DDx- Top five Flashcards

1
Q

Chest Pain

A

1) CAD (angina)
2) ACS
3) Aortic Dissection (pain has ripping/tearing quality)
4) Pericarditis
5) GERD (pain is burning)
6) Costochondritis

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2
Q

Dyspnea

A

1) COPD/asthma
2) Pneumonia
3) Pneumothorax
4) PE
5) CHF
6) Pericardial tamponade (?)

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3
Q

Generalized Abd Pain

A
Gastroenteritis
Colitis (infectious of ischemic)
Peritonitis (SBP or surgical)
IBD
Pancreatitis
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4
Q

RUQ Abd pain

A

Cholecystitis
Cholangitis
Pneumonia/Empyema
Budd-Chiari syndrome

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5
Q

LUQ Abd Pain

A

Gastritis
PUD
Splenic infarct

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6
Q

RLQ Abd Pain

A
Appendicitis
IBD
Nephrolithiasis
Inguinal hernia
PID
Ectopic
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7
Q

LLQ Abd Pain

A
Diverticulitis
IBD
Nephrolithiasis
Inguinal hernia
PID
Ectopic
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8
Q

Periumbilical pain

A

early appendicitis
ruptured AAA
gastroenteritis

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9
Q

Epigastric pain

A
GERD
PUD
ACS/MI
Gastritis
Pancreatitis
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10
Q

Upper GI bleed

A

PUD
Variceal bleed
angiodysplasia
gastric cancer

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11
Q

Lower GI bleed

A
IBD
Diverticulitis
Angiodysplasia
Hemorrhoids
Colon cancer
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12
Q

Syncope (categories)

A
Neurogenic (seizure, TIA, migraine)
Cardiogenic 
Vasovagal
Orthostatic
Hypoglycemia
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13
Q

Confusion

A
DIMS
Drugs
Infectious
Metabolic
Structural
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14
Q

Monarthritis

A

Septic arthritis
Gout/Pseudogout
Osteoarthritis
Hemarthrosis

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15
Q

Polyarthritis

A
Septic
Gout/pseudogour
OS
RA
SLE
Reactive
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16
Q

Hypotensive Shock

A

1) loss of volume (hemorrhage, loss into 3rd space….)
2) heart isn’t strong enough to pump volume (MI, cardiomyopathy)
3) heart is obstructed from pumping properly (PE, tension pneumo, tamponade)
4) Vessels can’t keep up pressure (sepsis, anaphylactic…)
5) Drugs (B-blockers, CCBs,

17
Q

Hypertension

A
Essential
CKD
Thyroid
Meds- NSAIDs, OCP, roids
Drugs- EtOH, Cocaine, Amphetamines
OSA
18
Q

Anemia

A

Microcytic: iron, anemia of chronic disease
Normocytic: blood loss, hemolysis, anemia of CD
Macrocytic: liver disease, EtOH