Differential Diagnosis Flashcards
1
Q
Pleuritic Chest Pain
A
- PE
- pneumonia
- pneumothorax
- intercostal muscle spasm
2
Q
Chronic SOB - categories
A
CaRMEN
= cardio, resp, mechanical, endocrine, neuromuscular
3
Q
Cardiac causes of SOB
A
- congestive heart failure (pulm oedema, with frothy pink sputum)
- anaemia
- recurrent PE
- pulm HTN
4
Q
Resp causes of SOB
A
- COPD
- lung Ca
- pleural effusion
- TB
- asthma
- ILD
- CF and other causes of bronchiectasis
5
Q
Mechanical causes of SOB
A
- scoliosis
- obesity
6
Q
Endocrine causes of SOB
A
- hypothyroidism
7
Q
NM causes of SOB
A
- myasthenia gravis
- motor neurone disease
- Guillain-Barre syndrome
8
Q
Acute causes of cough
A
- pneumonia
- inhaled foreign body
9
Q
Chronic productive cough
A
- pulmonary oedema
- PE - blood stained
- COPD
- bronchiectasis
- TB
- lung ca
10
Q
Chronic non-productive cough
A
- post-nasal drip
- GORD
- drugs
- sarcoid
- asthma
11
Q
Haemoptysis
A
RESP - bronchial Ca - pneumonia - PE - TB - chronic bronchitis - bronchiectasis - pulmonary oedema - Goodpasture's syndrome - Wegener's granulomatosis VASCULAR - PE - pulmonary HTN SYSTEMIC - coagulation problems
12
Q
Wheeze
A
EXTRATHORACIC - anaphylaxis - vocal cord paralysis INTRATHORACIC - central airway - tracheal stenosis -mediastinal tumour - mucus plug (asthma) - foreign body INTRATHORACIC - lower airway - bronchitis - COPD - pulmonary oedema (cardiac asthma)
13
Q
Stridor
A
- foreign body
- epiglossitis
- goitre
- iatrogenic
- malignancy
- bilateral vocal cord palsy e.g. due to brainstem stroke, thyroid carcinoma, oesophageal carcinoma
14
Q
Resp causes of clubbing
A
- lung Ca - bronchial, mesothelioma
- suppurating lung disease - empyema, abscess, CF, bronchiectasis
- fibrosis - idiopathic pulmonary fibrosis, TB, CFA
15
Q
Cardiac causes of clubbing
A
- congenital cyanotic heart disease
- infective endocarditis
