Ddx Flashcards
Chest pain
And investigations
ACS/pericarditis (ECG, trop) PE (PERC/Wells) Pneumonia/PNX (CXR) Dissection (aortogram) ?abdo; biliary/panc Boerhaaves
Abdo pain
Appendicitis Ectopic Obstruction Perforation Mesenteric ischaemia Infected obstructed kidney AAA Pancreatitis Collection, abscess MI, pneumonia Testicular torsion
Headache
~~~
SAH (Ottawa/CT<6h)
SOL
Meningitis
GCA (tender temple)
Acute glaucoma
Sinus thrombosis (CN palsy)
Pre eclampsia
SOB
PE HF COPD/asthma Anaphylaxis FB PNX
Syncope
PE/dissection (USS) MI Hypoglycaemia Cardiac: Structural/Arrhythmia AAA
Vomiting
Sepsis/infection Obstruction Pancreatitis Pregnancy; ectopic OD DKA, addisons Headache; SAH/SOL Renal failure
Jaundice
Surgical:
Obstructive; biliary, Ca
Medical;
Haemolysis, hepatitis, Gilbert
Dysphagia
Malignancy
Myasthenia gravis
Bulbar palsy; MND/GB
Other
Stricture/pouch/Achalasia
PR bleed
Upper GI bleed Malignancy (PR) Mesenteric ischaemia (angio) Diverticular bleed IBD Dysentery (stool sample) Angiodysplasia (angio)
Dizziness
?pre-syncope - cardiac, anaemia ?vertigo - stroke Hypoglycaemic Drugs
Other:
Hyperventilation
Peripheral vertigo/disequilibrium
Vertigo
Acute persistent
- stroke (HINTS)
- MS
(vestibular neuronitis/Ramsay hunt)
Other
- seconds: BPPV
- recurrent: migraine, meniere’s
- chronic: drugs, wernickes
Seizure
Hypoglycaemia Meningitis/encephalitis Trauma/SOL Alcohol withdrawal Drugs Electrolyte disturbance
Epilepsy/Pseudo seizure
Syncope
Transient neurological deficit
Hypoglycaemia SAH/stroke (?headache) TIA MS Electrolyte disturbance
Other
Todd’s paresis/syncope/migraine
Functional
Mono arthritis
Septic arthritis
Other Reactive/rheumatoid/psoriatic Gout/pseudo gout Haemarthrosis Leukaemia
Polyarthritis
SLE Rheumatic Fever IBD Sjogrens RA/psoriatic/reactive
Other
Viral
Testicular pain
Torsion
Epididymo orchitis/abscess
Hernia
Malignancy
Other: Testicular appendix Trauma Idiopathic scrotal edema Varicocele/hydrocele
Pain or reduced ROM: shoulder
Rotator cuff tear:
Other
Frozen shoulder
Impingement
Calcification supraspinatus
Acute Back pain
Cauda equina (LMN) Trauma Discitis Spinal Ca AAA, pancreatitis, pyelonephritis
Other
Disc prolapse
Limp (child)
Septic arthritis SUFE/perthes Malignancy Osteomyelitis/discitis JIA UTI/appendicitis
Other
Transient synovitis, toddlers #
Painful limb
DVT
Cellulitis
Necrotising fasciitis
Compartment syndrome
Phelgmasia alba/cerulea dolens
Rash (not to miss)
Steven Johnson syndrome
TEN
Eczema herpeticum
Ischaemia
Vasculitis and meningitis
Necrotising fasciitis
Kawasaki
Painless, Sudden onset visual loss
Central retinal artery occlusion
Central retinal vein occlusion
Retinal detachment
Vitreous haemorrhage
Temporal arteritis
Amaurosis fugax
Optic neuritis
Painful, acute visual loss
Acute glaucoma
Endophthalmitiis
Uveitis
Trauma
Hyphaema
Acute, atraumatic hearing loss
