differentials Flashcards

1
Q

swollen child

A
  1. anaphylaxis
  2. cellulitis
  3. angioedema
  4. nephrotic syndrome
  5. other causes of hypoabuminemia- heart failure or liver failure
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2
Q

seizing boy

A
  1. epilepsy
  2. CNS infection
  3. febrile convulsions
  4. metabolic- hypoglycaemia, hypocalcemia, hypo/hypernatremia
  5. cerebral hypoxia
  6. head trauma
  7. toxins or poisoning
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3
Q

bruised toddler

A
  1. non-accidental injury
  2. bleeding disorder
  3. brittle bones
  4. copper deficiency
  5. rickets
  6. malignancy
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4
Q

limping boy

A
  1. trauma
  2. transient synovitis
  3. arthritis
  4. slipped femoral epiphysis
  5. osgood-schlatter disease- avulsion during the growth spurt
  6. avascular necrosis of the femoral head= perthe’s disease
  7. malignancy- ewing’s sarcoma
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5
Q

septic arthritis causative organisms

A

streptococcus pyrogens, H influenza, strep pneumonia, staph aureus

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6
Q

asthmatic teenager worsening symptoms

A
  1. increasing severity of asthma
  2. exposure to new allergens
  3. trigger infections or exercise
  4. poor compliance
  5. mild CF
  6. immunodeficiency
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7
Q

short child

A
  1. familial
  2. endocrine- growth hormone deficiency or hypothyroidism
  3. nutrition
  4. steroid excess (endogenous or exogenous)
  5. syndrome - turners
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8
Q

sore throat

A
  1. viral infection
  2. bacterial infection
  3. allergy
  4. immune deficiency due to steroids
  5. immune deficiency
  6. bone marrow disorder
  7. psychosocial issues
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9
Q

breathless child

A
  1. acute asthma
  2. inhaled foreign body
  3. epiglottis
  4. croup
  5. anaphylaxis
  6. trauma b
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10
Q

drowsy child

A
  1. meningitis
  2. shock= sepsis
  3. respiratory - asthma
    metabolic cause- DKA
  4. sickle cell crisis
  5. trauma raised intracranial pressure
  6. poisoning
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11
Q

blue baby

A
  1. resp- congenital respiratory disorder
    acquired respiratory problem
    congenital obstruction or acquired obstruction
  2. congenital heart disease
    teratology of fallout and transposition of the great arteries
  3. lack of respiratory drive
    seizure disorder
    congenital CNS malformation
    drugs
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12
Q

recurrent cough

A
  1. asthma
  2. LRTI
  3. URTI
  4. habit cough
  5. suppurative lung disease Cf or kartageners
  6. inhaled foreign body
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