DDx Investigations Tx block 1 Flashcards

(59 cards)

1
Q

breast lump DDx <30

A
lumpy breast
cystic change
fibroadenoma
abscess
galactocele
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2
Q

breast lump DDx 30-45

A

benign cystic change
cyst
abscess
ca

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3
Q

breast lump DDx 45-60

A

cyst
abscess
ca

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4
Q

breast lump DDx >60

A

ca

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5
Q

Chest pain DDx

cardiovascular

A

ACS STEMI/NSTEMI/unstable angina
stable angina
myopericarditis
thoracic aortic dissection/aneurysm

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6
Q

Chest pain DDx

non-cardiovascular

A
MSK inflammation
PE
Pleuritis
oesophagitis
pneumothorax
anxiety
PUD
cholecystitis
acute pancreatitis
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7
Q

Diarrhoea DDx

A
infective
IBS
Coeliac
Crohns
UC
Meds antibiotics lax PPI
Neoplasms
Diverticular disease
overflow diarrhoea 2nd to constipation
ischaemic colitis
microscopic colitis
bacterial overgrowth
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8
Q

Dysuria and increased frequency DDx

Renal causes

A

pyelonephritis
TB Kidney
Renal cancer

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9
Q

Dysuria and increased frequency DDx

post renal causes

A
cystitis
urethritis
acute prostatitis
BPH
urolithiasis
local irritants
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10
Q

Flank pain DDx

A
muscular spasm
nephrolithiasis
spinal pathology
AAA
testicular torsion
pyelonephritis
perforated PUD
renal ca
abscess
basal pneumonia
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11
Q

Groin lump DDx

A
indirect/direct inguinal hernia
femoral hernia
saphena varix
psoas abscess
lipoma
sebaceous cyst
neuroma
femoral aneurysm
undescended testes
hydrocele of cord
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12
Q

Haematuria pre-renal causes

A
drugs rifampicin sulf quinine phenytoin anticoag aspirin plavix warfarin
hypercoagulable
idiopathic
sickle cell
schistosomiasis
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13
Q

Haematuria renal causes

A
nephrolithiasis
PCKD
trauma
renal ca
IgA nephropathy
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14
Q

Haematuria post-renal causes

A
lower UTI
Nephrolithiasis
trauma
bladder/prostate ca
BPH
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15
Q

Haemoptysis DDx

A
infective TB bronchitis pneumonia abscess
neoplastic lung ca prim/mets
vascular PE LVF AVM
Inflam Wegeners Goodpasture SLE
traumatic iatrogenic/wounds
bronchiectasis
warfarin/ cocaine use
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16
Q

Joint pain DDx Acute

ARTICULAR

A
trauma
gout
psudogout
septic arthritis
seroneg spondyloarthropathies
transient synovitis
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17
Q

Joint pain DDx Acute

PERI-ARTICULAR

A
ligament injury
tenditis
bursitis
fasciitis
epicondylitis
periostitis
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18
Q

Joint pain DDx Acute

NON-ARTICULAR

A
nerve entrapment
radiculopathy
bone malignancy
vasculopathy
osteomyelitis
neuroma
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19
Q

Joint pain DDx Chronic

MONOJOINT

A

OA
AVN
haemarthrosis
paagets

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20
Q

Joint pain DDx Chronic

POLYJOINT

A
RA
SLE
viral arthritis
psoaritic arthritis
reactive arthritis
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21
Q

Joint pain DDx Chronic

POLYJOINT

A
RA
SLE
viral arthritis
psoaritic arthritis
reactive arthritis
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22
Q

LIF pain DDx

A
acute diverticultis
constipation
IBD
ischaemic colitis
pseudomembranous colitis
leaking AAA
locally perforated sigmoid ca
testicular torsion
ectopic pregnancy
UTI
ureteric colic
pyelonephritis
IBS
DKA
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23
Q

Lateral neck lump DDX

A
carotid artery aneurysm
neurofibroma
lymph nodes
salivary glands
laryngocele
pharyngeal pouch
brachial arch remnant
skin
muscle cartilage bone
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24
Q

