous Insufficiency - bursting/throbbing, relieved by elevation, worse on standing, prev DVT or thrombophlebitis

Investigations

Simple - Wells score to determine DVT risk, dipstix

Bloods - FBC, CRP, U&Es, ?D-dimer & ABG if PE susp.

Imaging - Doppler USS

Others -

Management

Conservative -

Lymphoedema - exercise, weight loss, elevate limb, massage

DVT - modify risk factors

Medical -

Lymphoedema - compression bandaging, Abx

DVT - Enoxaparin, Warfarin

Venous - compression if ABPI >0.8

Surgical -

Venous - varicose vein removal

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2
Q

Abdo pain

A

History and Key Questions

PC - pain/tenderness, N&V, swelling, stool, blood, habit, GU, weight loss, surgery, jaundice, eating

PMH - DM, IBD, IHD, jaundice, gallstones, parcreatitis, GORD

DH&SH - NSAIDs, alcohol, travel

Examination and Special Tests

Don’t forget Flap, Nodes or Ankles

Murphy’s for cholecystitis

Shifting dullness for ascites

Hernias

PR

Differential Diagnosis & Supporting Features

Obstruction - pain, dist, N&V, const, tinkling bowel sounds

Appendicitis - perium-RIF, anorexia, N&V

Strangulated Hernia - sudden onset, prev hernia

GORD/Ulcer - dyspepsia, heartburn, anorexia, NSAIDs

Gastroenteritis - rapid, V, Diarr, inc Temp, epigastric tend

IBD - weight loss, mouth ulcers, PR blood/mucus, tender

Diverticulitis - diarrhoea, const, PR blood, tender/peritoniti

Renal colic - colicky flank pain, groin, N&V, restlessness

HPB - constant or colicky RUQ, +- Jaundice

O&G - lower abdo, PV blood, period change,

Acute - Perforation, Pancreatitis, AAA Rupture, Testicular Torsion

Investigations

Simple - dipstix, MSU, ßHCG in women, ?ECG

Bloods - FBC, CRP, U&Es, LFTs, amylase, Ca(low in pancreatitis), glucose, clotting, ?C&S, ?Trops, ABG if unwell

Imaging - Erect CXR, plain AXR, USS liver, CT KUB

_Others - _

Management

Acute

ABCDE approach

Analgesia & antiemetic

?O2, NG tube, catheter

IVT if shocked

NBM

Senior review

Chronic Depends on cause

Conservative -

Medical -

Surgical -

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3
Q

Abdo mass / swelling

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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4
Q

Back pain

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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5
Q

Altered bowel habit

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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6
Q

Breast Lump

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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7
Q

SoB

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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8
Q

Change in appetite and body weight

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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9
Q

Chest Pain

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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10
Q

Collapse

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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11
Q

Confusion

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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12
Q

Delirium

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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13
Q

Cough

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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14
Q

Difficult micturition & dysuria

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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15
Q

Dizziness, syncope & falls

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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16
Q

Dyspepsia

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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17
Q

Dysphagia

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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18
Q

Fever

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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19
Q

Gait disturbance

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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20
Q

Haemoptysis

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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21
Q

Haematemesis

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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22
Q

Melaena

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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23
Q

Hearing loss

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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24
Q

