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Medicine 5 > DDx KP and Qs > Flashcards

DDx KP and Qs Flashcards

1
Q

MSK Pain Qs

A

SIQORAA
- A&A - B or W? Coughing or Sneezing? Standing or Sitting?

Pattern of Pain
- Pain at night?
- Worse in the morning or at the end of the day?
- Worse with rest or activity?

General MSK Q
- Swelling
- Redness or Rash
- Stiffness
- Trauma

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2
Q

Back Pain Red flag Qs

A

Malignancy
- LOW, LOA, L&B’s
- Tiredness
- Prev Hx of CA
- Mets - Lung CA (Hemotysis), Breast (Breast Lumps), Prostate
Cauda Equina Sx
- Numbness in your private parts
- Lost control of your bladder or bowels
Infections
- Fever or Chills
Multiple Myeloma
- Hx of recurrent infections
- Inc. Thirst

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3
Q

Back Pain Spine Qs

A

Mechanical Back Pain
- Occupation
– Lifting heavy objects
– Standing for a long time
– Repeated bending
- Excessive excercise
Lumbar Radiculopathy
- Neurological Defict
– Numbness and pins and needles in the leg?
– Weakness in legs?

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4
Q

Back Pain Arthritis Qs

A

Osteoarthritis
- Occupation
- Crepitation Q
Rheumatoid Arthritis
- Family Hx
- Other Joint?
Psoriatic Arthritis
- Rash in the elbow or kness?
Ankylosing spondylisis
- Difficulty in bending forward
Reactive Arthritis (GE or STI) and IBD
- Diarrhea? Blood in the stools?
- Discharge from down below
- Diagnosed with STI?
- Practice Safe sex?

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5
Q

Back Pain Referred Pain Qs

A

KUB - Dysuria, Frequency, Hematuria, Nocturia
GI - Abdominal Pain, N/V
Period Hx - LMP, Irregular, Heavy, Extreme Pain
Retroperitoneal Hemorrhage
- Blood thinners
- Steroids
- Anti Cholesterol
- Drugs IV Drug Use

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6
Q

Cancer = Symptoms (LGBT MPK)

A

General Qs - LOW, LOA, L&B, FHx or PHx of CA, Tiredness
Lung - Cough, SOB, Hemotysis, Smoking, Occupation
Lymphoma - Neck Lump, Night Sweats,
GI - N/V, Constipation, Abdominal Pain, Bleeding (Vomit, Blood streak Stool, Dark Stool), Screening Test
Breast - Breast Lump, Screening Test
Bone CA
Thyroid - Neck Lump, Weather Preference
Melanoma - Suspicious Lesion, Sun Exposure
Mutiple Myeloma - Recurrent infection, Thirst
Prostate - Dribling, Difficulty Passing Urine
Kidney - Hematuria, Flank Pain

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7
Q

Neck Pain Red Flags Qs

A

Cervical Myelopathy - Walking Difficulties, Balance, Incontinence, W,N,P on the Limbs
Malignancies Qs
Infection Qs

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8
Q

Neck Pain Spine DDx Qs

A

Mechanical Neck Pain - Occupation, Repetitive Movements, Excessive Excercise
Cervical Radiculopathy - Weak, Numb, P&N on the Arms and Hands

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9
Q

Neck Pain Arthritis Qs

A

OA/ Cervical Spondilitis
RA Qs
AS Qs
PA Qs
Reactive Arthritis

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10
Q

Neck Pain Referred Pain Qs

A

Head
- Tension HA - Stress at Homeor Work
- Meningitis - Fever, Stiffness of Neck, Photophobia, Vomiting
Shoulders (PMR) - Stiffness on the shoulders and Hip
CVS - Chest pain, SOB, Racing of the heart

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11
Q

Elbow Pain DDx Qs

A

Redflag Qs - Malignancy Qs, Infection Qs, Pancoast Tumor - Cough, Hemoptysis

Soft Tissue Qs
- Occupation, Repeated elbow and wrist move, Heavy Lifting
- Excessive Excercise, Sports
- Bursitis - Repeated Pressure on Elbow
- Osteochondritis - Locking of Elbow

Joint Problem - Arthritis Qs

Referred Pain
- Cervical Radiculopathy - Neck or Shoulder Pain, W,N,P&N Arm or Hand
- IHD - CP, SOB, Palp
- DVT - Repetitve movement of UL

