Common Presentation Differentials Flashcards
Wheeze
red flag signs
Most Common Asthma
Viral induced wheeze
silent chest abdominal breathing tracheal tug intercostal recession subcostal recession cyanosis sats below 94 increased respiratory rate
Chest Pain
red flag signs
Most Common Angina
haemoptysis pleurisy radiating pain SOBoe + sweats + reduced mobility PMHx stroke / DVT
Unintentional weight loss
red flag signs
Hyperthyroidism
blood in the stool
coughing up blood
blood in the urine
Breast Lump
red flag signs
Cyst
Abscess
Fibroadenoma
Red Flag hard lump, inverted nipple, peau d’orange
I’d like to go on the pill
red flags signs
Most Common
Combined Contraceptive Pill
(COCP)
Microgynon
Rigevidon
Cilest
Yasmin
Pregnancy, High risk breast cancer, upcoming operation, ovarian cancer risk
I’ve been feeling down lately
Disturbed Sleep
Medication
Most Common Depression
Anxiety
Red Flag Domestic Violence
Tummy Ache
Gastroenteritis
Red Flag Domestic Violence
I can’t sleep
Medication
Lifestyle
It hurts when I go for a wee
Red flags signs
UTI
STI
blood in the urine
weight loss
high blood pressure
I’ve got diarrhoea
Common diagnosis and red flag signs
Gastroenteritis
IBD
IBS (Factitious / Malingering)
Red Flag Blood/mucus in stool
weight loss
tenesmus
decreased frequency
I’ve got heartburn
Common diagnosis and red flag signs
GORD
Alcohol
Haematemesis, food sticking, weight loss
I have a headache
Common diagnosis and red flag signs
Migraine
Tension headache
Red Flag Loss of vision
Red Flag Rashes, neck pain and photophobia
My blood pressure is high
Common diagnosis and red flag signs
Most Common Lifestyle
Red Flag Malignant Hypertension
My back hurts
Common diagnosis and red flag signs
Sciatica Slipped Disc Red Flag Urinary or faecal incontinence Saddle anaesthesia Pins and needles Change in sensation Hot or Cold
My ear hurts
Common diagnosis and red flag signs
Very Common Otitis Media
Otitis externa
Red Flag Mastoiditis