Case History Flashcards
(177 cards)
1
Q
Nocturia, frequency, urgency, post-micturition dribbling, poor stream/flow, hesitancy, incomplete emptying
A
BPH
2
Q
Weight loss, loin pain, haematuria, abdominal mass, varicocele, HTN
A
RCC
3
Q
LUTS, weight loss, fatigue, night sweats, bone pain, male
A
Prostate cancer
4
Q
Painless non-transilluminable testis lump, haemospermia
A
Testicular cancer
5
Q
Dysuria, frequency, urgency, suprapubic pain, haematuria, polyuria, incontinence, confusion in elderly
A
Cystitis
6
Q
Loin pain, fever, pyuria, back pain, severe headache, associated cystitis symptoms
A
Pyelonephritis
7
Q
Pain in perineum/rectum/scrotum/penis/bladder/lower back, fever, malaise, nausea, urinary symptoms, swollen or tender prostate on examination
A
Prostatitis
8
Q
Renal colic, restlessness, nausea and vomiting, haematuria, dysuria
A
Renal stones
9
Q
Rise in creatinine >26 micromoles per L within 48h, rise in creatinine >1.5x baseline within 7 days, urine output <0.5ml per kg per h for >6 consecutive days
A
AKI
10
Q
Oliguria, high creatinine, hyperkalaemia, uraemia, hypocalcaemia/hyperphosphataemia
A
AKI
11
Q
Painless visible haematuria, urgency, suprapubic/pelvic mass/pain, recurrent UTI, paint etc
A
Bladder cancer
12
Q
Abnormal kidney structure of function for >3 months with implications for health
A
Chronic kidney disease
13
Q
Skin lesion, dysuria +/- discharge, urethral pain, penile discomfort/pruritus
A
Urethritis
14
Q
Proteinuria, Haematuria, HTN
A
Nephritic syndrome
15
Q
Proteinuria, hypercholesterolaemia, hypoalbuminaemia
A
Nephrotic syndrome
16
Q
HTN, abdo/flank pain, headaches, LUTS, palpable kidneys
A
PKD
17
Q
Can be painful if large, transillumination as fluid filled, can palpate cyst and testis separately
A
Epididymal cyst
18
Q
Painless unless infected, non-tender smooth cystic swelling, transluminates
A
Hydrocele
19
Q
Feels like a bag of worms, dragging/soreness/heaviness of scrotum
A
Varicocele
20
Q
Malaise, nausea, anorexia, jaundice, pruritis, Asterixis, Dupuytren’s contractures, Leukonychia, Spider naevi
A
Liver failure
21
Q
Interlobular bile ducts are damaged by chronic autoimmune granulomatous inflammation causing cholestasis
A
PBC
22
Q
RUQ pain, fever/WCC and jaundice
A
Cholangitis
23
Q
Progressive cholestasis with bile duct inflammation and strictures, affects ducts inside and outside the liver
A
PSC
24
Q
Severe epigastric pain that radiates to the back, anorexia, fever, jaundice, Grey Turner’s sign, N&V, tachycardia
A
Acute pancreatitis
25
Colicky RUQ pain that radiates to back, worse after eating large or fatty meals
Biliary colic
26
RUQ pain that radiates to back, fever/increased WCC, Murphy's sign
Acute cholecystitis
27
Epigastric pain that goes through to the back, Sitting forward or hot water bottles on epigastrum/back relieves, alcohol makes it worse, Nausea and vomiting, decreased appetite, malabsorption
Chronic pancreatits
28
Malaise, increased temperature/pulse/respiratory rate, anorexia, diarrhoea, vomiting, tender hepatomegaly +/- jaundice, bleeding, ascites
Alcoholic hepatitis
29
Ataxia, confusion, nystagmus, memory impairment
Wernicke-Korsakoff encephalopathy
30
Submucosal venous dilatation secondary to increased portal pressures
Varices
31
Ascites, clubbing, palmar erythema, xanthelasma, spider naevi, hepatomegaly, peripheral oedema, nail changes
Cirrhosis
32
Loose stools, vomiting, abdo pain
| Fever, fatigue, headache, myalgia
Infective diarrhoea
| Viral infective diarrhoea
33
Fatigue, arthralgia, weakness, hypogonadism, slate-grey or brownish/bronze skin, chronic liver disease, heart failure, arrhythmias
Haemochromatosis
34
Depression, neurotic behavioural problems, tremor, dysarthria, involuntary movements, dysphagia, reduced memory, eventual dementia, hepatitis, cirrhosis, Kayser-Fleischer ring
Wilson's
35
Fever, malaise, anorexia, weight loss, RUQ pain, Hepatomegaly, chronic liver disease, evidence of decompensation, bruit over liver
