DDx KP and Qs Flashcards
Bowel CA Qs
LOW, LOA, L&Bs, Tiredness
Blood in your stools?
Dark Stools?
Vomited any Blood?
Changes in your Bowel Habits?
Family Hx of bowel CA?
(If >50 y/o) Have you done your National Bowel Screening?
Abdominal Pain GI DDx Qs
Bowel CA
Inflammatory Bowel Disease (Rheuma Qs)
- Bloody Diarrhea?
- Rash? BOV? Joint pain? Mouth Ulcer?
Irritable Bowel Syndrome Qs
- Social Hx – Stress - Home, Occupation
- Better with passing bowel motion?
Gastro Enteritis Qs - Travel Qs, Occupation?
Alcohol? (Pancreatitis)
Surgeries?
Medications? (NSAID Induced)
GORD and PUD Qs (if Upper Pain)
GORD/ PUD Qs
GORD - Heartburn? Acidic Taste in mouth? Water Brash?
PUD - Pain Related to eating
Key points - If (+)
How long after eating does the pain start?
- Immediately (Peptic Ulcer)
- Few hours (Duodenal Ulcer)
Specific food?
PUD RF
- Alcohol?
- Medications? (Steroid and NSAID)
- Spicy food?
- Coffee or Tea?
Abdominal Pain KUB DDx Qs
Dysuria – Burning or pain on passing urine?
Frequency – Have you been passing urine more frequently?
Blood in your urine? (Renal Colic, Renal CA, Trauma)
Abdominal Pain Genital/Pelvic DDx Qs
Hernia
Have you noticed any swelling or lumps in your groin
(Female) - Pelvic Qs
(Male) - Groin Qs (Testicular Torsion, Epidydimo-Orchitis)
- Pain and Swelling in the scrotum
Abdominal Pain Pelvic Qs
Menstruation and STI’s
Symptoms
-Vaginal Bleeding or Vaginal Discharge?
Period Hx (Endometriosis, EP, Pregnancy)
- LMP**
- Heavy Periods or Irregular Bleeds?
Sexual Hx (PID)
- Are you Sexually Active?
- Safe Sex? Condoms?
- Multiple Partners
- Pain or bleeding during and after Intercourse?
Abdominal Pain Others Qs
DKA - Polyuria, Polydypsia,
Mesenteric Ischemia - Funny Racing of the Heart? (AF)
Rash? (Shingles, Celiac D, IBD)
Abdominal Pain Format
Explore Abdominal Pain
General Symptoms
GI Qs
Upper Abdomen
KUB Qs
Genital/ Pelvic Qs
Other Causes Qs
SADMA, PMHx, Fhx
Abdominal Pain Upper Abdomen DDx Qs
Liver and GB - Jaundice, Itchiness, Dark urine and pale stools, Fever and Travel?
ACS and Lower Lobe Pneumonia - Chest pain or SOB?, Cough?
Pancreatitis KP Qs
A – Alcohol
B – Biliary Obstruction (Tumor, Gallstones)
C – Cholesterol (Lipids, HyperTAG)
D – Drugs (Steroids, Tetracycline, Gliptin)
E – ERCP (Procedure)
F – Flu-like (Mumps
G - Gallstones
Additional Abdo Pain DDx for Young
Celiac Disease
- Greasy Stool
- Stool Hard to flush? Stick to the pan
Lactose intolerance
- Abdominal Pain after taking dairy products
DKA
- Polydipsia - Inc Thirst
- Polyuria - Increase frequency of urine
Back Pain Red Flags
LOW, LOA, L&Bs
Neurological Deficit - Weakness or Numbness of the Legs
Urinary Leakage
Abdominal Pain + Back Pain DDx
CA with Mets
Inflammatory Bowel Disease
A/E of Endone use (Constipation)
Ankylosing Spondylitis
Renal Colic Qs
- Dysuria and Fever (UTI Qs)
- Frequency, Hematuria
- Dribbling
- Family Hx of Kidney Stones
- RF - Medications, Drinking enough Water, High salt Diet?
