DDx KP and Qs Flashcards
MSK Pain Qs
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
Back Pain Red flag Qs
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
Back Pain Spine Qs
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?
Back Pain Arthritis Qs
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?
Back Pain Referred Pain Qs
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
Cancer = Symptoms (LGBT MPK)
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
Neck Pain Red Flags Qs
Cervical Myelopathy - Walking Difficulties, Balance, Incontinence, W,N,P on the Limbs
Malignancies Qs
Infection Qs
Neck Pain Spine DDx Qs
Mechanical Neck Pain - Occupation, Repetitive Movements, Excessive Excercise
Cervical Radiculopathy - Weak, Numb, P&N on the Arms and Hands
Neck Pain Arthritis Qs
OA/ Cervical Spondilitis
RA Qs
AS Qs
PA Qs
Reactive Arthritis
Neck Pain Referred Pain Qs
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
Elbow Pain DDx Qs
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
Hip Pain DDx Qs
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
Hand Pain DDx Qs
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
Trauma Qs
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
Knee Trauma KP Qs
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
Knee Pain DDx Qs
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?
Foot Pain DDx Qs
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
Sensory Neuropathy Qs
Diabetes SN
- Prev Hx of DM
- (if -) Screen Sx
- (if +) PMHx Qs
Alcoholic SN - Alcohol Qs
Vit B12 SN - Diet (Red Meat)
Thyroid Qs
Burning Foot Pain DDx Qs
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
Leg Pain DDx Qs
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
Venous Insufficiency KP
Ulcerations?
Dryness of the Skin?
Itchiness? Numbness?
Dark Discolorations? Rashes?
Varicose Veins?
Prev. Hx of Clots
CVS RF
Dysuria DDx Qs
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
Hematuria DDx Qs
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
Erectile Dysfunction DDx Qs
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
Groin Swelling DDx Qs
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
Scrotal Swelling Qs
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?
Wide Spread Aches DDx Qs
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)
Rash Private Areas DDx Qs
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
Shoulder Pain DDx Qs
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
