Ddx Flashcards
1
Q
Chest pain
And investigations
A
ACS/pericarditis (ECG, trop) PE (PERC/Wells) Pneumonia/PNX (CXR) Dissection (aortogram) ?abdo; biliary/panc Boerhaaves
2
Q
Abdo pain
A
Appendicitis Ectopic Obstruction Perforation Mesenteric ischaemia Infected obstructed kidney AAA Pancreatitis Collection, abscess MI, pneumonia Testicular torsion
3
Q
Headache
A
~~~
SAH (Ottawa/CT<6h)
SOL
Meningitis
GCA (tender temple)
Acute glaucoma
Sinus thrombosis (CN palsy)
Pre eclampsia
4
Q
SOB
A
PE HF COPD/asthma Anaphylaxis FB PNX
5
Q
Syncope
A
PE/dissection (USS) MI Hypoglycaemia Cardiac: Structural/Arrhythmia AAA
6
Q
Vomiting
A
Sepsis/infection Obstruction Pancreatitis Pregnancy; ectopic OD DKA, addisons Headache; SAH/SOL Renal failure
7
Q
Jaundice
A
Surgical:
Obstructive; biliary, Ca
Medical;
Haemolysis, hepatitis, Gilbert
8
Q
Dysphagia
A
Malignancy
Myasthenia gravis
Bulbar palsy; MND/GB
Other
Stricture/pouch/Achalasia
9
Q
PR bleed
A
Upper GI bleed Malignancy (PR) Mesenteric ischaemia (angio) Diverticular bleed IBD Dysentery (stool sample) Angiodysplasia (angio)
10
Q
Dizziness
A
?pre-syncope - cardiac, anaemia ?vertigo - stroke Hypoglycaemic Drugs
Other:
Hyperventilation
Peripheral vertigo/disequilibrium
11
Q
Vertigo
A
Acute persistent
- stroke (HINTS)
- MS
(vestibular neuronitis/Ramsay hunt)
Other
- seconds: BPPV
- recurrent: migraine, meniere’s
- chronic: drugs, wernickes
12
Q
Seizure
A
Hypoglycaemia Meningitis/encephalitis Trauma/SOL Alcohol withdrawal Drugs Electrolyte disturbance
Epilepsy/Pseudo seizure
Syncope
13
Q
Transient neurological deficit
A
Hypoglycaemia SAH/stroke (?headache) TIA MS Electrolyte disturbance
Other
Todd’s paresis/syncope/migraine
Functional
14
Q
Mono arthritis
A
Septic arthritis
Other Reactive/rheumatoid/psoriatic Gout/pseudo gout Haemarthrosis Leukaemia
15
Q
Polyarthritis
A
SLE Rheumatic Fever IBD Sjogrens RA/psoriatic/reactive
Other
Viral
