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OSCE III > Chief complaint DDXs > Flashcards

Chief complaint DDXs Flashcards

1
Q

Sore throat

A 
Strep 
Viral pharyngitis
Diptheria
Croup 
Tonsillitis 
*Retropharyngeal abscess 
*Epiglottis 
Pneumonia 
EBV
*Aortic aneurysm
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2
Q

cough

A 
URI
Pneumonia
TB
COPD
Acute bronchitis
*Lung cancer
GERD
Asthma(*severe asthma attack)
CHF
Medication s/e (ACE-i)
CF
*PE
Influenza
*AA
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3
Q

headache

A 
Migraine
Tension HA 
Cluster HA 
Trauma/TBI
TMJD
Hangover 
Trigeminal neuralgia 
*SOL
*Stroke 
Temporal arteritis 
*Meningitis
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4
Q

hoarseness

A 
Emphysema
Asthma
URI/common cold
Bronchitis
Allergies
*Lung CA
Laryngitis
Strep throat 
GERD
Bronchitis
*AA
*Epiglottitis
*Retropharyngeal abscess
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5
Q

congestion

A 
URI/cold
Sinusitis
Allergic rhinitis
Asthma 
*Cavernous sinus thrombosis (d/t untx sinusitis)
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6
Q

red eye

A 
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
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7
Q

vision change

vision loss

A 
Glaucoma
Hypertensive retinopathy
Macular degeneration 
Pituitary adenoma
Presbyopia 
Diabetic retinopathy 
Keratoconjunctivitis sicca
*Orbital cellulitis 
Reactive arthritis 
Cataract 
*Acute closed-angle glaucoma
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8
Q

rash

lesion

A 
Psoriasis 
Contact (allergic/irrit.) dermatitis
Eczema 
*Drug rxn 
Scabies 
Lice
Measles
Rubella (*preg. female)
Roseola infantum 
Varicella zoster
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9
Q

chest pain

A 
*MI
GERD
Pneumonia
Anxiety 
Palpitations
*PE 
Asthma 
*AAA
Pericarditis
Endocarditis 
Musculoskeletal
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10
Q

palpitations

A

Arrhythmia
Valve disease
Anxiety
Hyperthyroidism

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11
Q

syncope

A 
Orthostatic hypotension 
Seizure
Vasovagal response 
TBI
*MI
*Stroke 
Eating d/o 
*PE
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12
Q

dyspnea

SOB

A 
Asthma
*MI
COPD
*PE
CHF
Anxiety/panic attack
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13
Q

abdominal pain

A

*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

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14
Q

constipation

A 
Hypothyroidism 
SIBO 
IBS-C
Low fiber diet 
*Colorectal CA
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15
Q

diarrhea

A 
Gastroenteritis
IBS
IBD
Parasites 
Anxiety 
Candida albicans growth
*Colorectal CA 
Gastritis 
Hypochlorhydria 
*Pancreatic CA 
PUD 
*Hemolytic uremic syndrome
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16
Q

heartburn

A

GERD
*MI
Asthma

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17
Q

rectal pain
itching
bleeding

A 
Hemorrhoids
Tinea
*Colorectal CA
IBD
Proctalgia fugax
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18
Q

penile discharge

A 
Gonorrhea
Chlamydia 
Syphilis
BPH
*Prostate CA
19
Q

hematuria

A

Pyelonephritis
*Prostate CA
UTI
*Bladder CA

20
Q

urinary frequency

A 
Diabetes insipidus
Diabetes mellitus 
UTI 
Prostatitis 
BPH
Pregnancy 
*PID 
Kidney Dz
*Cauda equina syndrome 
*Pyelonephritis
21
Q

urinary incontinence

A 
UTI
Pregnancy 
Urogenital fistula 
Ectopic ureter
Atrophic urethritis/vaginitis 
*Cauda equina syndrome
22
Q

amenorrhea

abnormal bleeding

A 
PCOS
Pregnancy 
Menopause 
Endometriosis 
*Ovarian CA
*Endometrial CA
23
Q

vaginal discharge

itching

A 
GCCT
BV
Trich
Candidiasis 
PID 
HSV
*PID
24
Q

breast lump

A 
Trauma (e.g. MVA-seatbelt) 
Fibroadenoma 
*Breast CA
Cyst
Fibrocystic changes
Galactocele
25
Q

breast pain

A 
Fibrocystic changes 
PMS
PMDD 
Drug side effects 
Hormone replacement therapy
Mastitis 
*MI
*Breast CA 
*Asthma 
Musculoskeletal
26
Q

nipple discharge

A

Lactation
Galactorrhea
*Breast CA
Papilloma

27
Q

extremity pain

A 
OA 
RA
Psoriatic arthritis 
Reactive arthritis 
Lyme's disease 
Lateral epicondylitis 
*Septic arthritis
Gout 
*Cellulitis 
Trauma 
Fibromyalgia 
*DVT 
Sprain/strain
Fracture 
FOOSH
28
Q

low back pain

A 
Disc herniation 
Pyelonephritis
Sprain/strain
Sciatica
Muscle tension 
OA 
RA
*Aortic dissection/AAA
*Pyelonephritis
*Cauda equina syndrome 
Stenosis d/t osteophytes 
Ankylosing spondylitis
29
Q

dizziness (vestibular)

A 
BPPV
Meniere dz
Vestibular neuritis
Labrynthitis
Cholesteatoma
Superior semicircular canal dehiscence
Perilymphatic fistula
30
Q

dizziness (neurological)

A 
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
31
Q

dizziness (cardiac)

A

Syncope or presyncope
Orthostatic hypotension
POTS (Postural orthostatic tachycardia syndrome)
*PE

32
Q

dizziness (psychological)

A

psychophysiological dizziness

psychogenic dizziness

33
Q

dizziness (metabolic)

A

DM

Hypothyroidism

34
Q

dizziness (AI)

A 
SLE
RA
Cogan syndrome
Wegener granulomatosis 
Behcet diseases
35
Q

dizziness (toxin-related cause)

A

*CO poisoning
Alcohol
Drugs (aminoglycoside antibiotics, cisplatin d/t hearing loss & tinnitus; also antihypertensives, diuretics, anesthetics, anitarrhythmics)

36
Q

dizziness (infectious)

A 
Lyme dz 
*Syphilis
*HIV
CMV
HSV-1
37
Q

upper extremity mononeuropathy

A 
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
38
Q

lower extremity mononeuropathy

A 
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
39
Q

sleep disturbance

A 
Anxiety 
Panic disorder
Depression
Substance use disorder
PTSD
Hyperthyroidism 
Sleep apnea
40
Q

confusion

A 
Alzheimer's dz
Parkinson's disease 
Lewy body dementia
*Stroke
Transient ischemic attack
41
Q

fatigue

A 
Depression 
AI dz
Anemia
Pregnancy
Fibromyalgia
CFS
CHF
*Cancer
*Addison Dz
42
Q

fever

A 
Otitis media
Lyme dz
*Pyelonephritis
URI
*Meningitis
*PID
Influenza/cold
*Appendicitis
*Mastoiditis
43
Q

unintentional weight loss

A 
Metabolic syndrome
Hypothyroidism
Hyperthyroidism
PCOS 
*CA
Eating disorder
Pregnancy

OSCE III (3 decks)

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