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12
Q

Hip Pain DDx Qs

A

Red Flag Qs
Arthritis Qs
- OA, RA, PA, Gout, Reac A & IBD
- Avascular Necrosis
– Medications - Steroid, Statins, Blood Thinners
– Previous Hip Frac, Dislocation

Soft Tissue
- Greater Trochanteric Pain Sx - Pain worse when you lie down on the side at night
- Lumbar Radiculopathy Qs
- PMR Qs

Referred Pain
Abdomen Qs
KUB Qs
CVS - Pain on walking and stop as your rest, Prev Heart or blood tube prob

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13
Q

Hand Pain DDx Qs

A

Red Flag Qs - Malignancy, Infection,
Joint Qs - Arthritis
Neurological Cause - Cervical Radiculopathy & C/CTSx
- Pins and Needles, Weakness
- Neck Pain, Shoulder, Elbow Pain
Others - Hemochromatosis - Tanning, Tiredness

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14
Q

Trauma Qs

A

Pain - SIQORAA
Pattern - Limping, Bear Weight
Explore Injury
- Describe - Twist, Direct Blow, or Jump and land awkwardly
- Red Flags - Popping Sound, Able to bear weight after,
- Other injury
MSK Damage - S, R, B, Deformities, Stiffness
Neuro Damage - W, N, P&N, Back Pain
Vasc Damage - Pale

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15
Q

Knee Trauma KP Qs

A

Incident Qs
General MSK Qs

Popping Sound?
Swelling Appear?
Bear Weight?
Knee Giving way or unstable?
Locking of Knee?
Crepitations?

Other Trauma Qs
r/o Neuro Damage Qs
r/o Vasc Damage Qs

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16
Q

Knee Pain DDx Qs

A

Red Flag Qs - Malignancy, Infection,
Joint Qs - Arthritis

Soft Tissue
- Patellar Tendinitis - Excessive Jumping or Exercise
- Chondromalacia Patella - Pain worse on sitting for a long time? Worse on Climbing Stairs
- Bursitis - Prolonged Kneeling or Direct Pressure in the Knee
- Backer Cyst - Swelling behind the knee

Neuro-Vascular Qs
PAD - Change in the skin? Pallor or bluish discoloration?
DVT - Calf Swelling? Long Travel?
Lumbar Radiculopathy - W, N, P&N on leg? Back Pain?

Referred
Sore Throat? Hip or Ankle Pain?

17
Q

Foot Pain DDx Qs

A

Pain - SIQORAA
Pattern of Pain Qs
General MSK Qs
Red Flags Qs

DDx - 3 Recall Case
- PVD - Worse walking better on rest, Pallor, Medications
- Cellulitis - F/C, Entry Point - Trauma or Insect Bite
- Gout - Trig by Red meat, Alcohol - (+) RF - Seafood, Sugary Drink, Medication

Arthritis Qs

Soft Tissue Qs
- Plantar Fasciitis - Pain worse on First Step? Better after walking?
- Comfortable Shoes? Tight Shoes? (Morton)
- Ankle Ligament Inj - Ankle Give Way?

Vascular
- DVT - Long Travel? Clotting Hx?

Neurologic
- Lumbar Radiculopathy - P&N, W, N, Back Pain
- Sensory Neuropathy Qs

18
Q

Sensory Neuropathy Qs

A

Diabetes SN
- Prev Hx of DM
- (if -) Screen Sx
- (if +) PMHx Qs

Alcoholic SN - Alcohol Qs

Vit B12 SN - Diet (Red Meat)

Thyroid Qs

19
Q

Burning Foot Pain DDx Qs

A

Neuro DDx Qs
- Lumbar Radiculopathy
- Sensory Neuropathy Qs

Vascular DDx - PAD

Restless Leg Syndrome - Moving your leg and walking make it better? Pallor?

Liver Dx Qs
Uremia Qs

20
Q

Leg Pain DDx Qs

A

SIQORAA
Pattern of Pain
- Worse walking uphill or downhill?
- Relief on standing or bending forward?

Red Flag Qs
Vascular
(1) PAD
Color Changes? Pallor or Bluish discoloration?
KP Qs – CVD RF
(2) Venous Disease
Color Change – Bluish Disc?
Prev Hx of clots in legs?
(3) DVT
Long Travel?
Family Hx of Clotting d/o

Neurological
(1) Lumbar Radiculopathy Qs
(2) Spinal Canal Stenosis - Pain better with leaning forward.
(3) Cauda Equina Sx - Lost control of your bladder and bowel?

