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USMLE Step 2 CS > DDx and Work Up > Flashcards

DDx and Work Up Flashcards

1
Q

Chest Pain DDx (14)

A
  • MI
  • Angina
  • Aortic Dissection
  • GERD
  • Esophageal Spasm
  • Esophageal Rupture
  • Esophagitis
  • PUD
  • Pneumothorax
  • Pneumonia
  • Pulmonary Embolism
  • Pericarditis
  • Costochondritis
  • Rib Fracture
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2
Q

Chest Pain Work Up (16)

A
  • CBC and Electrolytes
  • EKG
  • ECHO
  • CXR
  • Chest CT with contrast
  • Cardiac Catheterization
  • Aortic Angiography
  • Exercise Stress Test
  • Troponins/CPK-MB
  • ABG
  • A/V Scan
  • Doppler u/s Lower Extremities
  • Barium Swallow
  • Upper Endoscopy
  • Esophageal pH Monitoring
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3
Q

Shortness of Breath DDx (12)

A
  • Asthma
  • COPD Exacerbation
  • GERD
  • CHF
  • Lung Cancer
  • Lung Abscess
  • Pneumonia
  • Pneumothorax
  • Pulmonary Embolism
  • Pulmonary Edema
  • TB
  • Bronchitis
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4
Q

Shortness of Breath Work Up (10)

A
  • CBC and Electrolytes
  • Chest CT
  • CXR
  • Methacholine Challenge Test
  • Pulmonary Function Test
  • Peak Expiratory Flow
  • PPD
  • Bronchoscopy
  • Sputum Gram and Culture
  • ECHO
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5
Q

Acute Cough DDx (4)

A
  • Post Nasal Drip
  • Foreign Object
  • Acute Bronchitis
  • URI Associated Cough
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6
Q

Chronic Cough DDx (8)

A
  • Asthma
  • COPD
  • GERD
  • Pneumonia
  • Interstitial Lung Disease
  • Lung Cancer
  • TB
  • Sinusitis
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7
Q

Chronic Cough Work Up (8)

A
  • CBC and Electrolytes
  • CXR
  • Chest CT
  • Bronchoscopy
  • Sputum Gram and Culture
  • PPD
  • HIV ab
  • EKG
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8
Q

Sore Throat DDx (5)

A
  • Infectious Mononucleosis
  • Viral/Bacterial Pharyngitis
  • Acute HIV Infection
  • Hepatitis
  • Strep Tonsilitis
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9
Q

Sore Throat Work Up (5)

A
  • CBC and Electrolytes
  • Monospot Test
  • Throat Culture (Rapid Strep Test)
  • HIV ab/CD4+ Count
  • AST/ALT/Bilirubin/Alkaline Phosphatase
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10
Q

Hemoptysis DDx (6)

A
  • TB
  • Bronchitis
  • Lung Cancer
  • Pulmonary Embolism
  • Goodpasture Syndrome
  • MVP
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11
Q

Hemoptysis Work Up (7)

A
  • CBC and Electrolytes
  • CXR
  • Chest CT
  • Sputum Gram and Culture
  • PPD
  • ECHO
  • Bronchoscopy
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12
Q

Palpitations DDx (6)

A
  • Arrhythmia
  • Panic Attack
  • Hypoglycemia
  • Hyperthyroidism
  • Pheochromocytoma
  • Carcinoid Syndrome
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13
Q

Palpitations Work Up (6)

A
  • CBC and Electrolytes
  • EKG
  • 24 Hour Holter Monitoring
  • Blood Glucose
  • TSH/FT4
  • 24 Hour Urine Catecholamines
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14
Q

Sickle Cell Disease Chest Pain DDx (5)

A
  • Acute Chest Syndrome
  • Sickle Cell Crisis
  • Angina
  • Costochondritis
  • Pneumothorax
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15
Q

Sickle Cell Disease Chest Pain Work Up (4)

A
  • CBC and Electrolytes
  • Sickling Test
  • EKG
  • ALT/AST/Bilirubin/Alkaline Phosphatase
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16
Q

Difficulty Swallowing DDx (8)

A
  • Achalasia
  • Esophageal Stricture
  • Diffuse Esophageal Spasm
  • GERD
  • Esophageal Cancer
  • Systemic Sclerosis
  • Esophagitis (CMV, HSV, Pill)
  • Plummer Vinson Disease
17
Q

Difficulty Swallowing Work Up (7)

A
  • CBC and Electrolytes
  • Upper Endoscopy with Biopsy
  • Barium Swallow
  • Esophageal Manometry
  • Serum Fe/Ferritin/TIBC
  • AST/ALT/Bilirubin/Alkaline Phosphatase
  • HIV ab/CD4+ Count
18
Q

Heartburn DDx (3)

A
  • PUD
  • Stomach Hernia
  • GERD
19
Q

Heartburn Work Up (5)

