Differential diagnosis by CC Flashcards
Chest Pain
Myocardial ischemia or infarction Cocaine-induced myocardial ischemia GERD Aortic dissection Pericarditis Pneumothorax Pulmonary embolism Costochondritis (other musculoskeletal chest pain)
Hematuria
HITTERS
Hematologic - coagulopathy
Infection - UTI (hematuria is very uncommon)
Trauma -
Tumor - Bladder cancer, RCC (benzene exposures), BPH
Exercise - myoglobulinuria
Renal disorder - Glomerulonephritis (Goodpasture, IgA nephropathy)
Stones - Urolithiasis
Back pain
Disk herniation Lumbar spinal stenosis Lumbar muscle strain Degenerative arthritis Multiple Myeloma Metastatic prostate cancer Malingering
Positive pregnancy test
Normal pregnancy
Ectopic pregnancy
Molar pregnancy
Child with onset of diabetes
DM type 1
DM type 2
Secondary causes of hyperglycemia: Thiazide diuretics, glucocorticoid), cushing’s syndrome, pancreatitis, cystic fibrosis, hemochromatosis, and acromegaly.
Upper extremity pain (shoulder/humerus)
Humeral fracture Shoulder dislocation Osteoporosis Elder abuse Rotator cuff tear
Complications of DM
Insulin induced hypoglycemia
Diabetic peripheral neuropathy
Erectile dysfunction
Nondiabetic peripheral neuropathy
Alcoholic peripheral neuropathy Multiple Myeloma Renal failure -> elevated urea Hypothyroidism Vasculitides Polyarteritis nodosa, RA
Calf pain in female
Deep vein thrombosis Cellulitis Rupture of Baker's cyst Hematoma Rupture of gastrocnemius muscle Spasm/sprain
Hoarseness
Laryngeal cancer Laryngitis Vocal cord polyps/nodules Hypothyroidism Mitral Valve Stenosis due to enlargement of left atrium and compression of recurrent laryngeal nerve. GERD
Neck pain
Disk herniation Cervical fracture Neck muscle strain Osteoarthritis Cervical spondylosis Metastatic cancer Multiple Myeloma
Abdominal pain (epigastric)
Cholecystitis (pain after meal) PUD (pain improves with meals) Gastritis Functional or nonulcer dyspesia Perforated ulcer (toxic looking) Gastric cancer Pancreatitis Atypical GERD, Choledocholithiasis Mesenteric ischemia
Headache
Migraine (unilateral w/ nausea/vomiting/auras)
Tension headache - associated with stress/lack of sleep, often bilateral and squeezing
Intracranial mass lesion - always consider
Depression
Pseudotumor cerebri - high intracranial pressures
Clusters headaches - unilateral periorbital pain, accompanied by nasal congestion, rhinorrhea, lacrimation, redness of the eye and /or Horner’s syndrome.
Sinusitis
Amenorrhea
Pregnancy Hyperprolactinemia PCOS Thyroid disease Premature ovarian failure Asherman's syndrome
Painful intercourse
Vulvovaginitis Cervicitis Endometriosis PID Vulvodynia Domestic violence Pelvic tumor Vaginismus
