Differential Ds Flashcards
GORD
Coronary Artery Disease
Biliary colic
Peptic ulcer disease
Malignancy
Mallory-Weiss Tear
Gastroenteritis
Peptic ulcer
Cancer
Oesophageal varices
Gastritis
Peptic ulcer disease GORD Non-ulcer dyspepsia Gastric lymphoma Gastric carcinoma
Ulcerative colitis
Alternative causes of diarrhoea
e.g. Salmonella spp, Giardia intestinalis, Rotavirus
Crohns disease
Alternative causes of diarrhoea
e.g. Salmonella spp, Giardia intestinalis, Rotavirus
Chronic diarrhoea
Ischaemic colitis
Other causes of acute colitis e.g. IBD
Haemorrhoids (Perianal disorder)
Perianal haemotoma
Anal fissure
Abscess
Tumour
Irritable Bowel Syndrome
Coeliac disease Lactose intolerance Bile malabsorption IBD Colorectal cancer
Acute appendicitis
Acute terminal ileitis due to Crohns Ectopic pregnancy UTI Diverticulitis Perforated ulcer Food poisoning
Upper abdominal pain
Acute pancreatitis
Chronic pancreatitis
Pancreatic malignancy
Biliary colic
IBS
Carcinoma of right side of colon
Renal colic
Pancreatitis
Acute cholecystitis
Acute episodes of pancreatitis
Peptic ulceration
Basal pneumonia
Inhtrahepatic abscess
Hepatitis A
Other causes of jaundice
Other types of viral and drug-induced hepatitis
Primary Biliary Cholangitis
Autoimmune cholangitis
Extrahepatic obstruction should be excluded by ultrasound
Liver failure
Structural/space occupying lesions in the brain
Cerebral infection (bacterial or viral)
Drug or alcohol intoxication
Hypoglycaemia, electrolyte imbalance or hypoxia
Volvulus
Other causes of acute obstruction Appendicitis Cholecystitis Constipation Gastroenteritis GORD Hepatitis Peptic ulcer Pancreatitis
Colorectal cancer: Anorectal
Haemorrhoids
Anal fissure
Anal prolapse
Colorectal cancer: Colonic
Diverticular disease
IBD
Ischaemic colitis
Colorectal cancer: SI and Stomach pathology
Massive GI bleed
Meckels diverticulum
(Pancreatic adenocarcinoma)
Diagnosis should NOT BE DIFFICULT in the presence of PAINLESS JAUNDICE or epigastric pain radiating into the back with progressive weight loss
However, many present with minor symptoms such as pain, changing bowel habit and weight loss
Inguinal hernia
Femoral hernia Epididymitis Testicular torsion Groin abscess Aneurysm Hydrocele Undescended testes
Femoral hernia
Inguinal hernia Lipoma Femoral aneurysm Psoas abscess Saphena varix (dilation of saphenois vein at junction of femoral vein)
*Infective diarrhoea
Appendicitis Volvulus IBD UTI DM Pancreatic insufficiency Short bowel syndrome Coeliac disease Laxative abuse