Midline neck lump DDX

Thyroid

A
goitre
MNG
Graves
hasimotos thyroiditis
thyroglossal cyst
solitary adenoma
carcinoma
subacute thyroiditis
25
Midline neck lump DDX | Non-thyroid
``` lipoma dermoid cyst epidermal abscess lymphoma ```
26
palpitations DDx
cardiac arrythmia valvular regurgitation/ congenital shunts heart failure psychosomatic systemic hyperthyroidism, hypoglycaemia, fever, anaemia, orthostatic hypotension, electrolyte abnormalities med/recreational drugs
27
Polyuria DDx
``` DM1 or 2 diuretics meds caffeine alcohol lithium heart failure hypercalcaemia hyperthyroidism primary polydipsia hypokalaemia hyperuricaemia diabetes insipidus ```
28
Rectal bleeding DDx | Anorectal
``` haemorrhoids rectal tumour anal tumour anal fissure anal fistula rectal ulcer radiation proctitis ```
29
Rectal bleeding DDx | Colonic
``` diverticular disease angiodysplasia colitis inflam/isch/infect colonic tumour vasculitis ```
30
Rectal bleeding DDx | ileo-jejunal
``` PUD Meckels diverticulum angiodysplasia AVM Crohns Coeliac aorto-enteric fistula ```
31
Rectal bleeding DDx | Upper GI
``` PUD Gastritis varices tumour mallory weiss tear osler weber rendu syndrome aorto-enteric fistula ```
32
Rectal bleeding DDx | Upper GI
``` PUD Gastritis varices tumour mallory weiss tear osler weber rendu syndrome aorto-enteric fistula ```
33
RIF pain DDx
``` appendicitis gastroenteritis ureteric colic inguinal hernia epidydimitis/ orchitis mesenteric adenitis acute pancreatitis testicular torsion meckels diverticulum cholecystitis pyelonephriis psoas abscess SBO DKA UTI ```
34
SOB DDx | sec-mins
``` bronchospasm anaphylaxis laryngeal oedema PE pneumothorax inhaled foreign body ```
35
SOB DDx | hrs-days
``` pneumonia heart failure pleural effusion post op atelectasis chronic PE altitude sickness ARDS ```
36
SOB DDx | wks-months
``` COPD chronic asthma heart failure pulmonary fibrosis anaemia bronchiectasis obesity pulmonary hypertension ```
37
Swollen calf DDx | UNILATERAL
``` DVT Cellulitis ruptured Bakers cyst torn gastronemius septic arthritis allergic response to insect bite compartment syndrome ```
38
Swollen calf DDx | BILATERAL
``` RHF lymphoedema venous insufficiency pregnancy hypoalbuminaemia pelvic tumour fluid overload ```
39
Tremor DDx
essential tremor resting tremor physiologic tremor intention tremor
40
essential tremor
appearing/worsening at onset of movement Wilsons disease Propanolol Primidon Gabapentin Atenolol
41
resting tremor
appearing at rest, disappears with movement parkinsons dopamine agonists l dopa amantadin DBS
42
physiologic tremor
appearing at static state anxiety propanolol
43
intention tremor
increasing before reaching target | cerebellar damage
44
Neck lump investigations
U/S FNA TSH Serum calcitonin
45
Haemoptysis investigations
``` O2 sats FBC CRP U+E Ca, Phosphate, ALP Liver enzymes urine test CXR ```
46
chest pain investigations
``` ECG Troponin serum cholesterol FBC U+E CRP ESR WCC Cap glucose CXR D-dimers ```
47
SOB investigations
``` FBC Blood cholesterol glucose HbA1c TFTs U+Es CXR ECG PEFR Spirometry ```
48
breast lump investigations
Clinical exam Radiological exam U/S Mammogram FNA Core biopsy
49
RIF pain investigations
``` FBC CRP ESR U+Es amylase lipase glucose ALT AST Urinalysis Ab xr U/S CXR Ab CT ECG ```
50
LIF pain investigations
``` FBC U+Es Ab CT CXR Ab XR Transabdominal /transvaginal ultrasound NOT COLONOSCOPY/BARIUM ENEMA IF ACUTE ```
51
Flank pain investigations
``` Urinalysis Urine MCS FBC U+E Serum CA K urate CT-KUB Amylase ECXR ```
52
Diarrhoea investigations
``` FBC ESR CRP TTG IgA TFT U+E Albumin Cap glucose FOBT Faeces microscopy and culture C diff toxin test ```
53
Rectal bleeding investigations
``` FBC Clotting group and save urea proctoscopy + rigid sigmoidoscopy Colonoscopy upper GI endoscopy Mesenteric angiography CT angiography radionucleotide imaging ```
54
polyuria investigations
``` cap glucose urinlysis fasting plasma glucose urine osmolality electrolytes urea creatinine serum ca ```
55
groin lump investigations
hernia clinical exam reduce cover cough = indirect inguinal elective surgery
56
limb weakness investigations
``` FBC Blood glucose blood clotting imaging CT head ECG AF Carotid doppler U/S Echo ```
57
joint pain investigations
``` arthrocentesis crystals infection blood WCC cultures FBC PT RF anti CCP ANA XR MRI ```
58
Swollen calf
wells score doppler u/s serum d-dimers FBC Clotting
59
leg ulcer investigations
``` FBC Cap glucose urinalysis duplex U/S ABI Swab MC+S ```