A safe diagnostic strategy Flashcards
What is the PROMPT Technique
R R ed flag O O ften missed M M asquerades P P atient wants to T T ell me something
The________ is based on the doctor’s
perspective and experience with regard to prevalence,
incidence and the natural history of disease.
probability diagnosis
Diagnostic triads for life-threatening
conditions (examples)
DxT fever + rigors + hypotension
septicaemia
Diagnostic triads for life-threatening
conditions (examples)
fever + vomiting + headache
meningitis
Diagnostic triads for life-threatening
conditions (examples)
fatigue + dizziness ± syncope
cardiac arrhythmia
Diagnostic triads for life-threatening
conditions (examples)
fever + drooling + stridor (child)
epiglottitis
Diagnostic triads for life-threatening
conditions (examples)
headache + vomiting + altered
consciousnes
subarachnoid haemorrhage
(SAH
Diagnostic triads for life-threatening
conditions (examples)
abdominal pain + amenorrhoea
+ abnormal vaginal bleeding
ectopic
pregnancy
Diagnostic triads for life-threatening
conditions (examples)
fatigue + dyspnoea on exertion +
dizziness
cardiomyopathy
_________ are symptoms or signs that
alert us to the likelihood of significant harm. Such
underlying disease must not be missed and demands
careful investigation
Red flags (alarm bells)
Diagnostic triads for some ‘pitfalls’
fatigue + weight loss + diarrhoea
coeliac disease
Diagnostic triads for some ‘pitfalls’
anorexia/nausea + faecal leaking +
abdominal bloating
faecal impaction
Diagnostic triads for some ‘pitfalls’
abdominal cramps + flatulence +
profuse diarrhoea
giardiasis
Diagnostic triads for some ‘pitfalls’
lethargy + tiredness + arthralgia
haemochromatosis
Diagnostic triads for some ‘pitfalls’
lethargy + abdominal pains + irritability
in child
lead poisoning
Diagnostic triads for some ‘pitfalls’
aching bones + waddling gait +
deafness
Paget disease
Diagnostic triads for some ‘pitfalls’
malaise + cough + fever ( ± erythema
nodosum
sarcoidosis
Diagnostic triads for some ‘pitfalls’
(male child) snorting, blinking + oral noises (e.g. grunts) ± loud expletives
Tourette
Diagnostic triads for some ‘masquerades’
malaise + fever + cough ( ± erythema
nodosa)
TB or sarcoidosis
Diagnostic triads for some ‘masquerades’
fever + sore throat + cervical
lymphadenopathy
EB mononucleosis
Diagnostic triads for some ‘masquerades’
fatigue + a/n/v + sallow skin
chronic
kidney failure
Diagnostic triads for some ‘masquerades’
polyuria + polydipsia + skin/orifice
infections
diabetes mellitus
Diagnostic triads for some ‘masquerades’
FUO + cardiac murmur + embolic
phenomena
infective endocarditis
Diagnostic triads for some ‘masquerades’
fatigue + polyarthritis + fever or skin
lesions
kidney carcinoma
Diagnostic triads for some ‘masquerades’
malaise + weight loss + cough
lung
carcinoma
Diagnostic triads for some ‘masquerades’
fever + myalgia/headache + nonproductive
cough
atypical pneumonia
Diagnostic triads for some ‘masquerades’
malaise + night sweats + painless
lymphadenopathy
NHL
Diagnostic triads for some ‘masquerades’
arthralgia + Raynaud phenomenon +
GORD ( ± skin changes
systemic sclerosis
Diagnostic triads for some ‘masquerades’
fatigue + headache + jaw claudication
temporal arteritis
Diagnostic triads for some ‘masquerades’:
weakness + back pain + weight loss
multiple myeloma
Diagnostic triads for some ‘masquerades’
lethargy + physical/mental slowing +
constipation
hypothyroidism
