DDx Investigations Tx block 2 Flashcards

1
Q

cough DDx

dry acute

A
asthma
sinusitis
URTI
drug induced ACEi
smoke
inhaled foreign body
lung ca
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2
Q

cough DDx

dry chronic

A
asthma
GORD
postnasal drip
smoking
lung ca
drug induced
COPD
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3
Q

cough DDx

productive acute

A

LRTI
COPD
TB

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4
Q

cough DDx

productive chronic

A

bronchiectasis
TB
lung ca
recurrent aspiration

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5
Q

Constipation DDx

A
IBS
Meds opiates fe ca channel blockers
lack of dietary fibre
dehydration
CRC
sigmoid volvulus
haemorrhoids
anal fissure
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6
Q

Functional dysphagia DDx

A
stroke
parkinson
myasthenia gravis
MS
myotonic dystrophy
motor neuron disease
achalasia
Chagas disease
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7
Q

structural dysphagia DDx

A
foreign body
cancer
pharyngeal pouch
stricture
mediastinal mass
retrosternal goitre
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8
Q

Epigastric pain DDx

A
acute pancreatitis
perforated PUD
gastritis/ duodenitis
PUD
biliary colic
acute cholecystitis
ascending cholangitis
MI
AAA
mesenteric ischaemia
basal pneumonia
GORD
Non Ulcer Dsypepsia
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9
Q

Sinister headache DDx

A
vascular SAH SDH EDH
Meningitis encephalitis
temporal arteritis
acute glaucoma
cavernous sinus thrombosis
raised ICP SOL hydrocephalus malignant HTN
Carotid dissection
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10
Q

Non-sinister headache DDx

A
tension type headache
migraine
sinusitis
med overdose headache
TMJ dysfunction syndrome
trigeminal neuralgia
cluster headache
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11
Q

poor urinary output DDx

pre-renal causes

A

hypovolaemia
hypotension
heart failure
reduced local perfusion of kidneys

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12
Q

poor urinary output DDx

renal causes

A
ATN
Glomerulonephritis
interstitial nephritis
vasculitis
malaria
multiple myeloma
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13
Q

poor urinary output DDx

post-renal causes

A
ab/pelvic mass
neuropathic bladder
BPH
blocked catheter
prostate cancer
urethral stricture
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14
Q

jaundice DDx

A
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
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15
Q

RUQ pain DDx

A
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
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16
Q

Seizure DDx

A
epilepsy
head trauma
encephalitis/ meningitis
drug intox or withdrawal
syncope
movement disorders
cardioembolic stroke
huntington
migraine
17
Q

N&V

4 causes

A

vestibular system
CTZ
CNS
CN IX,X

18
Q

N&V DDx

vestibular system

A

BPPV
Labyrinithitis
motion sickness
Menieres disease

19
Q

N&V DDx

CTZ

A
meds
alcohol
hormones
electrolytes
toxins
20
Q

N&V DDx

CNS

A
pain
anxiety
raised ICP
meningitis
encephalitis
21
Q

N&V DDx

CN IX,X

A

GI obstruction
GI infection
diaphragm inflammation
inflammation of liver pancreas gallbladder peritoneum

22
Q

headache investigations

A
Fundoscopy
ESR
CRP
Biopsy
CT
23
Q

Blackout investigations

A
O2 sats
Bloods glucose/FBC/U+Es
ECG
Echo
carotid sinus massage
EEG/ brain scan
24
Q

Dysphagia investigations

A
barium swallow
endoscopy
videofluoroscopy
manometry
EUS
CT
25
cough investigations
``` ABG FBC CRP U+E CXR ECG ```
26
Epigastric pain investigations
``` FBC CRP amylase lipase LFTs albumin U+Es Ca Glucose ABG Troponin ECG AXR CXR Ab U/S MRCP ```
27
N+V investigations
``` FBC CRP U+Es LFTs amylase group and save Ab XR CXR Pregnancy test tox screen contrast studies ab CT Head MRI ```
28
Jaundice investigations
``` FBC Bilirubin Liver enzymes Blood films viral serology ASMA, ANA, AMA Alcohol Biliary enzymes urine bilirubin serum amylase U/S biliary tree pregnancy PTT Albumin Liver U/S Liver biopsy ```
29
RUQ pain investigations
``` FBC Serum amylase/ lipase liver enzymes bilirubin CXR Ab XR U/S pancreas bile ducts gallbladder ```
30
Constipation investigations
``` FBC Electrolytes calcium TFT Glucose FOB CEA/CA 19 Proctoscopy rigid sigmoidoscopy colonoscopy CT DCBE OGD ```
31
Poor urinary output
``` check catheter venous blood gas bloods fluid challenge urine vs serum conc U/S ```