Liver tumours
36
Epigastric pain that radiates to back and is relieved by sitting forward, painless obstructive jaundice, anorexia, weight loss, diabetes, acute pancreatitis, jaundice and palpable gallbladder, epigastric mass, hepatomegaly, splenomegaly, lymphadenopathy, ascites
Pancreatic cancer
37
Coffee ground vomit, melaena, hypotension, tachycardia
Upper GI bleed
38
Weight loss, polyuria, polydipsia
T1DM
39
Polydipsia, polyuria, glycosuria
T2DM
40
Cough, sputum, dyspnoea, wheeze, tachypnoea, accessory breathing, decreased expansion, quiet breath sounds, cyanosis
COPD
41
Intermittent dyspnoea, wheeze, cough that's often nocturnal, sputum, intermittent dyspnoea, wheeze, cough that's often nocturnal, sputum
Asthma
42
Cough, haemoptysis, dyspnoea, chest pain, weight loss, recurrent pneumonia, cachexia, anaemia, clubbing, consolidation, collapse, pleural effusion
Bronchus carcinoma
43
Chest pain, dyspnoea, weight loss, recurrent pleural effusion
Malignant mesothelioma
44
Sudden onset breathlessness, pleuritic chest pain, haemoptysis, tachypnoea, tachycardia, raised JVP
PE
45
Low-grade fever, night sweats, weight loss, malaise, cough, haemoptysis
TB
46
Fever, rigors, malaise, dyspnoea, cough, haemoptysis, pleuritic pain, cyanosis, confusion, tachypnoea, tachycardia
Pneumonia
47
Dyspnoea and other emphysema symptoms, cirrhosis, cholestatic jaundice if child
Alpha-1-antitrypsin deficiency
48
Dyspnoea, dry cough, bibasal crackles
Pulmonary fibrosis
49
Erythema nodosum, bilateral hilar lymphadenopathy, pulmonary infiltrates, heart block, VT, HF, anterior uveitis, chronic meningitis, seizures, neuropathy, hepatic granuloma, hypercalcaemia
Sarcoidosis
50
Dilatation, ciliary dysfunction, inflammation
Bronchiectasis
51
Failure to thrive, meconium ileus, cough, wheeze, recurrent infections, bronchiectasis, pneumothorax
Cystic fibrosis
52
Dyspnoea, dullness to percussion, cough, quieter breath sounds, pleuritic chest pain
Pleural effusion
53
Stable patient, sudden onset pleuritic chest pain, dyspnoea, cough
Pneumothorax
54
Hypotension, respiratory distress, low sats, tachycardia, shock, severe chest pain, pneumothorax symptoms
Tension pneumothorax
55
Exertional dyspnoea, lethargy and fatigue, ankle swelling, accentuated pulmonic component to the 2nd heart sound, tricuspid regurgitation murmur, fatigue, peripheral oedema, cyanosis
PH
56
Angina, syncope, heart failure, dyspnoea, ejection systolic crescendo decrescendo murmur, narrow pulse pressure
Aortic stenosis
57
Exertional dyspnoea, orthopnoea, paroxysmal nocturnal dyspnoea, displaced and hyperdynamic apex beat, decrescendo early diastolic murmur, Austin flint murmur, wide pulse pressure, collapsing pulse
Aortic regurgitation
58
Progressive dyspnoea, haemoptysis, hoarseness, dysphagia, bronchial obstruction, apical mild diastolic rumble, loud opening S1 snap, rumbling mid-diastolic murmur, mitral facies
Mitral stenosis
59
Exertional dyspnoea, fatigue, palpitations, displaced, hyperdynamic apex beat, pansystolic murmur at apex
Mitral regurgitation
60
Constricting/heavy discomfort to the chest, jaw, neck, shoulders or arms
Symptoms brought on by exertion
Symptoms relieved within 5 mins or rest or GTN
Typical angina
61
Angina of increasing frequency or severity that occurs on minimal exertion or at rest
Unstable angina
62
Acute central chest pain lasting >20 mins, nausea, sweatiness, dyspnoea, palpitations
ACS
63
An ACS with ST-segment elevation or new-onset LBBB
STEMI
64
Dyspnoea, fatigue, orthopnoea, poor exercise tolerance, nocturnal cough, wheeze, nocturia, cold peripheries, Peripheral oedema, ascites, nausea, facial engorgement, epistaxis
Heart failure
65
Splinter haemorrhages, Osler's nodes, Janeway lesions, Roth spots, Fever
IE
66
Chaotic irregular rhythm with an irregular ventricular rate, asymptomatic, palpitations, dyspnoea, chest pains, fatigue
AF
67
Palpitations, breathlessness, chest pain, dizziness, syncope, fatigue, saw-tooth pattern
