DDx Investigations Tx block 2 Flashcards
cough DDx
dry acute
asthma sinusitis URTI drug induced ACEi smoke inhaled foreign body lung ca
cough DDx
dry chronic
asthma GORD postnasal drip smoking lung ca drug induced COPD
cough DDx
productive acute
LRTI
COPD
TB
cough DDx
productive chronic
bronchiectasis
TB
lung ca
recurrent aspiration
Constipation DDx
IBS Meds opiates fe ca channel blockers lack of dietary fibre dehydration CRC sigmoid volvulus haemorrhoids anal fissure
Functional dysphagia DDx
stroke parkinson myasthenia gravis MS myotonic dystrophy motor neuron disease achalasia Chagas disease
structural dysphagia DDx
foreign body cancer pharyngeal pouch stricture mediastinal mass retrosternal goitre
Epigastric pain DDx
acute pancreatitis perforated PUD gastritis/ duodenitis PUD biliary colic acute cholecystitis ascending cholangitis MI AAA mesenteric ischaemia basal pneumonia GORD Non Ulcer Dsypepsia
Sinister headache DDx
vascular SAH SDH EDH Meningitis encephalitis temporal arteritis acute glaucoma cavernous sinus thrombosis raised ICP SOL hydrocephalus malignant HTN Carotid dissection
Non-sinister headache DDx
tension type headache migraine sinusitis med overdose headache TMJ dysfunction syndrome trigeminal neuralgia cluster headache
poor urinary output DDx
pre-renal causes
hypovolaemia
hypotension
heart failure
reduced local perfusion of kidneys
poor urinary output DDx
renal causes
ATN Glomerulonephritis interstitial nephritis vasculitis malaria multiple myeloma
poor urinary output DDx
post-renal causes
ab/pelvic mass neuropathic bladder BPH blocked catheter prostate cancer urethral stricture
jaundice DDx
viral hepatitis ascending cholangitis Budd-Chiari syndrome gallstones stricture post-ERCP Wilsons Haemochromatosis liver mets HCC pancreatic ca PBC/ PSC autoimmune hepatitis pancreatitis intrahepatic cholestasis of pregnancy alcohol abuse paracetamol overdose valproate/ rifampicin
RUQ pain DDx
biliary colic cholecystitis duodenal ulcer pancreatitis basal pneumonia ascending cholangitis gastric ulcer small bowel obstruction appendicitis hepatitis pyelonephritis HCC Vascular - aortic dissection, AAA, inf MI
Seizure DDx
epilepsy head trauma encephalitis/ meningitis drug intox or withdrawal syncope movement disorders cardioembolic stroke huntington migraine
N&V
4 causes
vestibular system
CTZ
CNS
CN IX,X
N&V DDx
vestibular system
BPPV
Labyrinithitis
motion sickness
Menieres disease
N&V DDx
CTZ
meds alcohol hormones electrolytes toxins
N&V DDx
CNS
pain anxiety raised ICP meningitis encephalitis
N&V DDx
CN IX,X
GI obstruction
GI infection
diaphragm inflammation
inflammation of liver pancreas gallbladder peritoneum
headache investigations
Fundoscopy ESR CRP Biopsy CT
Blackout investigations
O2 sats Bloods glucose/FBC/U+Es ECG Echo carotid sinus massage EEG/ brain scan
Dysphagia investigations
barium swallow endoscopy videofluoroscopy manometry EUS CT