Hoarseness

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

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25
Incontinence
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
26
Infection
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
27
Inguinal swelling
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
28
Tremor
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
29
Itch
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
30
Jaundice
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
31
Joint pain
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
32
Joint swelling
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
33
Loin pain
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
34
Lymphadenopathy
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
35
Memory problems
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
36
Menstrual / menopausal symptoms
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
37
Mood disturbance
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
38
N&V
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
39
Neck Pain
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
40
Neck swelling
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
41
normal pregnancy
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
42
Nutritional Disorders
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
43
Pallor
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
44
Palpitations
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
45
Paraesthesiae
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
46
Perceptual abnormalities
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
47
Photophobia
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
48
Polyuria
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
49
Rectal blood loss
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
50
Dyspareunia
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
51
Shock
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
52
Rash & ulcer
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
53
Skin lesions
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
54
Sleep disturbance
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
55
Speech problems
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
56
Substance misuse
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
57
Thirst
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
58
Thought abnormalities
**History and Key Questions** PC - mood, beliefs, suicidal ideation, depressive symptoms (anhedonia, low appetite & libido, early waking), psychotic symptoms (persecutory beliefs, delusions, hallucinations), drugs/alcohol, obsessive behaviour Circumstances - housing, money, job, family, friends FH, SH, ForH, premorbid personality **Examination and Special Tests** Mental State Examination: Appearance & behaviour Speech - rate, pressured Mood - up, down, suicidal Beliefs - delusions, ideas Hallucinations - modality Orientation - time, place, person Short-term memory - name&address 5mins Long-term memory - monarch Concentration - months backwards Note Pts insight & rapport **Differential Diagnosis & Supporting Features** Depression - clinical symptoms Psychosis - as above Schizophrenia - ICD10 Bi-polar - variation **Investigations** Rule in / out drug induced and organic causes "why this, why now?" _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ Stabilise patient, assess risk to self and others ? mental health act and sections depends on cause _Chronic_ Conservative - Medical - Surgical -
59
Oliguria
**History and Key Questions** PC - why in hospital, onset, pain, blood, distention, prev output DH - NSAIDs, ACEi, Gentamicin, contrast **Examination and Special Tests** ABCDE approach Review charts Hydration status Oedema **Differential Diagnosis & Supporting Features** Prerenal - hypovolaemia, HF Renal - ATN, glomerular nephritis Post-renal - outflow obstruction eg blocked catheter **Investigations** _Simple_ - dipstix if possible, check catheter _Bloods_ - U&Es, ABG if unwell _Imaging_ - USS, CT KUB _Others_ - ECG if high/low K+ **Management** _Acute_ Fluid challenge if no pulmonary oedema _Chronic _ Conservative - Medical - Surgical -
60
Visual problems
**History and Key Questions** PC - mon/binocular, complete, onset, duration, flashing lights/shapes, painful, red, headache, facial pain, focal neurology, trauma, systemic symptoms PMH - HPT, IHD, DM, RF for stroke, migraine **Examination and Special Tests** Inspection Acuity Fields Close inspection with light Red reflex Pupils Fundoscopy Fluorecin if altered sensation **Differential Diagnosis & Supporting Features** Painful - glaucoma, AION, optic neuritis Painless - Neuro, CRAO, CRVO **Investigations** _Simple_ - further eye examinations eg slit lamp _Bloods_ - FBC, CRP, ESR _Imaging - _ _Others - _ **Management** Depends on cause, glaucoma should be refered to ophthalmologist on-call immediately _Chronic _ Conservative - Medical - Surgical -
61
Muscle weakness
**History and Key Questions** PC - onset, weakness or incoordination, site, symmetry, ?sensory, swallowing/speech/bladder/bowel, spine pain, trauma, systemic symptoms PMH - HPT, IHD, stroke, DM, connective tissue, immuno suppression DH - phenytoin, isoniazid, vincristine, metronidazole **Examination and Special Tests** Pattern - UMN, LMN, combination, pyramidal features Fatiguable, involuntary movements, gait, sensory level?, modality of sensory deficit **Differential Diagnosis & Supporting Features** Do Not Miss - cord compression, G-B, subdural, stroke Consider - demyelination, malignancy, MND, vitamin deficiency, peripheral neuropathy **Investigations** _Simple_ - BM, neuro obs _Bloods_ - FBC, CRP, ESR, U&Es, LFTs, Clotting _Imaging_ - CT Head, MRI head/spine _Others_ - CSF **Management** Depends on cause _Chronic _ Conservative - Medical - Surgical -
62
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
63
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
64
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
65
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
66
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
67
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
68
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
69
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
70
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
71
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
72
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
73
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
74
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
75
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
76
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
77
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
78
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
79
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
80
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
81
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
82
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
83
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
84
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
85
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
86
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
87
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
88
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
89
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
90
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
91
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
92
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
93
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
94
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
95
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
96
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
97
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
98
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
99
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
100
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
101
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
102
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
103
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
104
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
105
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
106
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
107
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
108
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
109
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
110
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
111
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
112
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
113
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
114
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
115
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
116
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
117
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
118
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
119
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
120
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
121
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
122
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
123
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
124
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
125
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
126
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
127
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -
128
**History and Key Questions** **Examination and Special Tests** **Differential Diagnosis & Supporting Features** **Investigations** _Simple - _ _Bloods -_ _Imaging - _ _Others - _ **Management** _Acute_ _Chronic _ Conservative - Medical - Surgical -