Atrial flutter
68
MaRRoW (R wave in V1, Slurred S wave in V6), Wide QRS, asymptomatic, syncope/presyncope
RBBB
69
WiLLiaM (Slurred S wave in V1, R wave in V6), Wide QRS, notched top, T wave inversion in lateral leads, asymptomatic, syncope/presyncope
LBBB
70
PR interval >200ms
1st degree heart block
71
Progressive lengthening of PR interval, one non-conducted P wave, next PR interval is shorter, light headedness, dizziness, syncope
2nd degree Mobitz I heart block
72
Constant PR, occasional non-conducted P waves, wide QRS,
2nd degree Mobitz II heart block
73
Two P waves per QRS, normal consistent PR intervals, SOB, postural hypotension, chest pain
2nd degree heart block 2:1
74
Dissociation between P waves and QRS so occur at different rates, abnormally shaped QRS, dizziness, blackouts
3rd degree heart block
75
Abnormal P waves, normal QRS, >150 bpm
Atrial tachycardia
76
Absent P wave, normal QRS, >100 bpm
AV nodal re-entrant tachycardia
77
No P waves, regular wide QRS, no T waves, >100 bpm
Ventricular tachycardia
78
Premature wide QRS with no P wave and then a compensatory pause or QRS and T waves disconcordant
Ventricular ectopic
79
Syncope, palpitations, may progress to VF, QT interval greatly increased
Prolonged QT syndrome
80
Short PR interval, delta waves (wide QRS complex that begins slurred), palpitations, severe dizziness, dyspnoea, syncope
WPW syndrome
81
Usually asymptomatic, pulsatile mass if big, bruit on auscultation, lower back/abdominal pain if expanding rapidly
AAA
82
Acute onset of severe, tearing abdominal pain with radiation to back, flank and groin, painful pulsatile mass, hypovolemic shock, syncope, nausea, vomiting
Ruptured AAA
83
Sudden and severe tearing pain in chest radiating to back, hypotension, asymmetrical blood pressure, syncope
Aortic dissection
84
Pain, Paralysis, Pulseless, Perishingly cold, Pallor, Paraesthesia
Critical limb ischaemia
85
Pain in lower limbs on exercise, relieved on rest due to intermittent claudication, leg may be pale, cold, loss of hair, skin changes, unremitting pain in foot, especially at night so hangs foot out of bed
Peripheral vascular disease
86
Sharp, pleuritic chest pain with rapid onset, worse when lying flat and on inspiration, relieved by sitting forward, radiates to trapezius ridge, dyspnoea, cough, hiccups, fever, myalgia, Pericardial rub heard on auscultation, tachycardia, peripheral oedema, increased JVP
Acute pericarditis
87
Ventricular septal defect, pulmonary stenosis, hypertrophy of RV, overriding aorta
Tetralogy of Fallow
88
Fatigue, dyspnoea, faintness, palpitations, headache, anorexia, irritability, difficulty concentrating, pallor, tachycardia, systolic flow murmur, cardiac failure
Anaemia
89
Pallor, fatigue, palpitations, SOB, jaundice, Irregularly contracted cells, bite cells, reticulocytosis, G6PD levels low
G6PD deficiency
90
Pain in hands and feet, long bone pain, cognitive defects in children, PH and chronic lung disease, splenic sequestration
Sickle cell crisis
91
Severe anaemia, failure to thrive, skull bossing, hepatosplenomegaly, osteopenia
Beta thalassaemia major
92
Unilateral calf pain, warmth, swelling, redness, ankle oedema
DVT
93
Hepatomegaly, splenomegaly, lymphadenopathy, CNS involvement, SVC obstruction, anaemia, infections, bleeding, characteristic blast cells on blood film
ALL
94
Anaemia, infection, bleeding, bone pain, hepatomegaly, splenomegaly, gum hypertrophy, blast cells with Auer rods
AML
95
Wt loss, tiredness, fever, sweats, gout, bleeding, abdominal discomfort, anaemia, infection, massive hepatosplenomegaly, Philadelphia chromosome
CML
96
Wt loss, sweats, anorexia, enlarged, rubbery, non-tender nodes, small mature lymphocytes, smudge cells
CLL
97
Reed-Sternberg cells, fever and sweating, lymphadenopathy, systemic B symptoms, painful nodes on drinking alcohol
Hodgkin's lymphoma
98
