DDx

Question 1

Chronic cough

Answer 1

1. GERD
2. Asthma
3. Smoking/Chronic bronchitis
4. Post-infection
5. Sinusitis/post-nasal drip
6. ACEi
7. Neoplasm
8. CHF
9. Hypersensitivity
10. Foregin body
11. Diverticulum (esophageal)

Question 2

Clubbing

Answer 2

CLUB

1. C = cancer
2. L = liver disease
3. U = ulcerative colitis
4. B = bronchiectasis

Question 3

Dyspnea

Answer 3

1. Stress/anxiety/decondionning
2. Sleep disorder
3. Heart disease
4. Emboli
5. Pulmonary disease (asthma, IPF, infiltrative, pulmonary HTN)
6. Anemia
7. Neuromuscular disease
8. Trachea/upper airway obstruction

Question 4

Hemoptysis

Answer 4

1. CHF (pink frothy sputum)
2. Bronchiectasis
3. Vasculitis/vascular malformations
4. Infection (anaerobes, fungi, TB)
5. Trauma
6. Anticoagulation
7. Tumor
8. Embolism
9. Nasal or GI source

Question 5

Wheezing

Answer 5

ASTHMA

1. A = asthma
2. S = small airway disease (bronchiolitis)
3. T = tracheal obstruction (laryngeal tumor, vocal cord dysfunction)/large airway disease (cancer, foreign body)
4. H = heart failure
5. M = mastocytosis/carcinoid
6. A = anaphylaxis/allergy

Question 6

Splenomegaly

Answer 6

• Liver
  
  • cirrhosis
  • portal vein thrombosis
  • hepatic vein obstruciton
• Pancreatitis (splenic vein thrombosis)
• Erythrocyte abnormality
  
  • spherocytosis
  • sickle cell
  • thalassemia
• Neoplasm
  
  • lymphoma
  • MDS
• CHF

Question 7

Atrial Fibrillation

Answer 7

I HAVE A FIB

I = ischemia
H = hyperthyroidism
A = acute pericarditis
V = valvular (esp mitral stenosis)
E = embolus (PE)
A = atrial spetal defect
F = failure (CHF)
I = infection
B = booze

Question 8

CHF

Answer 8

1. Internal
   
   1. valvular disease
   2. ischemia
   3. endocarditis
   4. myocarditis
   5. tamponade
   6. cardiomyopathy
2. Systemic
   
   1. Hypertension
   2. Anemia
   3. Sepsis
   4. Hyperthyroid
   5. Thiamine deficiency

Question 9

Headache (primary & secondary)

Answer 9

Primary

1. Migraine
2. Cluster
3. Tension

Secondary

1. Tumor
2. Intracranial hemorrhage (SAH)
3. Meningitis
4. Temporal arteritis
5. Glaucoma