Ddx

Question 1

7 deadly sore throats

Answer 1

1. Peritonsillar abscess—teens already treated for strep throat, bulging tonsil, uvula
   pushed away
2. Retropharyngeal abscess—spontaneous in kindergarten age kid
3. Epiglottitis—now in adults, no stridor or drooling, fat red uvula, pain out of
   proportion. Directly visualize the epiglottis, get lateral neck soft tissue XR (85%
   sensitive)
4. Diptheria—immigrants and old women
5. Ludwig’s Angina—anaerobes, brawny/tense edema of anterior neck
6. Vincent’s Angina—ulcerating gingivitis, anaerobic tooth infection, fistulas into great
   vessels
7. Lemiere’s syndrome—Septic thrombophlebitis of the internal jugular vein from
   fistula

Question 2

Bradycardia

Answer 2

1. ICP high
2. VS- Hypoxia, hypotension
3. Ischemia/infarct
4. Meds- BB/CCB
5. Endocrine- adrenal insufficiency, hypothyroid
6. HyperKKKKKK

Question 3

7 deadly Chest Pain

Answer 3

PNA
PE
PTX

Esophogeal rupture

MI
Tamponade
Dissection

Question 4

Primary Cardio/Pulm for dyspnea

Answer 4

COPD/Asthma
PTX
PNA
PE

MI
CHF
Pericardial effusion

Question 5

Secondary dyspnea

Answer 5

PATH MN
psych- anxiety
Airway- retroabscess
Tox- CO/MetHgb/aspirin
Heme- anemia, bleed

Metabolic- acidosis (DKA, sepsis)
NeuroMuscular- Wound botulism heroin, GBS, MG

Question 6

Headache red flags

Answer 6

New
Neuro
Sudden/maximal

Dizzy
Fever
Trauma
Old/progressive

Clots
CO
Eye
Pregnancy
Jaw, temples

Question 7

Backpain red flags

Answer 7

Weight loss, progessive, old
Fevers, chills, IVDA
AAA
Trauma/point tender
FND/bladder/bowel/anal sensation-tone
Bilateral
Vital signs

Question 8

Syncope Red flags

Answer 8

1. CP, SOB, Palps, EXERTIONAL
2. neuro- Headache, FND
3. Bleeding

Question 9

Neck mass DDx

Answer 9

Infectious- EBV, sialdentiis
Neo- lymphoma, mets, thryoid
Iatrogenic
congenital
other

Question 10

4 categories of dizziness?

Answer 10

Isolated vertigo - ABC
syncope
disequilibirum- peripheral neuropathy, vision loss
Non specific- Menieres, ramsay hunt, lytes, infection

Question 11

medical weakness life threatening

Answer 11

SALTE
Sepsis
ACS/CHF
Lytes (K, glucose)
Tox (CO)
Endocrine (adrenal in., DKA, myxedma coma, thryotoxicosis)

Question 12

medical weakness benign

Answer 12

MIDRASH
Meds - BB, Laxtives, diruetics, steorids, statins
Infection
Dehydration- V/D PO intake 
Rheum - Lupus, RA, PMR
Anemia
Syncope
HypoTSH

Question 13

Neuro Weakness Life threatening

Answer 13

MAGS CBS
MG crisis
Alcoholic myopathy
GBS
Stroke

CNS infection
Botulism
Spinal cord

Question 14

Neuro weakness benign

Answer 14

MS
Migraine Hemiplegic
Todd’s paralysis

Question 15

5.5 ocular emergencies

Answer 15

Acute glaucoma
chemical
CRAO, CRVO
Retrobulbar hematoma
Open Globe

Retinal detachment Macula ON

Question 16

Life Threats Abdominal Pain
5
6
1
1
1*

Answer 16

CardioPulm: AAA, Thoracic dissection, MI, PNA, PE

GI: Mesenteric Ischemia, SBO, Perf, Volvulus, pertionitis (spleen, Liver), Cholangitis

Gyn: Ectopic

GU: pyelo

*Splenic rupture: secondary to Epstein-Barr virus [EBV], leukemia, trauma

Question 17

Abdominal Pain by Quadrant

Answer 17

Epigastric- Gatritis, PUD, Pancreatitis, Esophitis/GERD< mesenteric lymphadenitis

RUQ- CHF, hepatitis, portal vein thrombosis, bili
LUQ- splnic abscess/megaly/infarct/mono
RLQ- appy, hernia, Gyn, IBD
LLQ- hernia, Gyn, IBD, diverticulitis

Question 18

OUTSIDE 5 abdominal pain

Answer 18

1. CardioPulm- MI, PNA, PE, Dissection
2. GU: UTI, stone, pyelo, renal colic
3. Tox/metabolic: Ingestion, Rx, Hypercalcemia/lytes, DKA, AKA, uremia
4. Rheum/Heme: sickle cell, lupus, RA, lymphoma
5. Gyn: torsion, TOA, Cyst, PID, endometriosis

*Infectious, Neoplastic, Trauma