Differentials Flashcards
Sore Throat
ID: Pharyngitis, Peritonsillar abscess, Retropharyngeal abscess, Infectious mononucleosis, Epiglottitis, herpangina, COVID, HFMD, Diphtheria
Non-ID: esophagitis (hot food/drinks),
GERD
Acute cough, not in distress
ID: URTI, Pneumonia, COVID, Croup
Non-ID: Asthma
Acute cough in distress
COVID
Bronchiolitis
Pneumonia
Asthma, BAIAE
Foreign body
Laryngotracheitis
Epiglottitis
Tracheitis
Subacute cough
Bronchitis
TB
Chlamydia pneumonia Mycoplasma pneumonia
Rhinosinusitis
Chronic Cough
Asthma
TB
Pertussis
GERD
TEF
Tracheal ring
Laryngeal cleft
Tracheomalacia
Colds
ID: URTI, Sinusitis Allergic rhinitis
Non-allergic: mechanical, structural, FB, deviated septum, adenoids, tumors Rhinitis medicamentosa, vasomotor rhinitis
Hormonal: pregnancy, hypothy
neoplasms
Fever
COVID URTI
Otitis media Bacterial sinusitis UTI
Bronchiolitis Pneumonia Viral syndromes Dengue Typhoid fever Leptospirosis
Occult bacteremia CNS infections PFAPA syndrome
FUO
fever with rash
COVID
Viral exanthems (measles, rubella, roseola, chickenpox, erythema infectiosum, HFMD) Meningococcemia
Dengue Kawasaki disease
Acute rheumatic fever Toxic shock syndrome
Scarlet fever
Headache
Migraine
Tension headache Acute sinusitis
Brain tumor, abscess
Pseudotumor cerebri Trauma
Substance abuse/ withdrawal
Infections, meningitis
Seizure
Febrile seizure (BFC/CFC)
CNS infection (meningitis, abscess) Brain tumor
Metabolic and e’ disturbance (hypogly, hypoNA, hypoCa, hyperCa, hypoMg) Traumatic brain injury
Child abuse
Toxic ingestion (iron, isoniazid, kerosene, organophosphate)
Epilepsy
Status epilepticus
Raised ICP
Hydrocephalus Brain tumor CNS infection
Intracranial hemorrhage
trauma
Eye pain and discharge/swelling
Conjunctivitis (viral, bacterial, allergic) Orbital cellulitis, Preseptal cellulitis dacryoystitis
FB/ trauma/ insect bite
Allergic/ angioedema
Ear pain/discharge
Otitis media Otitis externa
Foreign body/ trauma
Referred pain: sinus, teeth, pharynx,
thyroid, parotid, neck
Diarrhea
AGE (viral, bacterial, protozoan, parasitic) Malabsorption
Toddler’s diarrhea Pseudomembranous colitis Irritable bowel syndrome Inflammatory bowel disease
COVID
Bloody stools
Infectious (bacterial: Shigella, Salmonella, E.coli (EIEC, EHEC, EAEC), campylobacter, Yersinia; parasitic: amebiasis, Giardia, Cryptosporidium)
IBD
Anal fissure (from constipation) Bleeding peptic ulcer Intussusception
Malrotation
Meckel’s diverticulum
Hema (plt dysfunction – ITP, vWD)
Constipation
Functional constipation Hirschsprung disease Hypothyroidism
Spinal cord abnormalities Lead poisoning Pseudoobstruction
Fecal impaction Imperforate anus Dehydration
Botulism
Abdominal Pain
GI: Appendicitis AGE
Constipation Intestinal obstruction Intussusception
Malrotation with midgut volvulus
Mesenteric adenitis
Incarcerated hernia Cholecystitis/ cholelithiasis/ choledocholithiasis
Acute pancreatitis Peptic ulcer Gastritis
Non-GI: UTI, renal colic, pneumonia, Pelvic inflammatory disease, sexual abuse, HSP, anaphylaxis
Functional abdominal pain
Rash/dermatitis
ID: Cellulitis, Necrotizing fasciitis, Erysipelas, Impetigo, SSSS, Abscess, Scrofula, Scabies, Pediculosis, Molluscum contagiosum, tinea faciei
Derma: AD, dermatitis (contact, irritant,
seb), Hemangioma, SJS, TEN
Allergy
Atopic dermatitis Urticaria Angioedema Anaphylaxis
Dermatitis (seborrheic dermatitis, contact, irritant)
Newborn Jaundice
Physiologic jaundice: Breastfeeding/ breastmilk jaundice
ID: Sepsis, TORCH, UTI
Hema: ABO incompatibility, RH incompatibility, G6PD deficiency, polycythemia, spherocytosis, elliptocytosis Trauma: cephalhematoma, ecchymoses, caput
Maternal: GDM, SGA, twin to twin GI: biliary atresia, choledochal cyst, hepatitis, pyloric stenosis
Metab: galactosemia, hypothy
Newborn Jaundice, Prolonged
Choledochal cyst Biliary atresia TORCH
Hepatitis
IEM
Delayed Meconium
Meconium ileus/ plug syndrome Hirschsprung disease Imperforate anus
Ileus PT/ LBW
E’ abn (hypoK, hypoNa, hyperCa, hyperMg) Maternal drugs (MgSO4, opiates, antidepressants)
NB drugs (theophylline, opiates, narcotics)
hypothyroidism
Newborn Abdominal Distention
NEC
intussusception sepsis
GI obstruction Diastasis recti Meconium ileus Hirschsprung disease Hypothyroidism
Small left bowel syndrome