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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Abdo pain

A
Appendicitis 
Ectopic
Obstruction
Perforation
Mesenteric ischaemia 
Infected obstructed kidney
AAA
Pancreatitis 
Collection, abscess
MI, pneumonia
Testicular torsion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Headache

A

~~~
SAH (Ottawa/CT<6h)
SOL
Meningitis
GCA (tender temple)
Acute glaucoma
Sinus thrombosis (CN palsy)
Pre eclampsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SOB

A
PE 
HF 
COPD/asthma 
Anaphylaxis
FB
PNX
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Syncope

A
PE/dissection (USS)
MI
Hypoglycaemia
Cardiac: Structural/Arrhythmia
AAA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Vomiting

A
Sepsis/infection
Obstruction
Pancreatitis 
Pregnancy; ectopic
OD
DKA, addisons 
Headache; SAH/SOL
Renal failure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Jaundice

A

Surgical:
Obstructive; biliary, Ca

Medical;
Haemolysis, hepatitis, Gilbert

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Dysphagia

A

Malignancy
Myasthenia gravis
Bulbar palsy; MND/GB

Other
Stricture/pouch/Achalasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

PR bleed

A
Upper GI bleed
Malignancy (PR)
Mesenteric ischaemia (angio)
Diverticular bleed 
IBD
Dysentery (stool sample)
Angiodysplasia (angio)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Dizziness

A
?pre-syncope 
- cardiac, anaemia
?vertigo
- stroke 
Hypoglycaemic 
Drugs

Other:
Hyperventilation
Peripheral vertigo/disequilibrium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Vertigo

A

Acute persistent
- stroke (HINTS)
- MS
(vestibular neuronitis/Ramsay hunt)

Other

  • seconds: BPPV
  • recurrent: migraine, meniere’s
  • chronic: drugs, wernickes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Seizure

A
Hypoglycaemia 
Meningitis/encephalitis
Trauma/SOL
Alcohol withdrawal
Drugs
Electrolyte disturbance 

Epilepsy/Pseudo seizure
Syncope

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Transient neurological deficit

A
Hypoglycaemia 
SAH/stroke (?headache)
TIA
MS
Electrolyte disturbance 

Other
Todd’s paresis/syncope/migraine
Functional

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Mono arthritis

A

Septic arthritis

Other
Reactive/rheumatoid/psoriatic
Gout/pseudo gout
Haemarthrosis
Leukaemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Polyarthritis

A
SLE
Rheumatic Fever
IBD
Sjogrens 
RA/psoriatic/reactive 

Other
Viral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Testicular pain

A

Torsion
Epididymo orchitis/abscess
Hernia
Malignancy

Other:
Testicular appendix 
Trauma
Idiopathic scrotal edema
Varicocele/hydrocele
17
Q

Pain or reduced ROM: shoulder

A

Rotator cuff tear:

Other
Frozen shoulder
Impingement
Calcification supraspinatus

18
Q

Acute Back pain

A
Cauda equina (LMN)
Trauma
Discitis 
Spinal Ca 
AAA, pancreatitis, pyelonephritis

Other
Disc prolapse

19
Q

Limp (child)

A
Septic arthritis
SUFE/perthes
Malignancy
Osteomyelitis/discitis 
JIA
UTI/appendicitis 

Other
Transient synovitis, toddlers #

20
Q

Painful limb

A

DVT
Cellulitis
Necrotising fasciitis
Compartment syndrome
Phelgmasia alba/cerulea dolens

21
Q

Rash (not to miss)

A

Steven Johnson syndrome
TEN
Eczema herpeticum
Ischaemia
Vasculitis and meningitis
Necrotising fasciitis
Kawasaki

22
Q

Painless, Sudden onset visual loss

A

Central retinal artery occlusion
Central retinal vein occlusion
Retinal detachment
Vitreous haemorrhage
Temporal arteritis
Amaurosis fugax
Optic neuritis

23
Q

Painful, acute visual loss

A

Acute glaucoma
Endophthalmitiis
Uveitis
Trauma
Hyphaema

24
Q

Acute, atraumatic hearing loss

A