DDX Flashcards
What is the botanical differential diagnosis for hepatitis?
Ceanothus americanus
Ganoderma lucidum
Glycyrrhiza glabra
Curcuma longa
Arctium lappa
Leptandra virginica
Scutellaria baicalensis
Taraxacum officinale (root)
Silybum marianum
Schisandra chinensis
“Constantly Gulping Gin Causes ALT/AST to Suddenly Skyrocket”
What is the differential diagnosis for proteinuria?
Physiologic causes:
Fever
Congestive heart failure
Tubulointerstitial causes:
Franconi’s syndrome
Primary glomerular dysfunction:
Membranous glomerulonephritis
Interstitial nephritis
Post-streptococcal glomerulonephritis
IgA nephropathy
Secondary glomerular dysfunction:
Systemic disease (SLE, diabetes, sickle cell anemia, polycystic kidney disease)
Infectious disease (UTI, HIV, hepatitis B/C, bacterial endocarditis)
Medications (NSAIDs,, heavy metals)
Cryoglobulinemia
Vascular causes:
Hypertension
Hemolytic uremic syndrome
Thrombotic thrombocytopenic purpura
Medium or small vessels vasculitis*
Overflow:
Multiple myeloma
Amyloidosis
Waldenstrom’s macroglobulinemia
What is the botanical differential diagnosis for hemorrhage?
Capsella bursa-pastoris
Cinnamomum zelynicum
Geranium maculatum
Hamamelis virginiana
“Cuts Cause Great Hemorrhage
What is the botanical differential diagnosis for gastroenteritis?
Berberis aquifolium/vulgare
Commiphora myrrh
Hydrastis canadensis
Matricaria recutita
Thymus vulgaris
What is the differential diagnosis for tracheal deviation?
Pneumothorax and atelectasis
Pneumothorax is a space occupying lesion, which pushes the trachea away (contralateral deviation) and causes decreased breath sounds and hyperresonance.
Atelectasis is lung collapse, which allows the trachea to fall towards the empty space (ipsilateral deviation) and has absent breath sounds.
What is the differential diagnosis for sensorineural hearing loss?
With sensorineural hearing loss, there is a defect in the conversion of sound into neural signals, such the air conduction is > bone conduction (Rinnie), and sound lateralizes to the unaffected side (Weber).
Congenital:
Intrauterine infections (TORCH diseases)
Teratogens
Perinatal hypoxia
Hyperbilirubinemia
Acquired:
Presbycusis
Meniere’s disease
CNS disease
Cranial nerve VII damage
Labyrinthitis*
Autoimmune disease of the inner ear
Infection (post meningitis, syphilis, mumps, CMV, HSV)
Neoplasms (acoustic neuroma)
Ototoxic drugs
What is the differential diagnosis for female infertility?
Ovulatory dysfunction:
Hypothalamic dysfunction
Hypopituitarism
Prolactinoma
Premature ovarian failure
Polycystic ovarian syndrome
Systemic disease (thyroid disease, Cushing’s syndrome, renal or hepatic failure)
Congenital (Turner’s syndrome, gonadal dysgenesis, gonadotropin deficiency)
Lifestyle factors (stress, poor nutrition, excessive exercise)
Outflow tract abnormalities:
Pelvic inflammatory disease
Adhesions
Tubal ligation
Congenital abnormalities
Endometriosis
Leiomyoma (fibroids)
Hostile or acidic cervical mucus
Antisperm antibodies
Structural defects
What is the homeopathic differential diagnosis for suicidal ideation?
Aurum (< cold)
Nat-sulph (< music)
Psorinum (< cold)
What is the botanical differential diagnosis for cholelithiasis?
Cholelithiasis:
Chelidonium majus
Mentha piperita
Cholelithiasis prevention:
Curcuma longa
Silybum marianum
What is the botanical differential diagnosis for benign prostatic hyperplasia?
Prunus africanum
Urtica dioica (root)
Serenoa repens
Hydrangea arborescens
“Cock PUSH”
What is the differential diagnosis for seizures?
Epilepsy, status epilepticus
Migraine variant
Syncope
Panic attack
Transient ischemic attack
Movement disorder
Narcolepsy
Cataplexy
Viral encephalitis
What is the botanical differential diagnosis for hay fever (allergic conjunctivitis, rhinitis or sinusitis)?
