Approaches Flashcards

1
Q

Ankle / Leg Swelling

A

History and Key Questions

PC - Site, onset, duration, redness, warmth, pain, rash. trauma, bite / sting

Systemic - N&V, fever, sweating, weight loss

PMH - recent surgery, immobility, fractures, IHD, DM, Stroke, bowel disease / GU, thyroid

DH - COCP / HRT, steroids, amlodipine, allergies

SH - smoking, alcohol, long-distance travel

Examination and Special Tests

Examine the limb - site, size, shape, colour, tender, temperature, ulcers (between toes)

Systemic exam led by history - heart, lungs, GI, vascular

Differential Diagnosis & Supporting Features

Lymphoedema - non-pitting, malignancy, FH, obesity

DVT - unilateral, red, tender, risk factors

Venous Insufficiency - bursting/throbbing, relieved by elevation, worse on standing, prev DVT or thrombophlebitis

Investigations

Simple - Wells score to determine DVT risk, dipstix

Bloods - FBC, CRP, U&Es, ?D-dimer & ABG if PE susp.

Imaging - Doppler USS

Others -

Management

Conservative -

Lymphoedema - exercise, weight loss, elevate limb, massage

DVT - modify risk factors

Medical -

Lymphoedema - compression bandaging, Abx

DVT - Enoxaparin, Warfarin

Venous - compression if ABPI >0.8

Surgical -

Venous - varicose vein removal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Abdo pain

A

History and Key Questions

PC - pain/tenderness, N&V, swelling, stool, blood, habit, GU, weight loss, surgery, jaundice, eating

PMH - DM, IBD, IHD, jaundice, gallstones, parcreatitis, GORD

DH&SH - NSAIDs, alcohol, travel

Examination and Special Tests

Don’t forget Flap, Nodes or Ankles

Murphy’s for cholecystitis

Shifting dullness for ascites

Hernias

PR

Differential Diagnosis & Supporting Features

Obstruction - pain, dist, N&V, const, tinkling bowel sounds

Appendicitis - perium-RIF, anorexia, N&V

Strangulated Hernia - sudden onset, prev hernia

GORD/Ulcer - dyspepsia, heartburn, anorexia, NSAIDs

Gastroenteritis - rapid, V, Diarr, inc Temp, epigastric tend

IBD - weight loss, mouth ulcers, PR blood/mucus, tender

Diverticulitis - diarrhoea, const, PR blood, tender/peritoniti

Renal colic - colicky flank pain, groin, N&V, restlessness

HPB - constant or colicky RUQ, +- Jaundice

O&G - lower abdo, PV blood, period change,

Acute - Perforation, Pancreatitis, AAA Rupture, Testicular Torsion

Investigations

Simple - dipstix, MSU, ßHCG in women, ?ECG

Bloods - FBC, CRP, U&Es, LFTs, amylase, Ca(low in pancreatitis), glucose, clotting, ?C&S, ?Trops, ABG if unwell

Imaging - Erect CXR, plain AXR, USS liver, CT KUB

_Others - _

Management

Acute

ABCDE approach

Analgesia & antiemetic

?O2, NG tube, catheter

IVT if shocked

NBM

Senior review

Chronic Depends on cause

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Abdo mass / swelling

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Back pain

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Altered bowel habit

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Breast Lump

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

SoB

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Change in appetite and body weight

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Chest Pain

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Collapse

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Confusion

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Delirium

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cough

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Difficult micturition & dysuria

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Dizziness, syncope & falls

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Dyspepsia

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Dysphagia

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Fever

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Gait disturbance

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Haemoptysis

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Haematemesis

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Melaena

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Hearing loss

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Hoarseness

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Incontinence

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Infection

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Inguinal swelling

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Tremor

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Itch

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Jaundice

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Joint pain

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Joint swelling

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Loin pain

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Lymphadenopathy

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Memory problems

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Menstrual / menopausal symptoms

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Mood disturbance

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

N&V

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Neck Pain

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Neck swelling

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

normal pregnancy

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Nutritional Disorders

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Pallor

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Palpitations

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Paraesthesiae

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Perceptual abnormalities

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Photophobia

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Polyuria

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Rectal blood loss

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

Dyspareunia

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

Shock

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

Rash & ulcer

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

53
Q

Skin lesions

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

54
Q

Sleep disturbance

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

55
Q

Speech problems

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

56
Q

Substance misuse

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

57
Q

Thirst

A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

58
Q

Thought abnormalities

A

History and Key Questions

PC - mood, beliefs, suicidal ideation, depressive symptoms (anhedonia, low appetite & libido, early waking), psychotic symptoms (persecutory beliefs, delusions, hallucinations), drugs/alcohol, obsessive behaviour