Fever and sweating, enlarged, rubbery non-tender lymph nodes, B symptoms, GI and skin involvement, no Reed-Sternberg cells
Non-Hodgkin's lymphoma
99
Pepper pot skull, back pain, Bence Jones proteins, OLD CRAB
Multiple myeloma
100
Fever, chills, headache, cough, splenomegaly, jaundice, confusion, seizures, travel history
Malaria
101
JAK2 mutation, Headaches and dizziness, itching, fatigue, tinnitus, erythromelalgia, HTN, angina
Polycythaemia
102
Bleeding following venepuncture, bleeding following trauma
| Neonatal bleeding, history of spontaneous bleeding, GI bleeds, haematuria
Moderate/severe haemophilia A
103
Bruising, epistaxis, pallor, haemoptysis, heavy bleeding from minor trauma, bleeding from tooth loss in childhood, joint pain and stiffness, headache, irritability, vomiting, haematemesis from GI bleed
Haemophilia B
104
Bleeding from mucosa - epistaxis, menorrhagia, spontaneous bleeding, blood clots during childbirth, spontaneous death
von Willebrand disease
105
Purpura, epistaxis, menorrhagia, prolonged bleeding from the gums, severe headache, vomiting, fatigue
Immune thrombocytopenia purpura
106
Flu-like symptoms, purpura, epistaxis, easy bruising, menorrhagia, haemoptysis, headache, abdominal pain, GI bleeding, chest pain
Thrombotic thrombocytopenic purpura
107
Large bruises, spontaneous bleeding at venepuncture sites or after minor trauma, epistaxis, GI bleeds, confusion and shock, fever, ARDS, purpura, gangrene
DIC
108
Stiffness of the neck, photophobia, severe headache, fever, feel unwell, rash
Meningitis
109
Lethargy and fatigue, decreased level of consciousness, fever, occasionally there may be fits
Encephalitis
110
Contralateral sensory loss, contralateral hemiplegia that's initially flaccid but becomes spastic, dysphasia, homonymous hemianopia, visuo-spatial deficit, UMN facial weakness that's forehead sparing
Cerebral infarct
111
Quadriplegia, locked-in syndrome, facial numbness/paralysis, gaze/vision disturbances, dysarthria and speech impairment, altered consciousness
Brainstem infarct
112
An ischaemic neurological event with symptoms lasting <24h, they usually have an embolic cause and symptoms usually last a lot shorter than 24h
TIA
113
Sudden onset excruciating headache, thunderclap, typically occipital, nausea and vomiting, collapse, loss of consciousness, seizures, coma, neck stiffness, Kernig's sign, Brudzinski's sign, retinal/subhyaloid/vitreous bleeds
Subarachnoid haemorrhage
114
Fluctuating level of consciousness +/- physical or intellectual slowing, sleepiness, headache, confusion, increased ICP, seizures, localising neurological symptoms occur later
Subdural haemorrhage
115
Lucid interval, Rapidly declining GCS, increasingly severe headache, vomiting, seizures, hemiparesis, UMN signs
Extradural haemorrhage
116
Simultaneous electrical discharge throughout the whole cortex, bilateral and symmetrical motor manifestations and always associated with loss of consciousness and lack of awareness
Generalised seizure
117
Resting tremor, hypertonia, bradykinesia (Slow to initiate movement, actions slow and decrease in amplitude with repetition, abnormal gait, expressionless face)
Parkinson's
118
Pyramidal weakness, spastic paraparesis, changes in sensation, fatigue, chronically increasing bladder involvement, cognitive impairment, dizziness, depression, Usually UMN, loss of colour vision, Lhermitte sign, Uhthoff phenomenon
MS
119
Stumbling spastic gait, wrist/foot drop, change in appearance of hands, excessive fatigue, UMN (Babinski reflex, increased muscle tone, muscle weakness, overactive reflexes), LMN (Fasciculations, decreased muscle tone, muscle weakness, decreased reflex response), Bulbar (Speech or swallowing difficulties)
MND
120
Coma, Cerebellar signs (DANISH), nausea and vomiting, seizures
Brain tumour
121
Recent onset temporal headache, myalgia, malaise, fever. jaw claudication, diplopia, temporal artery may be prominent/tender, bruits over carotid/brachial artery
GCA
122