A
  • CBC and Electrolytes
  • Upper Endoscopy
  • Barium Swallow
  • FOBT
  • Esophageal Manometry
20
Q

Diarrhea DDx (11)

A
  • Traveler’s Diarrhea
  • Gastroenteritis
  • Food Poisoning
  • Amebiasis
  • Giardiasis
  • Cryptosporidiosis
  • IBD
  • IBS
  • Pseudomembranous Colitis
  • Lactose Intolerance
  • Hyperthyroidism
21
Q

Diarrhea Work Up (9)

A
  • CBC and Electrolytes
  • Stool Leukocytes and Culture
  • Stool Ova and Parasites
  • Clostridium Difficile Toxin in Stool
  • Rectal Exam
  • FOBT
  • TSH/FT4
  • Colonoscopy
  • Barium Enema
22
Q

Constipation DDx (7)

A
  • Hypothyroidism
  • Depression
  • Colorectal Cancer
  • IBS
  • Low Fiber Diet
  • Anal Fissure
  • Heroin/opioid Abuse
23
Q

Constipation Work Up (10)

A
  • CBC and Electrolyte
  • Stool Ova and Parasites
  • FOBT
  • Rectal Exam
  • Abdominal CT
  • AXR
  • Pelvic CT
  • TSH/FT4
  • Barium Enema
  • Colonoscopy
  • Urine Toxicology
  • AST/ALT/Bilirubin/Alkaline Phosphatase
24
Q

Hematemesis DDx (5)

A
  • Esophageal Varices
  • Mallory-Weiss Tear
  • Bleeding Peptic Ulcer
  • Gastritis
  • Gastric Cancer
25
Hematemesis Work Up (5)
- CBC and Electrolytes - Upper Endoscopy - Barium Swallow - Rectal Exam - AST/ALT/Bilirubin/Alkaline Phosphatase
26
Blood in Stool DDx (10)
- Colorectal Cancer - Polyps - Angiodysplasia - IBD - Diverticulosis - Ischemic Colitis - Pseudomembranous Colitis - Infectious Colitis - Hemorrhoids - Anal Fissure
27
Blood in Stool Work Up (11)
- CBC and Electrolytes - AXR - Abdominal CT - Pelvic CT - AST/ALT/Bilirubin/Alkaline Phosphatase - Colonoscopy - Barium Enema - Rectal Exam - Stool Ova and Parasites - CEA - PT/PTT
28
Melena DDx (6)
- Esophagitis - Esophageal Varices - Mallory-Weiss Tear - Gastritis - PUD - Colon Cancer
29
Melena Work Up (5)
- CBC and Electrolytes - Upper Endoscopy - Colonoscopy - Rectal Exam - Barium Enema
30
Vomiting DDx (8)
- Pregnancy - Food Poisoning - Gastritis - PUD - Hypercalcemia - DM - Urinary Tract Infection - Depression
31
Vomiting Work Up (9)
- CBC and Electrolytes - Serum Calcium - Blood Glucose - Beta hCG - Urine Culture and Sensitivity - Urinalysis - Pelvic Exam - Pelvic U/S - Rectal Exam
32
Abdominal Pain DDx (11)
- PUD - Gastritis - Hepatitis - Pancreatitis - Pancreatic Cancer - Cholecystitis - Choledocolithiasis - Cholangitis - Splenic Rupture - Mesenteric Ischemia - Fitz-Hugh-Curtis Syndrome
33
Abdominal Pain Work Up (14)
- CBC and Electrolytes - Upper GI Series - Upper Endoscopy - Abdominal U/S - Abdominal CT - Viral Hepatitis Serology - AST/ALT/Bilirubin/Alkaline Phosphatase - Amylase - Lipase - HIDA Scan - MRCP - ERCP - Mesenteric Angiogram - Rectal Exam
34
Lower Abdominal Pain DDx (11)
- Kidney Tumor - Pyelonephritis - Nephrolithiasis - Appendicitis (RLQ) - Diverticulitis (LLQ) - IBD - IBS - Intestinal Obstruction - Colon Cancer - Volvulus - Ileus
35
Lower Abdominal Pain Work Up (9)
- Renal U/S - Intravenous Pyelogram - Urinalysis - Urine Culture and Sensitivity - BUN/Creatinine - Abdominal U/S - Abdominal CT - FOBT - Rectal Exam
36
Lower Abdominal Pain in Females DDx (5)
- PID - Ectopic Pregnancy - Ruptured Ovarian Cyst - Ovarian Torsion - Endometritis
37
Lower Abdominal Pain in Females Work Up (11)
- CBC - Urine hCG - Urinalysis - Urine Culture and Sensitivity - Abdominal U/S - Abdominal CT - Pelvic U/S - Pelvic Exam - Cervical Culture - Rectal Exam - Laparoscopy

USMLE Step 2 CS (5 decks)

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