Differentials Flashcards

1
Q

Headache (20)

A
Caffeine or analgesic withdrawal
Carotid artery dissection 
Cluster headache
CNS vasculitis
Depression
Hypertension
Intracranial or epidural abscess
Intracranial neoplasm
Intracranial venous thrombosis
Meningitis
Migraine
Partial seizure
Pseudotumor cerebri
Tension headache
Temporal arteritis
Temporomandibular joint disorder
Trigeminal neuralgia
Sinusitis
Subarachnoid hemorrhage
Vertebral artery dissection
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2
Q

Confusion / Memory Loss (19)

A
Alzheimer disease
Angina
Arrhythmia
B12 deficiency
Chronic subdural hematoma
Creutzfeldt-Jakob disease
Delirium
Depression
Hypoglycemia
Hypothyroidism
Intracranial tumor
Lewy body dementia
Neurosyphilis
Normal pressure hydrocephalus
SIADH (hyponatremia)
Subdural hematoma
Transient ischemic attack
Vascular dementia (multi infarct)
Wernicke encephalopathy
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3
Q

Depressed Mood (11)

A
Adjustment disorder with depressed mood
Bipolar I disorder
Bipolar II disorder
Cyclothymic disorder
Depressive disorder not otherwise specified
Dysthymic disorder
Major depressive disorder
Major depressive disorder with psychotic features
Normal bereavement
Schizoaffective disorder
Substance-induced mood disorder
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4
Q

Psychosis (8)

A

Brief psychotic disorder
Major depressive disorder with psychotic features
Mood disorder with psychotic features
Psychotic disorder due general medical condition
Schizoid or schizotypal personality disorder
Schizophrenia
Schizophreniform disorder
Substance-induced psychosis

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5
Q

Dizziness (11)

A
Acoustic neuroma
Acute renal failure
Benign positional vertigo
Brain stem or cerebellar tumor
Drug-induced orthostatic hypotension
Labyrinthitis
Meniere disease
Orthostatic hypotension due to dehydration
Vertebrobasilar insufficiency
Vertigo associated w/cervical spine disease/injury
Vestibular neuronitis
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6
Q

Loss of Consciousness (13)

A
Cardiac arrhythmia
Complex tonic-clonic seizure
Convulsive syncope
Drug-induced orthostatic hypotension 
Hypoglycemia
Malingering
Myocardial infarction
Pulmonary embolism
Seizure
Severe aortic stenosis
Substance abuse/overdose
Stroke
Syncope (vasovagal, other causes)
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7
Q

Numbness/Weakness (30)

A
Alcoholic peripheral neuropathy
Amyotrophic lateral sclerosis
B12 deficiency
CNS tumor
CNS vasculitis
Complicated migraine
Conversion disorder
Diabetic periperal neuropathy
Epidural hematoma
Facial nerve palsy
Guillain-Barre syndrome
Horner syndrome
Hyperventilation
Hypoglycemia
Hypocalcemia
Intracranial neoplasm
Malingering
Multiple sclerosis
Myasthenia gravis
Neurosyphilis
Paraproteinemia/myeloma
Peripheral neuropathy
Polymyositis
Seizure
Stroke
Subdural hematoma
Syringomyelia
Todd paralysis
Transient ischemic attack
Tumor in the vertebral canal
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8
Q

Fatigue and Sleepiness (19)

A
Adjustment disorder
Anemia
Atypical depression
Chronic fatigue syndrome
Colon cancer
Depression
Diabetes
Diabetes insipidus
Generalized anxiety disorder
Hypercalcemia
Hypothyroidism
Narcolepsy
Obstructive sleep apnea
Post-traumatic stress disorder
Primary polydipsia
Psychotic or delusional disorder
Renal failure
Sleep apnea
Sleep deprivation
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9
Q

Night Sweats (5)

A
Acute HIV infection
Hyperthyroidism
Leukemia
Lymphoma
Tuberculosis
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10
Q

Insomnia (7)

A

Caffeine-induced insomnia
Daytime fatigue in primary hypersomnia
Insomnia related to major depressive disorder
Insomnia with circadian rhythm sleep disorder
Obstructive sleep apnea
Primary hypersomnia
Stress-induced insomnia

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11
Q

Sore Throat (10)

A
Acute HIV infection
Bacterial pharyngitis
Hepatitis
HIV, acute retroviral syndrome
Infectious mononucleosis
Mycoplasma pneumonia
Secondary syphilis
Streptococcal tonsillitis/scarlet fever
Viral pharyngitis
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12
Q

Cough/Shortness of Breath (25)

A
Acute HIV infection
Atypical pneumonia
Asthma
Bronchiectasis
Bronchitis
Cardiac valvular disease
CHF
COPD
Foreign Body
GERD
HIV/AIDS
Interstitial Lung disease
Lung Abscess
Lung Cancer
Lymphoma
Metastatic cancer
Pericarditis
Pneumonia
Postnasal drip
Pulmonary fibrosis
Reactive airway disease
Sarcoidosis
Tuberculosis
URI associated cough (post infectious)
Vasculitis (Wegener)
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13
Q

Chest Pain (17)

A
Angina
Aortic dissection
Costochondritis
Congestive Heart Disease
GERD
Esophageal spasm
Esophageal rupture
Esophagitis
Fat embolism
Muscle sprain
Myocardial Infarction
Peptic ulcer disease
Pericarditis
Pneumonia
Pneumothorax
Pulmonary embolism
Sickle cell disease - pulmonary infarction
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14
Q