Circumstances - housing, money, job, family, friends

FH, SH, ForH, premorbid personality

Examination and Special Tests

Mental State Examination:

Appearance & behaviour

Speech - rate, pressured

Mood - up, down, suicidal

Beliefs - delusions, ideas

Hallucinations - modality

Orientation - time, place, person

Short-term memory - name&address 5mins

Long-term memory - monarch

Concentration - months backwards

Note Pts insight & rapport

Differential Diagnosis & Supporting Features

Depression - clinical symptoms

Psychosis - as above

Schizophrenia - ICD10

Bi-polar - variation

Investigations

Rule in / out drug induced and organic causes

“why this, why now?”

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

Stabilise patient, assess risk to self and others

? mental health act and sections

depends on cause

Chronic

Conservative -

Medical -

Surgical -

59
Q

Oliguria

A

History and Key Questions

PC - why in hospital, onset, pain, blood, distention, prev output

DH - NSAIDs, ACEi, Gentamicin, contrast

Examination and Special Tests

ABCDE approach

Review charts

Hydration status

Oedema

Differential Diagnosis & Supporting Features

Prerenal - hypovolaemia, HF

Renal - ATN, glomerular nephritis

Post-renal - outflow obstruction eg blocked catheter

Investigations

Simple - dipstix if possible, check catheter

Bloods - U&Es, ABG if unwell

Imaging - USS, CT KUB

Others - ECG if high/low K+

Management

Acute

Fluid challenge if no pulmonary oedema

_Chronic _

Conservative -

Medical -

Surgical -

60
Q

Visual problems

A

History and Key Questions

PC - mon/binocular, complete, onset, duration, flashing lights/shapes, painful, red, headache, facial pain, focal neurology, trauma, systemic symptoms

PMH - HPT, IHD, DM, RF for stroke, migraine

Examination and Special Tests

Inspection

Acuity

Fields

Close inspection with light

Red reflex

Pupils

Fundoscopy

Fluorecin if altered sensation

Differential Diagnosis & Supporting Features

Painful - glaucoma, AION, optic neuritis

Painless - Neuro, CRAO, CRVO

Investigations

Simple - further eye examinations eg slit lamp

Bloods - FBC, CRP, ESR

_Imaging - _

_Others - _

Management

Depends on cause, glaucoma should be refered to ophthalmologist on-call immediately

_Chronic _

Conservative -

Medical -

Surgical -

61
Q

Muscle weakness

A

History and Key Questions

PC - onset, weakness or incoordination, site, symmetry, ?sensory, swallowing/speech/bladder/bowel, spine pain, trauma, systemic symptoms

PMH - HPT, IHD, stroke, DM, connective tissue, immuno suppression

DH - phenytoin, isoniazid, vincristine, metronidazole

Examination and Special Tests

Pattern - UMN, LMN, combination, pyramidal features

Fatiguable, involuntary movements, gait, sensory level?, modality of sensory deficit

Differential Diagnosis & Supporting Features

Do Not Miss - cord compression, G-B, subdural, stroke

Consider - demyelination, malignancy, MND, vitamin deficiency, peripheral neuropathy

Investigations

Simple - BM, neuro obs

Bloods - FBC, CRP, ESR, U&Es, LFTs, Clotting

Imaging - CT Head, MRI head/spine

Others - CSF

Management

Depends on cause

_Chronic _

Conservative -

Medical -

Surgical -

62
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

63
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

64
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

65
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

66
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

67
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

68
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

69
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

70
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

71
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

72
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

73
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

74
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

75
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

76
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

77
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

78
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

79
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

80
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

81
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

82
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

83
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

84
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

85
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

86
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

87
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

88
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

89
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

90
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

91
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

92
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

93
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

94
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

95
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

96
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

97
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

98
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

99
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

100
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

101
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

102
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

103
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

104
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

105
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

106
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

107
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

108
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

109
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

110
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

111
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

112
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

113
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

114
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

115
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

116
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

117
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

118
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

119
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

120
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

121
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

122
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

123
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

124
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

125
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

126
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

127
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -

128
Q
A

History and Key Questions

Examination and Special Tests

Differential Diagnosis & Supporting Features

Investigations

_Simple - _

Bloods -

_Imaging - _

_Others - _

Management

Acute

_Chronic _

Conservative -

Medical -

Surgical -