Paraplegia, pain, paraesthesia, changes to tendon reflexes, Red flags = Loss of bladder or bowel function, UMN signs in lower limbs, LMN signs in upper limbs
Spinal cord compression
123
Saddle paraesthesia, bladder/bowel dysfunction, sexual dysfunction, motor problems, lower back pain, bilateral LMN weakness, absent ankle reflex, loss of anal tone/sensation
Cauda equina syndrome
124
Numbness, tingling, muscle weakness, dropping objects, sharp pains, buzzing sensations in limbs
Nerve lesions
125
Double vision going down stairs
Trochlear lesion
126
In index and middle fingers, pins and needles, pain, numbness, weakness and loss of grip
Carpal tunnel
127
Weakness of small muscles of the hands, deltoid and triceps, bulbar muscles, mastication muscles, worse on exertion, better on rest, ocular symptoms, seizures
MG
128
Loss of touch, proprioception, temperature/pain, paraesthesia, numbness/tingling/burning or shooting pains, positive Romberg test, distal weakness, proximal weakness, muscle wasting, fasciculations, absent tendon reflexes
Peripheral neuropathies
129
Flu-like symptoms and a rash 2-4 weeks after infection, Can have persistent generalised lymphadenopathy
HIV
130
Initial - None or vomiting +/- RUQ pain, later - jaundice, encephalopathy, +/- AKI
Paracetamol overdose
131
Proteinuria/nephrotic syndrome, cardiomyopathy/arrhythmia/angina, neuropathy/carpal tunnel, malabsorption/perforation/obstruction, purpura/bleeding, hepatosplenomegaly, Howell-Jolly bodies
Amyloidosis
132
Swelling of an area, reduced range of movement, feeling of heaviness/tightness in limb, recurrent infections
Lymphadenopathy
133
Gradual drowsiness, Vomiting, Dehydration, abdominal pain, Ketotic breath, tachycardia, hypotension, Kussmal's breathing, reduced tissue turgor
DKA
134
Decreased consciousness, severe dehydration, hyperglycaemia, hyperosmolality
HHS
135
Rapid onset, odd behaviour, sweating, tachycardia, seizures
Hypoglycaemia
136
Hot and sweaty, diarrhoea, weight loss, anxiety/restlessness, hyperphagia, Periorbital swelling, goitre, tachycardia
Hyperthyroidism
137
Weight gain, depression, constipation, cold intolerance, brain fog, bradycardia, delayed reflexes
Hypothyroidism
138
Diffuse goitre, thyroid eye disease, pretibial myxoedema, acropachy
Graves' disease
139
A lump in the neck
Thyroid cancer
140
Chronic glucocorticoid excess, Loss of normal HPA axis feedback mechanisms, Loss of circadian rhythm of cortisol secretion, Central obesity, plethoric complexion, weight gain, purple abdominal striae, mood change, moon face, proximal muscle weakness, gastric ulcers, osteoporosis, hirsutism
Cushing's syndrome
141
Large hands, box jaw, thick skin, arthritis, sight problems, HTN, insulin resistance, bitemporal hemiopia
Acromegaly
142
HTN, nocturia and polyuria, mood disturbance, difficulty concentrating, hypokalaemia, acidosis
Primary hyperaldosteronism
143
Fatigue, weakness, weight loss. nausea/vomiting, abdominal pain, diarrhoea/constipation, hyperpigmentation if Addison's, postural hypotension, hypoglycaemia
Adrenal insufficiency/Addison's
144
Asymptomatic, fatigue, generalised weakness, muscle cramps and pain, palpitations, arrhythmias, muscle paralysis, rhabdomyolysis, Flat T waves, ST depression, prominent U waves, prolonged PR
Hypokalaemia
145
Tall tented T waves, prolonged PR, widening of QRS interval, small/absent P waves
Hyperkalaemia
146
Nausea and vomiting, headache, lethargy, cramps, weakness, confusion, Raised JVP, oedema, ascites
SIADH
147
Polyuria, polydipsia, dehydration, Dry mucosa, sunken eyes, changes to skin turgidity
Diabetes insipidus
148
Heartburn, belching, odynophagia, nocturnal asthma, chronic cough, laryngitis, sinusitis, Worse after meals and when lying, relieved by antacids
GORD
149
Circumferential and continuous inflammation limited to mucosa, no skip lesions, Remissions and exacerbations, LLQ pain, abdominal cramps/discomfort, episodic or chronic diarrhoea +/- blood/mucus or urgency, Fever, malaise, anorexia, wt loss, Clubbing, aphthous oral ulcers, nutritional deficits