Arthritis Qs
PMR and Meds Qs

21
Q

Venous Insufficiency KP

A

Ulcerations?
Dryness of the Skin?
Itchiness? Numbness?
Dark Discolorations? Rashes?
Varicose Veins?
Prev. Hx of Clots
CVS RF

22
Q

Dysuria DDx Qs

A

Describe - Pain while passing, Difficulty and painful to empty?
Timing Qs
A&A

UTI Qs - UTI Qs, Pyelonephritis Qs
KUB Qs - Urethritis & Epidydimoorchitis Qs
- Penile Discharge
- Swelling, Redness, or pain in the Groin

Sexual Hx Qs
Prostatitis Qs - WISE Qs
Skin DDx Qs
- Skin CA - Suspicious Lesion. LOW, LOA
- Herpes - Painful Ulcers or Rash
- Balanitis - New Shampoo

23
Q

Hematuria DDx Qs

A

Red Urine Q
- Timing Qs
- Pattern Qs - CCVO
- Stream Q - Start, End, All Throughout
Prostate Qs - FUN WISE
CA Qs
Infection Qs - UTI, Pyelo Q, STIs
Renal Colic Qs
Glomerulonephritis - Sorethroat? Flu Like Symptoms? Joint Pains?
Others - Excercise, Trauma, Beet Root, Meds, Blood Prob

24
Q

Erectile Dysfunction DDx Qs

A

Erectile Dysfuction Qs
- Timing Qs
- A&A Qs
- Characteristic - Maintaining? Early Ejaculation?
- Hormonal Prob - Morning Erection? Libido? ED in Masturbation?
Vascular Condition
- DM or HTN/CVD or Cholesterol Qs (if Hx)
- (Screening of S/x)
Genital Problem Qs
- Peyronies D - Deformities
- Prostate - FUNWISE
- PHx - Surgeries
Hormonal DDx
- THyroid Qs
Psycosocial DDx Qs
CVS RF Qs

25
Q

Groin Swelling DDx Qs

A

Timing Qs
Character Qs
A&A - B or W? Position standing or lying down?
Skin (Cellulitis) Qs
Hernia Qs
- Incarcerated - N/V, Abd Pain, Lump Pain, bloating
- RF Qs
– Chronic Cough or Constipation, Diff Passing Urine (BPH),
– Occupation, Lifting Heavy Objects, Standing for a long time
Hip Qs - Pain, Limp, Trauma, Fever or Chills
LN Qs - CA Qs, STIs, SSCA Qs

26
Q

Scrotal Swelling Qs

A

Swelling Qs - Timing, A&A, Lump Qs (One side or Both, Painful to touch)
Testicular CA - LOA, LOW, L&B’s esp Groin, Loss of senstation
Epidydimoorchitis (STIs, CA)
- Fever and Chills, Redness, Rashes, or Ulcers, Pain
- Infection Qs - Discharge? Dysuria? Frequency?
- Sex Hx - Active? Partner Qs? Method Qs? High Risk?
Hydrocoele - STI and CA Qs, Trauma
Hernia - Position Qs, Straining Qs, Incarcerated Qs
Orchitis (Mumps) - Fever, Flu like symptoms, Swelling in the face?

27
Q

Wide Spread Aches DDx Qs

A

Pain Qs - SIQORAA, Pattern of Pain
Fibromyalgia - Sleep, Tiredness, Concentration
Arthritis Qs
Immune - PMR Qs, SLE Qs (Rash, Hematuria, Joint Pains), MS Qs
Others - Hyperthyroid Qs, Hyperparathyroidism, Statins, Somatic Symptoms Dx (Psychosocial Hx)

28
Q

Rash Private Areas DDx Qs

A

Timing Qs - Since? On/Off or C? Worse?
A&A
Character
- Site
Describe - Patch, Ulcer, Red
- Tender or Painful
- Itchy
- Discharge

STI Qs
- Infection Qs
- Urine Qs
- Sex Hx Qs

29
Q

Shoulder Pain DDx Qs

A

Describe - Popping, Weakness, Diff Moving, Pain

SIQORAA
Pattern of Pain
General MSK

Shoulder Qs
- Overhead Activities
- Clicking and Popping Sounds on the Joint
- Occupation, Sports or Exercise
- Previous Injuries

Medicine 5 (4 decks)

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