Differentials Flashcards

1
Q

Headache DDx

A

Primary HA - Migraine, Tension
Brain Tumor
Temporal Arteritis
Meningitis
Trigeminal Neuralgia
Subarachnoid Hemorrhage
Benign Intracranial Hypertension/ Pseudo Tumor Cerebri
Medication Over Use HA
Infections - Sinusitis, Dental Infections
Cluster HA
Intracranial Hemorrhage
Eyes - Glaucoma
Shingles

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2
Q

Face Pain DDx

A

Trigeminal Neuralgia
Brain Tumors
Multiple Sclerosis
Oropharyngeal CA
Maxillary Sinusitis
TMJ Dysfunction
Dental Infections
Shingles/ Post Herpetic Neuralgia
Facial Migraine
Glaucoma
Glossopharyngeal Neuralgia
Temporal Arteritis

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3
Q

Tremor DDx

A

Benign Essential Tremors
Parkinson’s Disease
Hyperthyroidism
Cerebellar Disease
Brain Tumors
Pheochromocytoma
Anxiety d/o
Liver Disease
Kidney Disease
COPD
Alzheimer’s/ Lewy Body Dementia
Stimulants - Alcohol, Drugs, Medications, Caffiene

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4
Q

Difficulty in Walking DDx
(Old, No Leg Pain, Leg Weakness)

A
  1. Motor Neurologic - UMN
    - Stroke and TIA
    - Brain Tumor
    - Head Injury - ICH
  2. Motor Neurologic - LMN
    - Cervical or Lumbar Radiculopathies
    - Cauda Equina and Cervical Myelopathy
  3. Myopathies
    - Poly/dermatomyositis
    - Polymyalgia Rheumatica
    - Thyroid - Hypo
    - Myasthenia Gravis
    - Medications - Statins
  4. Others
    - Parkinson’s Disease
    - Sensory Neuropathy
    - Cerebellar
    - Vestibular - Inner Ear
    - Non-Neurologic RF for Fall
    - Antalgic Gait - OM, SA, Arthritis, Trauma
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5
Q

Difficulty in Walking DDx
(Young, Leg Pain, Trauma During Sports)

A
  1. MSK
    - Fractures
    - - Pelvic Fracture
    - - Intertrochanteric Fracture
    - - Femoral Neck Fracture
    - Infection - OM, SA
    - Arthritis
    - Muscle Tears - Hamstring Tear
    - Knee Injuries - ACL, PCL, Meniscal Injury
  2. Balance Problem
    - Cerebellar Disease
    - Inner Ear - BPPV, Vestibular Neuritis
  3. Myopathies
    - Hypothyroid
    - Myasthenia Gravis
    - Statins
    - PMR
  4. Head Injuries or Damage to the Nerves
    - Motor Neurologic - UMN
    - - Stroke and TIA
    - - Brain Tumor
    - - Head Injury - ICH
    - Motor Neurologic - LMN
    - - Cervical or Lumbar Radiculopathies
    - - Cauda Equina and Cervical Myelopathy
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6
Q

Delirium DDx

A

D - Drugs
E - Electrolyte Imbalance
L - Lack of Drugs (Withdrawal)
I - Infections (Sepsis)
R - Reduced Sensory (Hearing and Vision)
I - Intracranial - ICH, Head Injury
U - Urine and Fecal Impaction
M - Myocardial and Pulmonary

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7
Q

Diplopia DDx

A

Monocular
- Astigmatism
- EOR
- Cataract
- Glaucoma
-Macular Degeneration

Binocular
- Brain - Brain Tumor, Multiple Sclerosis, Meningitis
- CN 3,4,6 - Diabetic Neuropathy, Traumatic NP
- Junction of N and M - Myasthenia Gravis
- EOM’s - Trauma, Tumors, Thyroid Ophthalmopathy, Ophthalmoplegic Migraine, Orbital Myositis

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8
Q

Neck Lump DDx

A

Thyroid
- Goitre
- Thyroid Nodule
- Thyroid CA
- Thyroglossal duct cyst
- Thyroid Cyst

Lymphadenopathy - General
- CA - Leukemia and Lymphoma
- Infection - EBV, HIV, Toxoplasmosis

Lymphadenopathy - Local
- CA - Skin, Nasal, Oral, Tonsillar, Pharyngeal, Laryngeal, Esophageal, Gastric, Lung

Lymph Adenitis
- Infections - ENT, Skin Cancer, Tooth decay

Lipoma

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9
Q

Hoarseness DDx

A

V - Viral Infection - ENT Infection (URTI and Laryngitis)
O - Overuse
I - Injury and Inhaler - Surgery, Trauma, Medication Induced (Inhaled Steroids)
C - Cancer - Laryngeal, Esophageal, Thyroid, Lung
E - Endocrine - Thyroid Problems (Goiter), Myasthenia Gravis

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10
Q

Nasal Discharge DDx

A

Chronic Sinusitis
Nasal Septal Deviation
Nasal Polyps
Nasal Cancers
URTI – Common Cold
Pneumonia
Tuberculosis
COVID-19 Infection
Foreign Body
Trauma, CSF Leak
Rhinitis Medicamentosa
Illicit Drug Use
Hypothyroid

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11
Q

Painful Red Eyes Differentials

A

Viral Conjuctivitis
Bacterial Conjunctivitis
Allergic Conjunctivitis
Orbital Cellulitis
Endophaltitis
Fb/ Trauma
Zika, Dengue Virus
UV light keratitis
Uveitis, Scleritis
Glaucoma
Blepharitis
Stye/Chalazion
Dry Eyes

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12
Q

Loss of Vision DDx

A

Neuro
- TIA/Stroke*
- Brain Tumor
- Migraine*
- Menigitis/Encephalitis
- ICH

Eye
- Glaucoma*
- Optic Neuritis*
- HTN, DM Retinopathy
- Retinal Detachment
- CRAO/ CRVO

Others
- Hypoglycemia
- Temporal Arteritis*

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