DDx

Question 1

Headache

Answer 1

Meningitis, migraine (must have a prior dx), stroke, aneurysm (needs CT), Intracranial hemorrhage, Tension HA, Cluster HA, Sinus HA

Question 2

Chest Pain

Answer 2

Myocardial Infarction, Pulmonary Embolism, Costochondritis, GERD, Angina, Atypical Chest Pain, Pneumonia, Pleurisy

Question 3

SOB (adult & ped)

Answer 3

Adult (pneumonia, bronchitis, URI, PTX, PE, CHF, COPD, Asthma) Pleurisy)

PED (croup, FB, RSV, Bronchiolitis, Asthma)

Question 4

Fever (adult & ped)

Answer 4

Adult (URI, Influenza A & B, UTI, Meningitis, Sepsis, Otitis Media)

PEDs (Gastroenteritis, Otitis Media, URI, Influenza A & B, UTI, Meningitis, RSV)

Question 5

Abdominal Pain (adult & ped)

Answer 5

Adult (Cholecystitis, cholelithiasis, diverticulitis, diverticulosis, appendicitis, pancreatitis, AAA, UTI, constipation, SBO, GERD, Ectopic pregnancy, ovarian cyst)

PEDs (Mesenteric lymphadenitis, intussusception, pyloric stenosis, appendicitis, constipation, gastroenteritis, SBO, UTI, pancreatitis)

Question 6

AMS

Answer 6

Stroke (CVA, TIA), ICH, aneurysm, OD, chronic dementia, UTI, Sepsis

Question 7

Flank Pain

Answer 7

Nephrolithiasis, Ureterolithiasis, Hydronephrosis, Pyelonephritis, UTI

Question 8

Back Pain

Answer 8

Lumbar or Thoracic strain, Chronic back pain, Herniated disc, Fx, Degernative discs

Question 9

MVC

Answer 9

ICH, CHI, Fx spine, PTX, AAA, organ laceration, Sprain, substance use