Common Presentation Differentials Flashcards

1
Q

Wheeze

red flag signs

A

Most Common Asthma
Viral induced wheeze

silent chest 
abdominal breathing
tracheal tug
intercostal recession
subcostal recession
cyanosis
sats below 94
increased respiratory rate
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2
Q

Chest Pain

red flag signs

A

Most Common Angina

haemoptysis
pleurisy
radiating pain
SOBoe + sweats + reduced mobility
PMHx stroke / DVT
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3
Q

Unintentional weight loss

red flag signs

A

Hyperthyroidism

blood in the stool
coughing up blood
blood in the urine

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4
Q

Breast Lump

red flag signs

A

Cyst
Abscess
Fibroadenoma
Red Flag hard lump, inverted nipple, peau d’orange

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5
Q

I’d like to go on the pill

red flags signs

A

Most Common
Combined Contraceptive Pill
(COCP)

Microgynon
Rigevidon
Cilest
Yasmin

Pregnancy, High risk breast cancer, upcoming operation, ovarian cancer risk

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6
Q

I’ve been feeling down lately

A

Disturbed Sleep
Medication
Most Common Depression
Anxiety

Red Flag Domestic Violence

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7
Q

Tummy Ache

A

Gastroenteritis

Red Flag Domestic Violence

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8
Q

I can’t sleep

A

Medication

Lifestyle

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9
Q

It hurts when I go for a wee

Red flags signs

A

UTI
STI

blood in the urine
weight loss
high blood pressure

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10
Q

I’ve got diarrhoea

Common diagnosis and red flag signs

A

Gastroenteritis
IBD
IBS (Factitious / Malingering)

Red Flag Blood/mucus in stool
weight loss
tenesmus
decreased frequency

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11
Q

I’ve got heartburn

Common diagnosis and red flag signs

A

GORD
Alcohol

Haematemesis, food sticking, weight loss

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12
Q

I have a headache

Common diagnosis and red flag signs

A

Migraine
Tension headache
Red Flag Loss of vision
Red Flag Rashes, neck pain and photophobia

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13
Q

My blood pressure is high

Common diagnosis and red flag signs

A

Most Common Lifestyle

Red Flag Malignant Hypertension

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14
Q

My back hurts

Common diagnosis and red flag signs

A
Sciatica
Slipped Disc
Red Flag Urinary or faecal incontinence
Saddle anaesthesia
Pins and needles
Change in sensation
Hot or Cold
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15
Q

My ear hurts

Common diagnosis and red flag signs

A

Very Common Otitis Media
Otitis externa
Red Flag Mastoiditis

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16
Q

I have a sore throat

Common diagnosis and red flag signs

A

Very Common Laryngitis
Common Tonsillitis
Viral sore throat
Bacterial sore throat

17
Q

I feel tired all the time

Common diagnosis and red flag signs

A
Common Diabetes
Common in girls Anaemia
Common Depression
Chronic Fatigue Syndrome
Hypothyroidism
Early Pregnancy
18
Q

My wife says I have been drinking too much

Common diagnosis and red flag signs

A

Substance Misuse

19
Q

Unintentional weight gain

Common diagnosis and red flag signs

A

hypothyroidism

20
Q

heavy period bleeding

Common diagnosis and red flag signs

A

methods of contraception such as coil