Euphrasia officinalis
Larrea tridentata
Sambucus nigra
What is the homeopathic differential diagnosis for fever without thirst?
Belladonna (< motion)
Gelsemium (> continued motion)
What is the botanical differential diagnosis for inflammatory bowel disease?
Aloe vera
Boswellia serrata
Glycyrrhiza glabra/ DGL
What is the differential diagnosis for elevated liver enzymes?
Drastically elevated AST and ALT (> 1000):
Acute viral hepatitis (most common)
Autoimmune hepatitis
Hepatic ischemia
Drugs and toxins
ALT > AST:
Chronic hepatitis
Fatty liver
ALT < AST:
Alcoholic liver disease
Cirrhosis
Elevated ALP and GGT:
Cholestasis
Increased AST and ALT indicate hepatocellular damage. ALLT is more specific for the liver, whereas AST can be elevated by multiple sources (especially muscle).
What is the botanical differential diagnosis for general infections?
Astragalus membranaceus
Baptisia tinctoria
Bryonia alba
Commiphora myrrha
Echinacea spp.
Eleutherococcus senticosus
Eucalyptus globulus
Eupatorium perfoliatum
Glycyrrhiza glabra
Hydrastis canadensis
Juniperus communis
Larrea tridentata
Ligusticum porteri
Ligustrum lucidum
Panax spp.
Rosmarinus officinalis
Salvia officinalis
Sambucus nigra
Scutellaria baicalensis
Thymus vulgaris
Withania somnifera
Zingiber officinale
What is the differential diagnosis for secondary amenorrhea?
Functional causes:
Pregnancy
Prolonged, intense exercise
Excessive dieting
Endocrine causes:
Hypothyroidism or hyperthyroidism
Hypothalamic dysfunction
Prolactinoma
Ovarian causes:
Menopause
Premature ovarian failure
Polycystic ovarian syndrome
Gonadal dysgenesis
Structural causes:
Atrophy
Imperforate hymen
Mullerian agenesis
What are the red flags for emergent abdominal pain?
Extremes of age
Unstable vital signs
Fever
Signs and symptoms of shock
Rapid onset severe pain
What is the differential diagnosis for emergent dyspnea?
Respiratory causes:
Bronchospasm
Pulmonary embolism
Pneumothorax
Infection (bronchitis, pneumonia)
Upper airway obstruction (aspiration, anaphylaxis)
Cardiac causes:
Acute MI
Congestive heart failure
Cardiac tamponade
What is the differential diagnosis for casts on urinalysis?
Hyaline casts:
Physiologic (concentrated urine, dehydration, fever, exercise)
Red blood cell casts:
Glomerular bleeding (glomerulonephritis, vasculitis)
White blood cell casts:
Infection (pyelonephritis)
Inflammation (interstitial nephritis)
Pigmented granular casts:
Acute tubular necrosis
Glomerulonephritis
Interstitial nephritis
What is the differential diagnosis for non-articular joint pain?
Localized:
Bursitis
Tendonitis
Capsulitis
Muscle sprain
Generalized:
Polymyalgia rheumatica
Fibromyalgia
Myofascial pain syndrome
What is the botanical differential diagnosis for uterine prolapse?
Chamaelirium luteum
Caulophyllum thalictroides
What is the differential diagnosis for otalgia?
Local causes:
Infection (AOE, AOM, herpes simplex/zoster, auricular cellulitis, mastoiditis)
Trauma (burns, hematoma, lacerations, traumatic perforation, barotrauma)
Obstruction (neoplasms, foreign body, cerumen impaction, cholesteatoma)
Referred pain (from CN V, IX, X):
Eustachian tube
TMJ syndrome
Trismus
Dental conditions
Tonsils (tonsillitis, tonsillar cancer)
Thyroiditis
Bell’s palsy (CN VII palsy)
What is the botanical differential diagnosis for diabetes?
Allium cepa/sativum
Panax spp.
Theobroma cacao
Linum usitatissimum
Momordica charantia
Gymnema sylvestre
“Ate Protein To Lower My Glucose”