Ulcerative colitis
150
Transmural inflammation affecting any part of the gut, from mouth to anus. There are skip lesions and a cobblestone appearance, abdominal pain, weight loss, right iliac fossa pain, bloody diarrhoea and urgency, pain on defecation, clubbing, oral aphthous ulcers, skin/joint/eye problems
Crohn's disease
151
Dermatitis herpetiformis, stinking stools, steatorrhoea, diarrhoea, abdo pain, bloating, nausea and vomiting, wt loss, fatigue, weakness, anaemia, osteomalacia, angular stomatitis
Coeliac
152
Abdominal pain/discomfort - relieved by defecation
Bloating
Change in bowel habit - stool form/frequency
Urgency, incomplete evacuation, abdominal bloating/distension, mucus in stool, worsening of symptoms after food
IBS
153
Vomiting, progressive dysphagia, anorexia and weight loss
Oesophageal cancer
154
Anorexia, nausea, weight loss, anaemia, dysphagia, vomiting, epigastric pain
Gastric cancer
155
Pain, mass, bleeding, change in bowel habit, weight loss, vomiting, obstruction
Colon cancer
156
Epigastric pain that's worse on eating and relieved by antacids
Gastric ulcers
157
Epigastric pain after meals and at night that's relieved by eating or milk
Duodenal ulcers
158
Periumbilical pain that moves to right iliac fossa, Guarding, tender mass in RIF, pyrexia, anorexia, nausea and vomiting, Rovsing's sign
Appendicitis
159
Pain that's initially colicky but then diffuse and higher than in LBO, vomiting following pain that's earlier than in LBO, less abdominal distension than LBO, increased bowel sounds
Small bowel obstruction
160
More constant and diffuse pain than SBO, more abdominal distension than SBO, bowel sounds normal --> increased --> none, palpable mass, vomiting later or absent, constipation earlier then SBO
Large bowel obstruction
161
LIF pain with tenderness, palpable LIF mass, constipation, tachycardia, fever
Diverticulitis
162
Epigastric pain, nausea and vomiting, dyspepsia
Gastritis
163
Painful joints stiff for 30 or less in the morning and gets worse throughout the day. Distal Heberden nodes. Proximal Bouchard nodes
Osteoarthritis
164
Acute monoarthropathy with severe joint inflammation. Joints are hot, swollen and painful
Gout
165
Knee, Hot, swollen, tender joint. Might have recently injured the joint
Pseudogout
166
Lower back pain and stiffness that's worse with rest and improves with movement. Sacroiliac pain, flares of worsening symptoms
Ankylosing spondylitis
167
Inflammatory joint pain, plaques of psoriasis, onycholysis, dactylitis, enthesitis
Psoriatic arthritis
168
Painful, swollen, stiff joints for more than an hour in the morning, better with movement, Swan neck thumb, ulnar deviation, boutonniere deformity, Z thumb, Rheumatoid nodules, Sjogren's, Anaemia of chronic disease, Keratoconjunctivitis sicca, pleural disease (usually asymptomatic), Pericarditis (symptomatic uncommon)
Rheumatoid arthritis
169
Conjunctivitis, urethritis, arthritis. Can't see, can't pee, can't climb a tree
Reactive arthritis
170
Hot, swollen, painful, restricted joint, fever
Septic arthritis
171
Child with limp or reluctance to weight bear, non specific pain at site of infection, low grade fever, malaise + fatigue
Osteomyelitis
172
Butterfly rash, weight loss, fever, fatigue, joint pain, mouth ulcers
SLE
173
Bone pain worse at night, constant or intermittent, resistant to analgesia, may increase in intensity, atypical bony or soft tissue swelling/masses, pathological fractures, mobility issues, inflammation and tenderness
Bone tumour
174
Fatigue, brain fog, pain, morning stiffness
Fibromyalgia
175
Bone pain and tenderness, dull ache that's worse on weight bearing, fractures - especially neck of femur, muscle weakness - waddling gait/difficulty with stairs
Osteomalacia
176
Stunted growth, hypotonia, knock-kneed/bow-legged
Rickets
177
Arthritis, dry eyes and mouth
Sjogren's
