A safe diagnostic strategy Flashcards

1
Q

What is the PROMPT Technique

A
R R ed flag
O O ften missed
M M asquerades
P P atient wants to
T T ell me something
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2
Q

The________ is based on the doctor’s
perspective and experience with regard to prevalence,
incidence and the natural history of disease.

A

probability diagnosis

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3
Q

Diagnostic triads for life-threatening
conditions (examples)

DxT fever + rigors + hypotension

A

septicaemia

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4
Q

Diagnostic triads for life-threatening
conditions (examples)

fever + vomiting + headache

A

meningitis

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5
Q

Diagnostic triads for life-threatening
conditions (examples)

fatigue + dizziness ± syncope

A

cardiac arrhythmia

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6
Q

Diagnostic triads for life-threatening
conditions (examples)

fever + drooling + stridor (child)

A

epiglottitis

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7
Q

Diagnostic triads for life-threatening
conditions (examples)

headache + vomiting + altered
consciousnes

A

subarachnoid haemorrhage

(SAH

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8
Q

Diagnostic triads for life-threatening
conditions (examples)

abdominal pain + amenorrhoea
+ abnormal vaginal bleeding

A

ectopic

pregnancy

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9
Q

Diagnostic triads for life-threatening
conditions (examples)

fatigue + dyspnoea on exertion +
dizziness

A

cardiomyopathy

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10
Q

_________ are symptoms or signs that
alert us to the likelihood of significant harm. Such
underlying disease must not be missed and demands
careful investigation

A

Red flags (alarm bells)

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11
Q

Diagnostic triads for some ‘pitfalls’

fatigue + weight loss + diarrhoea

A

coeliac disease

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12
Q

Diagnostic triads for some ‘pitfalls’

anorexia/nausea + faecal leaking +
abdominal bloating

A

faecal impaction

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13
Q

Diagnostic triads for some ‘pitfalls’

abdominal cramps + flatulence +
profuse diarrhoea

A

giardiasis

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14
Q

Diagnostic triads for some ‘pitfalls’

lethargy + tiredness + arthralgia

A

haemochromatosis

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15
Q

Diagnostic triads for some ‘pitfalls’

lethargy + abdominal pains + irritability
in child

A

lead poisoning

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16
Q

Diagnostic triads for some ‘pitfalls’

aching bones + waddling gait +
deafness

A

Paget disease

17
Q

Diagnostic triads for some ‘pitfalls’

malaise + cough + fever ( ± erythema
nodosum

A

sarcoidosis

18
Q

Diagnostic triads for some ‘pitfalls’

(male child) snorting, blinking +
oral noises (e.g. grunts) ± loud expletives
A

Tourette

19
Q

Diagnostic triads for some ‘masquerades’

malaise + fever + cough ( ± erythema
nodosa)

A

TB or sarcoidosis

20
Q

Diagnostic triads for some ‘masquerades’

fever + sore throat + cervical
lymphadenopathy

A

EB mononucleosis

21
Q

Diagnostic triads for some ‘masquerades’

fatigue + a/n/v + sallow skin

A

chronic

kidney failure

22
Q

Diagnostic triads for some ‘masquerades’

polyuria + polydipsia + skin/orifice
infections

A

diabetes mellitus

23
Q

Diagnostic triads for some ‘masquerades’

FUO + cardiac murmur + embolic
phenomena

A

infective endocarditis

24
Q

Diagnostic triads for some ‘masquerades’

fatigue + polyarthritis + fever or skin
lesions

A

kidney carcinoma

25
Q

Diagnostic triads for some ‘masquerades’

malaise + weight loss + cough

A

lung

carcinoma

26
Q

Diagnostic triads for some ‘masquerades’

fever + myalgia/headache + nonproductive
cough

A

atypical pneumonia

27
Q

Diagnostic triads for some ‘masquerades’

malaise + night sweats + painless
lymphadenopathy

A

NHL

28
Q

Diagnostic triads for some ‘masquerades’

arthralgia + Raynaud phenomenon +
GORD ( ± skin changes

A

systemic sclerosis

29
Q

Diagnostic triads for some ‘masquerades’

fatigue + headache + jaw claudication

A

temporal arteritis

30
Q

Diagnostic triads for some ‘masquerades’:

weakness + back pain + weight loss

A

multiple myeloma

31
Q

Diagnostic triads for some ‘masquerades’

lethargy + physical/mental slowing +
constipation

A

hypothyroidism