Palpitations (16)

A
Acute stress disorder
Agoraphobia
Angina
Avoidant personality
Carcinoid syndrome
Cardiac arrhythmias
Generalized anxiety disorder
Hyperthyroidism
Hyperventilation episodes
Hypoglycemia
Mitral valve prolapse
Panic attacks
Pheochromocytoma
Social phobia
Specific phobia
Substance abuse / dependance
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15
Q

Weight Loss (6)

A
Anorexia nervosa
Cancer
Dieting/diet drugs
Hyperthyroidism
HIV infection
Malabsorption
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16
Q

Weight Gain (7)

A
Atypical depression
Cushing syndrome
Diabetes mellitus
Drug side effect
Hypothyroidism
Polycystic ovary syndrome
Smoking cessation
17
Q

Dysphagia

A
Achalasia
Amyotrophic lateral sclerosis
Esophagitis
Esophageal cancer
Esophageal stricture
GERD
Mitral valve stenosis
Plummer-Vinson syndrome
Systemic sclerosis
Zenker diverticulum
18
Q

Nausea/Vomiting (6)

A
Depression
Diabetes mellitus
Gastritis
Hypercalcemia
UTI
Pregnancy
19
Q

Abdominal Pain (35)

A
Abdominal aortic aneurysm
Acute cholecystitis
Acute glomerulonephritis
Acute hepatitis
Acute pancreatitis
Acute viral hepatitis
Ascending cholangitis
Alcoholic hepatitis
Chronic pancreatitis
Cholecystitis/choledocholithiasis
Colon cancer
Fitz-Hugh-Curtis syndrome
Food poisoning
Gastritis
Gastroenteritis
GERD
Hepatitis
Hernia
Ileus
Kidney strone
Mallry-Weiss tear
Mesenteric ischemia
Nephrolithiasis
Pancreatic cancer
Pancreatitis
Peptic ulcer disease
Peptic ulcer perforation
Pneumonia
Renal cell carcinoma
Rib fracture
Small bowel cancer
Splenic infart
Pyelonephritis
GI etiology (eg. appendicitis)
Volvulus
20
Q

Constipation / Diarrhea

A
Angiodysplasia
Carcinoid syndrome
Celiac disease
Chronic pancreatitis
Crohn disease
Colorectal cancer
Cryptosporidiosis
Depression
Diverticulosis
Gastroenteritis
GI parasitic infection (giardiasis amebiasis)
Hepatitis A
Hyperthyroidism
Hypothyroidism
Infecectious diarrhea
Inflammatory bowel disease
Irritable bowel syndrome
Lactose intolerance
Low-fiber diet
Psudomembranous colitis
Small bowel lymphoma
Substance abuse (heroin)
Traveler's diarrhea
Ulcerative colitis
21
Q

Upper GI Bleeding (5)

A
Bleeding peptic ulcer
Gastritis
Gastric Cancer
Esophageal varices
Mallory-Weiss tear
22
Q

Blood in Stool (12)

A
Colorectal cancer
anal fissure
hemorrhoids
diverticulosis
Ischemic bowel disease
angiodysplasia
upper GI bleeding
Inflammatory bowel disease
Ulcerative Colitis 
Crohn disease
Proctitis
Dysentery
23
Q

Hematuria (9)

A
Bladder cancer
Renal cell carcinoma
Nephrolithiasis
Acute glomerulonephritis
Prostate cancer
Coagulation disorder 
Polycystic kidney disease
UTI
Pyelonephritis
24
Q

Other urinary symptoms (17)

A
Benigh prostatic hyperplasia
prostate caner
UTI
bladder stones
Renal cell carcinoma
Urethritis
Cystitis
Prostatitis
Acute phyelonephritis
Nephrolithiasis
Stress Incontinenece
mixed incontinence
urge incontinence
overflow incontinence
functional incontinence
UTI
Diabetes mellitus
25
Q

Erectile dysfunction (5)

A
Drug-related ED
hypertension
diabetes mellitus
psychogenic ED
Peyronie disease
26
Q

Amenorrhea (14)

A
Pregnancy
Anovulatory cycle
Hyperprolactinemia
UTI
Thyroid disease
Polycystic ovary syndrome
Ovarian or adrenal malignancy
Premature ovarian failure
Pituitary tumor
Menopause
Sheehan syndrome
Asherman syndrome
Anorexia nervosa
Anxiety-induced amenorrhea
27
Q

Vaginal Bleeding (19)

A
Dysfunctional uterine bleeding
Coagulation disorders
Cervical cancer
Molar pregnancy
Hypothyroidism
Diabetes mellitus
Endometrial cancer
Atrophic endometrium
Endometrial hyperplasia
Edometrial polyps
Atrophic vaginitis
Cervical polyp
Cervicitis
Trauma
Spontaneous abortion
Ectopic pregnancy
Ruptured ovarian cyst
Ovarian torsion
Pelvic inflammatory disease
28
Q

Vaginal discharge (4)

A

Bacterial vaginosis
Vaginitis - candidal
Vaginitis - trichomonal
Cervicitis

29
Q

Dyspareunia (7)

A
Atrophic vaginitis
Endometriosis
Cervicitis
Depression
Domestic abuse
Vaginismus
Pelvic inflammatory disease
30
Q

Abuse

A
Domestic violence
Osteogenesis imperfecta
Substance abuse
Consensual violent sexual behavior
Rape