Chief complaint DDXs Flashcards
Sore throat
Strep Viral pharyngitis Diptheria Croup Tonsillitis *Retropharyngeal abscess *Epiglottis Pneumonia EBV *Aortic aneurysm
cough
URI Pneumonia TB COPD Acute bronchitis *Lung cancer GERD Asthma(*severe asthma attack) CHF Medication s/e (ACE-i) CF *PE Influenza *AA
headache
Migraine Tension HA Cluster HA Trauma/TBI TMJD Hangover Trigeminal neuralgia *SOL *Stroke Temporal arteritis *Meningitis
hoarseness
Emphysema Asthma URI/common cold Bronchitis Allergies *Lung CA Laryngitis Strep throat GERD Bronchitis *AA *Epiglottitis *Retropharyngeal abscess
congestion
URI/cold Sinusitis Allergic rhinitis Asthma *Cavernous sinus thrombosis (d/t untx sinusitis)
red eye
Trauma Irritation from contacts Conjunctivitis *Orbital cellulitis Preseptal cellulitis *Corneal ulcer Herpetic eye dz Migraine Poorly controlled DM Eye strain Conjunctival hemorrhage Glaucoma *Acute closed-angle glaucoma Drugs -steroids, anticholinergics, antipsychotics, anticonvulsants
vision change
vision loss
Glaucoma Hypertensive retinopathy Macular degeneration Pituitary adenoma Presbyopia Diabetic retinopathy Keratoconjunctivitis sicca *Orbital cellulitis Reactive arthritis Cataract *Acute closed-angle glaucoma
rash
lesion
Psoriasis Contact (allergic/irrit.) dermatitis Eczema *Drug rxn Scabies Lice Measles Rubella (*preg. female) Roseola infantum Varicella zoster
chest pain
*MI GERD Pneumonia Anxiety Palpitations *PE Asthma *AAA Pericarditis Endocarditis Musculoskeletal
palpitations
Arrhythmia
Valve disease
Anxiety
Hyperthyroidism
syncope
Orthostatic hypotension Seizure Vasovagal response TBI *MI *Stroke Eating d/o *PE
dyspnea
SOB
Asthma *MI COPD *PE CHF Anxiety/panic attack
abdominal pain
*Appendicitis
*Ectopic Pg
Ovarian cyst
*PID
*Pancreatic CA
Pancreatitis
PUD
Menstrual cramps
Diverticulitis
*Aortic dissection
Cholecystitis
Cholelithiasis
Choledocolithiasis
*Cholangitis
Hepatitis
Costochondritis
Fibromyalgia
IBS
IBD
Sprain/strain
GERD
Gastroenteritis
*Colorectal cancer
constipation
Hypothyroidism SIBO IBS-C Low fiber diet *Colorectal CA
diarrhea
Gastroenteritis IBS IBD Parasites Anxiety Candida albicans growth *Colorectal CA Gastritis Hypochlorhydria *Pancreatic CA PUD *Hemolytic uremic syndrome
heartburn
GERD
*MI
Asthma
rectal pain
itching
bleeding
Hemorrhoids Tinea *Colorectal CA IBD Proctalgia fugax
penile discharge
Gonorrhea Chlamydia Syphilis BPH *Prostate CA
hematuria
Pyelonephritis
*Prostate CA
UTI
*Bladder CA
urinary frequency
Diabetes insipidus Diabetes mellitus UTI Prostatitis BPH Pregnancy *PID Kidney Dz *Cauda equina syndrome *Pyelonephritis
urinary incontinence
UTI Pregnancy Urogenital fistula Ectopic ureter Atrophic urethritis/vaginitis *Cauda equina syndrome
amenorrhea
abnormal bleeding
PCOS Pregnancy Menopause Endometriosis *Ovarian CA *Endometrial CA
vaginal discharge
itching
GCCT BV Trich Candidiasis PID HSV *PID
breast lump
Trauma (e.g. MVA-seatbelt) Fibroadenoma *Breast CA Cyst Fibrocystic changes Galactocele
breast pain
Fibrocystic changes PMS PMDD Drug side effects Hormone replacement therapy Mastitis *MI *Breast CA *Asthma Musculoskeletal
nipple discharge
Lactation
Galactorrhea
*Breast CA
Papilloma
extremity pain
OA RA Psoriatic arthritis Reactive arthritis Lyme's disease Lateral epicondylitis *Septic arthritis Gout *Cellulitis Trauma Fibromyalgia *DVT Sprain/strain Fracture FOOSH
low back pain
Disc herniation Pyelonephritis Sprain/strain Sciatica Muscle tension OA RA *Aortic dissection/AAA *Pyelonephritis *Cauda equina syndrome Stenosis d/t osteophytes Ankylosing spondylitis
dizziness (vestibular)
BPPV Meniere dz Vestibular neuritis Labrynthitis Cholesteatoma Superior semicircular canal dehiscence Perilymphatic fistula
dizziness (neurological)
Vestibular migraine *Posterior fossa tumor (acoustic neuroma) Multiple sclerosis *Cerebellar stroke Trauma Vetebrobasilar insufficiency Benign intrancranial HTN Normal pressure hydrocephalus Chiari malformation Type 1 *Cervical artery dissection
dizziness (cardiac)
Syncope or presyncope
Orthostatic hypotension
POTS (Postural orthostatic tachycardia syndrome)
*PE
dizziness (psychological)
psychophysiological dizziness
psychogenic dizziness
dizziness (metabolic)
DM
Hypothyroidism
dizziness (AI)
SLE RA Cogan syndrome Wegener granulomatosis Behcet diseases
dizziness (toxin-related cause)
*CO poisoning
Alcohol
Drugs (aminoglycoside antibiotics, cisplatin d/t hearing loss & tinnitus; also antihypertensives, diuretics, anesthetics, anitarrhythmics)
dizziness (infectious)
Lyme dz *Syphilis *HIV CMV HSV-1
upper extremity mononeuropathy
Carpal tunnel syndrome Ulnar neuropathy Radial neuropathy Cervical radiculopathy Neurogenic TOS Brachial neuritis *Amyotrophic lateral sclerosis *Metastatic cancer/nerve sheath tumor Amyloidosis Peripheral n. vasculitis Sarcoidosis CMV *HIV Lymes disease *Leprosy
lower extremity mononeuropathy
Lumbosacral radiculopathy Peroneal neuropathy Morton neuroma Sciatic neuropathy Tarsal tunnel syndrome Tibial neuropathy Femoral mononeuroathy *HIV Herpes zoster HSV EBV CMV Lyme dz *Leprosy Peripheral nerve vasculitis Sarcoidosis Sjogren syndrome RA *Lumbosacral plexopathy *Lymphoma Amyloidosis *Paraneoplastic immune-mediated attacks *Nerve sheath tumors
sleep disturbance
Anxiety Panic disorder Depression Substance use disorder PTSD Hyperthyroidism Sleep apnea
confusion
Alzheimer's dz Parkinson's disease Lewy body dementia *Stroke Transient ischemic attack
fatigue
Depression AI dz Anemia Pregnancy Fibromyalgia CFS CHF *Cancer *Addison Dz
fever
Otitis media Lyme dz *Pyelonephritis URI *Meningitis *PID Influenza/cold *Appendicitis *Mastoiditis
unintentional weight loss
Metabolic syndrome Hypothyroidism Hyperthyroidism PCOS *CA Eating disorder Pregnancy
