Common presentations Flashcards
1
Q
Shortness of breath (acute onset over seconds)
A
- PE/DVT
- Pneumothorax
- Anaphylaxis
- Foreign body inhalation
- Cardiac arryhthmia
- Asthma attack
- APO
- AMI
- Respiratory failure
2
Q
Shortness of breath (acute), wheeze ± cough
A
Emergency:
- Asthma attack
- Infective exacerbation of COPD
- Acute viral/bacterial bronchitis
- Acute left ventricular failure due to ?cardiac event, valvular disease, electrolyte imbalance, arryhthmia
- Anaphylaxis
3
Q
Acute Abdominal Pain
A
CVS:
- Dissection
GI:
- Adhesions
- Incarcerated/strangulated hernia
- Cholecystitis
- Gastric ulcer
- Appendicitis
- Acute pancreatitis
- Acute diverticulitis
- Ulcerative colitis
- Crohn’s disease
- Cholelithiasis
- Gastrointestinal malignancy
- Gastroenteritis
- Infectious colitis
Repro:
- Ectopic pregnancy
- Pelvic inflammatory disease
- Endometriosis
- Testicular torsion
Kidney:
- Kidney stones
- Pyelonephritis
4
Q
Back Pain
A
Emergency:
- AAA/dissection
- Acute pancreatitis
- Perforated peptic ulcer
Spinal:
- Lumbar muscular strain/sprain
- Herniated nucleus pulposus (HNP)
- Spinal stenosis
- Compression fracture
- Degenerative disc disease or facet arthropathy
- Spondylolysis and/or spondylolisthesis
- Vertebral discitis/osteomyelitis
- Malignancy
- Inflammatory spondyloarthropathy
Other
- Connective tissue disease
- Pyelonephritis
- Renal colic
- RENAL CELL CARCINOMA
5
Q
Chest Pain
A
Emergency:
- Acute coronary syndrome
- Stable angina
- Pulmonary embolism
- Aortic dissection
- Tamponade
- Pneumothorax
- PE/DVT
- Pericarditis (which could progress to tamponade)
Other:
- GORD
- Pneumonia
- Costochondritis
- Anxiety or panic disorder
Uncommon
- Aortic stenosis
- Mitral valve prolapse
- Pulmonary hypertension
- Peptic ulcer disease (PUD)
- Oesophageal spasm
- Acute cholecystitis
- Pancreatitis
- Herpes zoster
- Gastritis
6
Q
A
7
Q
Cough
A
8
Q
Diarrhoea
A
- IBD - Crohn’s disease, ulcerative colitis
- Infectious colitis
*
9
Q
Constipation
A
- Small bowel obstruction
- Large bowel obstruction
- Colorectal CA
- Poor fibre intake
10
Q
Dizziness
A
- Orthostatic hypotension
- BPPV
- Meniere’s disease
11
Q
A
12
Q
A
13
Q
A
14
Q
Fever
A
15
Q
Headache
A