PCs and Differentials

Question 1

Abdominal Mass

Answer 1

Q

Question 2

Abdominal Pain

Answer 2

Chronic - GORD, ulcer, lactase deficiency, cholecystitis, cholelithiasis, nephrolithiasis, PID, IBS, functional, IBD, coeliac, cancer, pancreatitis

Question 3

Acute Headache

Answer 3

Sudden - SAH, CVA, venous sinus thrombosis, meningitis, HTN encephalopathy
Hours-days - Tension, migraine
Episodic - cluster, trigeminal neuralgia
Other - intracranial mass, medication overuse or withdrawal, menstrual, dental

Question 4

Anaemia

Answer 4

Q

Question 5

Anorectal Pain

Answer 5

Q

Question 6

Anxiety

Answer 6

Q

Question 7

Arthralgia

Answer 7

Q

Question 8

Breast Lump

Answer 8

Q

Question 9

Chest Pain

Answer 9

Q

Question 10

Clubbing

Answer 10

Lung cancer, TB, bronchiectasis, CF, pulmonary fibrosis, sarcoidosis, empyema, mesothelioma
Cyanotic congenital heart disease, endocarditis
IBD, PBC, cirrhosis, achalasia
Thyroid cancer, thymus cancer, Hodgkins

Question 11

Confusion

Answer 11

water CO2, oxygen, carbon monoxide, sodium, glucose, calcium, urea
alcohol, drugs, withdrawal
Stroke/TIA
head injury
dementia
seizure
congestive heart failure
arrythmia
encephalopathy
infection
depression
bipolar
psychosis
delirium
subdural haematoma
SAH
space occupying lesion
wernickes/korsakoffs
thyroxine
meningitis/encephalitis

Question 12

Constipation

Answer 12

Q

Question 13

Cough

Answer 13

Q

Question 14

Cyanosis

Answer 14

Q

Question 15

Depression

Answer 15

Q

Question 16

Diarrhoea

Answer 16

Q

Question 17

Dizziness

Answer 17

Q

Question 18

DSH

Answer 18

Q

Question 19

Dysmenorrhoea

Answer 19

Q

Question 20

Dyspepsia

Answer 20

Q

Question 21

Dysphagia

Answer 21

Q

Question 22

Dyspnoea

Answer 22

Q

Question 23

Encephalopathy

Answer 23

Q

Question 24

Erectile Dysfunction

Answer 24

Q

Question 25

Failure to Thrive

Answer 25

Q

Question 26

Fever

Answer 26

Infection - sepsis, UTI, pneumonia, sinusitis, meningitis, septic arthritis, osteomyelitis, viral, infectious mononucleosis, CMV, malaria, lyme disease, TB, kawasaki, SLE, rheumatic fever, IBD, leukemia, lymphoma, drug-related, vaccine And many rarer things

Question 27

Fits

Answer 27

Q

Question 28

Haematuria

Answer 28

Q

Question 29

Haemoptysis

Answer 29

Q

Question 30

Hearing Loss

Answer 30

Q

Question 31

Hepatomegaly

Answer 31

Q

Question 32

Hyponatraemia

Answer 32

excess hypotonic fluid, drug-induced, renal failure, congestive heart failure, cirrhosis, hyperglycaemia, SCLC

Question 33

Infertility

Answer 33

Q

Question 34

Itching

Answer 34

Q

Question 35

Jaundice

Answer 35

Q

Question 36

Joint Swelling or Redness

Answer 36

Q

Question 37

Leukopenia

Answer 37

Q

Question 38

Limp

Answer 38

Q

Question 39

LUTS

Answer 39

Q

Question 40

Menorrhagia

Answer 40

Q

Question 41

Nausea and Vomiting

Answer 41

Q

Question 42

Neck Lump

Answer 42

Q

Question 43

Non accidental injury

Answer 43

Q

Question 44

Oliguria

Answer 44

Q

Question 45

Orbital Swelling

Answer 45

Q

Question 46

Otalgia

Answer 46

Q

Question 47

Palpitations

Answer 47

Q

Question 48

Parotid Swelling

Answer 48

Q

Question 49

PV Bleed

Answer 49

Menses, Cancer, thyroid, miscarriage, PID, endometritis, fibroids, endometrial polyp, cervical polyp, ectropion, menorrhagia, PCOS, dysfunctional uterine bleeding, haemophilia, endometriosis, contraceptive-related

Question 50

Rash

Answer 50

Q

Question 51

Red Painful Eyes

Answer 51

Q

Question 52

Stridor

Answer 52

Q

Question 53

Swelling / Oedema

Answer 53

Q

Question 54

Squint

Answer 54

Q

Question 55

Thrombocytopenia

Answer 55

Leukaemia, malignancy, lymphoma, TB, DIC, post-transfusion, HELLP, ITP, SLE, rheumatoid, antiphospholipid, HIV, malaria, CMV, mononucleosis, sepsis, heparin-induced thrombocytopenia, drug reaction, alcohol, b12/folate deficiency, gestational, cirrhosis

Question 56

Tiredness

Answer 56

chronic disease, Primary insomnia, depression, anaemia, heart failure, diabetes, hypothyroidism, EBV infection, medicine-induced, alcohol dependence, drugs, HIV, atrial fibrillation, COPD, TB, toxoplasmosis, stroke, dietary/malabsoprtion, CKD

Question 57

Weight Gain

Answer 57

Q

Question 58

Weight Loss

Answer 58

Q

Question 59

Abnormal LFTs

Answer 59

Viral Hepatitis, alcohol, drugs, non-alcoholic steatohepatitis, Gilbert's, haemochromatosis, choledocholithiasis, EBV, CMV, HIV, sepsis, TB, A1aT, wilsons, autoimmune, PBC, PSC, cancer, lymphoma, portal vein thrombosis, HELLP

Question 60

Metabolic Acidosis

Answer 60

GI loss of bicarbonate, renal loss of bicarbonate (RTA), DKA, alcohol ketaacidosis, poisoning, paracetamol overdose, lactic acidosis, ARF, CRF