Approach to Differential Diagnosis Flashcards
Rule In
increase suspicion of a disease
Rule Out
exclude the possibility of a disease
Frameworks used to develop a broad differential diagnosis: Osteopathic Models
- Biomechanical
- Neurologic
- Respiratory-Circulatory
- Metabolic-Engergetic-Immune
- Biopsychosocial/Behavioral
Frameworks used to develop a broad differential diagnosis: Organ System
- MSK
- Neuro
- Eye
- ENT
- Cardiac
- Resp
- GI
Frameworks used to develop a broad differential diagnosis: VINDICATE
- Vascular
- Inflammatory
- Neoplastic
- Degenerative/Deficiency
- Idiopathic/Intoxication
- Congenital
- Autoimmune/Allergic
- Traumatic
- Endocrine
Osteopathic Models: Biomechanoical DDX for Low Back Pain
- Trauma: sprain, streain
- Somatic dysfunction
- Scoliosis
- Fracture/Spondy
- Malignancy
Osteopathic Models: Respiratory-Circulatory DDX for Low Back Pain
- Iliac artery occlusion
Osteopathic Models: Neurologic DDX for Low Back Pain
Radiculopathy
- Herniated disc/cauda equina
- Spinal stenosis
Osteopathic Models: Metabolic-Energetic-Immune DDX for Low Back Pain
- Connective tissue disorder
- Viscereal: GI/GU/Cardiac
Osteopathic Models: Biopsychosocial/Behavioral DDX for Low Back Pain
- Somatization
- Postural
Steps used to narrow down DDX:
(1) CC
(2) Demographics
(3) HPI
(4) ROS/Histories
(5) PE
(6) Diagnostic Testing
(7) Diagnosis
DDX of Low Back Pain in a 5YO:
Constipation
DDX of Low Back Pain in a 18YO:
- Strain/sprain
- Herniated disc
DDX of Low Back Pain in a 70YO:
- Degenerative conditions
- Spinal stenosis
- Malignancy
DDX of Low Back Pain in Males:
Males are at a higher risk of trauma from risky behavior