Dark Urine KUB Qs
Cancer - LOW, LOA, L&B, Tiredness, Night sweats
IGA nephropathy & PSGN
- Any Recent Sore throat or flu-like symptoms?
- Antibiotic or Medication?
- Swelling in legs?
- Puffiness face or other parts?
UTI - Dysuria, Frequency, and Fever
Renal Colic
- Flank pain or Abdominal Pain
- PMHx or Fhx of kidney stones
Traumatic Injury - Trauma to your abdomen?
Excessive Exercise
Medication (Statins)
Pseudo hematuria - Medication? Beetroots?
Liver Qs - (2-3 Qs)
Dark Urine Liver Qs
Hepatitis
- Jaundice, Itchiness?
- Abdominal Pain? N/V?
- RF of Hepatitis – ABP FIT No Sick Sex
Cancers - LOW, LOA, L&B
GB Stones - Pain in RUQ after heavy fatty meals?
Cholangitits - Fever? Abdominal Pain? Jaundice
Previous Surgeries? Medications?
KUB Qs (2-3Qs)
RF of Hepatitis
A BP FIT No Sick Sex
A - Alcohol, Antibiotics
B - Blood Transfusion
P - Piercing and Tatooing
F - Food – Street Food and unbottled water
I - IV drug Use
T - Travel
N – Needle stick Injury,
O – Occupation
Sick – Contact with Sick people
Sex – Sex Hx
Fatty Liver Qs
Cholesterol Medication
Lifestyle - Alcohol Diet and Excercise
Hemochromatosis Qs
Bowel CA Qs
Hypercalcium Qs
Have you ever been told you have high CA in the Blood?
GP ever investigated it?
Symptoms
- Bone Pain
- Tiredness
- Weakness in muscles
- Nausea
Hemorrhoids Qs
Felt any lumps around back passage?
(if Yes)
Is it always there? Or does it go back in?
RF of Hemorrhoids
- Long term constipation?
- High fiber Diet? Drink enough water?
- Chronic Cough? Lifting Heavy?
- Liver Disease – Yellowish discoloration of the skin?
Per-Rectal Bleeding Format Qs
Timing Qs, A&A, CCVO
General Symptoms
Bowel CA Qs
Anal Fissure
- Pain on passing bowel motions?
Hemorrhoid Qs
IBD Qs
Acute Abdomen
- Diverticulitis - Abdominal Pain
- Mesenteric Ischemia - Funny racing of the heart
Gastroenteritis
Infective Proctitis (STD)
- Discharge form the back passage?
- Sexually Active?
- Safe Sex? Condoms
- Ever been dx with STIs?
Bleeding d/o, Blood Thinners
GORD RF Qs
Red Flags - Dysphagia, Melena, LOW
Smoking and Alcohol
Spicy food and fatty food (take away)
Coffee tea, Energy drink and Soft drink
Medications (ASA, NSAIDS, Steroids, Alendronate)
Recent weight gain? Exercise?
Stress
Hyponatremia Qs
Symptoms of Hyponatremia (CNS Qs) - Confused or Dizzy? HA? Seizures?
PMHx of the Patient
1st - r/o Pseudohyponatremia - BSL, Lipid Profile
2nd - Volemia
Hypovolemia - V/D? Intake? Diuretics?
Hypervolemia - Heart, Liver, Kidney Failure Qs
Euvolemic
- Thyroid Qs
- SIADH Qs -
– Medications (SSRI or Anticonvulsant),
– Malignancy Qs,
– Respiratory Qs - Cough or SOB
– Cerebral - Falls? or Head injury?
Buttocks Pain DDx Qs
Anal Fissure
- Bleeding passing bowel motion
- Blood on the tissue
- Recent Constipation
Hemorrhoids - Lump in the back passage?
Perianal Abscess - Lump? Fever and Chills?
Pilonidal Abscess and Boil and Fistula
- Discharge on your underwear?
- Swelling or redness on the skin?
Prostatitis (Urinary Qs) - Dysuria, Hematuria, Polyuria STI Qs
Proctitis (Infection)
- Pain passing on bowel motion
- STI Qs - Unsafe and Prev Dx?
- IBD Qs
