DDx based on chief complaints Flashcards
(25 cards)
Headache
MM IT ACHES *Migraine*, meningitis ↑ ITP - pseudotumor cerebri, brain tumor Tension headache, temporal arthritis, trigeminal neuralgia, TMJ disorder AVM malformation Cluster headache, CAD HTN Eye: glaucoma Sinusitis, SAH, seizure, systemic illness
Insomnia
Caffeine-induced insomnia
OSA
Hyperthyroidism
Insomnia related to anxiety, MDD, or adjustment disorder (stress-induced insomnia)
Insomnia with circadian rhythm sleep disorder
Daytime fatigue in primary hypersomnia (depressed teenager, bipolar, or seasonal depression
Illicit drug use
Cough/shortness of breath
PLEURAL CAP PNA, pericarditis Lung cancer Exacerbation of COPD - chronic bronchitis URI Reactive airway disease (asthma) Abscess Lymphoma CHF ACE inhibitors PND **GERD, bronchiectasis, foreign body, vasculitis (wegener's granulomatosis) ** if weight loss + B symptoms: TB, PNA, lymphoma, HIV/AIDS, sarcoidosis
Weight loss
Hyperthyroidism Cancer HIV TB Dieting/diet drugs anorexia nervosa malabsorption
Vaginal bleeding
A PV BLEEDS
Abortion (spontaneous)
PID, PCOS
Von Willebrands (or other coag d/o: hemophilia)
Bad: cancer (cervical, endometrial), ruptured ovarian cyst
Leiomyoma
Ectopic pregnancy
Endometriosis, endocrine (hypothyroidism)
Dsyfunctional uterine bleeding (anovulatory cycle)
Abuse - multiple bodily injuries
Domestic violence Substance abuse Rape Consensual violent sexual behavior Osteogenesis imperfecta
Abuse - sexual assault
Fracture
STD: trich, chlamydia, gonorrhea, HIV, hep B
Pregnancy
colicky, unilateral flank pain - radiates to groin
nausea, vomit
hematuria
nephrolithiasis
renal cell carcinoma
pyelonephritis
appendicitis
dull, epigastric pain - radiates to back
weight loss
dark urine, clay-colored stool, jaundice
drinker + smoker
pancreatic cancer cholangiocarcinoma acute viral hepatitis acute alcoholic hepatitis chronic pancreatitis cholecystitis/choledocolithiasis
epigastric pain - radiates to back, improves leaning forward
anorexia, nausea, vomiting
drinker
acute pancreatitis PUD cholecysitis/choledocholithiasis gastritis AAA alcoholic hepatitis
RUQ pain - radiates to scapula, occurs after fatty foods
N/V
fever
+ murphy’s sign
acute cholecystitis
choledocholithiasis
hepatitis
ascending cholangitis
RUQ pain
fever, hypotensive
jaundice
hx cholelithiasis (asymptomatic)
ascending cholangitis acute gallstone cholangitis acute cholecystitis hepatitis sclerosing cholangitis
RUQ pain
fever
anorexia, N/V
dark urine, clay-colored stools
acute hepatitis
acute cholecystitis
ascending cholangitis
pancreatitis
burning epigastric pain - relieved by food + antacids, occurs 2-3 hours after meals
PUD
gastritis
GERD
epigastric pain fever N/V hx int. epigastric pain - relieved by food + antacids smoker aspirin daily
perforated peptic ulcer
acute pancreatitis
hepatitis
severe LUQ abdominal pain - radiates to L. scapulaa
hx infectious mononucleosis 3 wks ago
splenic rupture
kidney stone
rib fracture
crampy abdominal pain vomit abdominal distention no flatus/BM hx abdominal surgeries
intestinal obstruction
elderly - acute onset sever, crampy abdominal pain
massive dark BM
hx CHF/atrial fibrilation - on digitalis
pain OOP to exam
mesenteric ischemia
diverticultiis
PUD
gastroenteritis
RLQ ab pain
N/V
hx ovarian cyst
ovarian torsion appendicitis nephrolithiasis ectopic pregnancy ruptured ovarian cyst
LLQ ab pain
fever
diarrhea and constipation - alternating
low-fiber, high-fat diet
diverticultiis
chron’s disease
ulcerative colitis
gastroenteritis
RLQ ab pain - started around umbilicus (vague pain), no sharp and RLQ
N/V
+McBurney’s, psoas sign
acute appendicitis
gastroenteritis
chron’s disease
periumbilical pain for last 6 mo
relieved by defecation, worsens when upset
alternating constipation and diarrhea
IBS
chron’s disease
celiac diaseae
endometriosis
BL lower ab pain - started first day of period
fever
thick greenish-yellow vaginal discharge
unprotected sex, multiple partners
PID
endometriosis
dysmenorrhea
erectile dysfunction
drug-related ED HTN-related ED DM-related ED Psychogenic ED Peyronie's disease
