Differentials Pedia Flashcards
DIFFERENTIAL DIAGNOSIS OF OBESITY
DIFFERENTIAL DIAGNOSIS OF OBESITY - Sedentary lifestyle (Lack of energy) - Diet - Drugs - (Steroids) - Fluid/Edema - Organic causes ○ Cardiac failure ○ Liver failure ○ Kidney failure - Nephrotic syndrome ○ Endocrine problem § Hypothyroidism § Hyperprolactinoma § Cushing syndrome § Insulinoma § Acromegaly § Hypogonadism
DIFFERENTIAL DIAGNOSIS OF GDD
DIFFERENTIAL DIAGNOSIS OF GDD - Developmental Disorders ○ Cerebral Palsy ○ Autism ○ Down syndrome ○ Epilepsy
- Congenital ○ Hypothyroidism ○ CAH ○ CHD - Infection - Metabolic problems - Hearing and Vision problems
DIFFERENTIAL DIAGNOSIS OF SCARLET FEVER
DIFFERENTIAL DIAGNOSIS OF SCARLET FEVER
Fever + Rash + Sore throat
- Scarlet Fever (sandpaper like rash, maculopapular, strawberry tongue, perioral pallor)
- Kawasaki Disease/Mucocutaneous LN Syndrome
- Rheumatic Fever
- Measles (maculopapular, gingiva, top to botto)
- Rubella
- Mumps (flushed)
- Slapped Cheek (bilateral)
- Malignancy
- Meningococcemia (petechial, non-blanching)
- EBV/CMV (rash after use of antibiotics à maculopapular; usually not involves the face or limbs)
- Child abuse (unilateral)
DIFFERENTIAL DIAGNOSIS OF PALLOR
DIFFERENTIAL DIAGNOSIS OF PALLOR
- IDA - Thalassemia - Diet - Spherocytosis - CHD - Bleeding do - Malabsorption: Celiac disease - Malignancy : Leukemia and lymphoma - CTD
DIFFERENTIAL DIAGNOSIS OF COUGH AND DOB 2mos - 12months
DIFFERENTIAL DIAGNOSIS OF COUGH AND DOB 2mos - 12months
- Asthma
- Allergic rhinitis
- Allergic cough
- Bronchiolitis
- Croup
- Pneumonia
- Primary TB
- Pertussis
- Postviral cough
- Psychogenic cough
- Foreign body
- Parapneumonic effusion
- Reflux
- Heart failure
DIFFERENTIAL DIAGNOSIS of Cough
DIFFERENTIAL DIAGNOSIS of Cough • Asthma • Allergic rhinitis • Allergic cough • Bronchiolitis • Croup • Pneumonia • Primary TB • Pertussis • Postviral cough • Psychogenic cough • Foreign body • Parapneumonic effusion • Reflux • Heart failure
DIFFERENTIAL DIAGNOSIS OF ASD
DIFFERENTIAL DIAGNOSIS OF ASD • ASD - Autism Spectrum Disorder • ADHD - Attention Deficit Hyperactivity Disorder • ODD - Oppositional Defiant Disorder • Absence seizures • Stressors at home or school or child care • Hearing and vision • Any chronic illness • Head trauma • Infection • Lead toxicity
DIFFERENTIAL DIAGNOSIS OF GDD
DIFFERENTIAL DIAGNOSIS OF GDD - Developmental Disorders ○ GDD ○ Cerebral Palsy ○ Autism ○ Down syndrome ○ Epilepsy - Congenital ○ Hypothyroidism ○ CAH ○ CHD - Infection - Metabolic problems - Hearing and Vision problems
DIFFERENTIAL DIAGNOSIS OF IRRITABLE BABY /CRYING BABY
DIFFERENTIAL DIAGNOSIS OF IRRITABLE BABY /CRYING BABY - Reflux - Infection ○ UTI, Gastroenteritis ○ Ear or throat infection - Surgical ○ Hernia ○ Intussusception ○ Volvulus or malrotation ○ Pyloric stenosis - Psychosocial ○ Non accidental injury /Abuse ○ Infantile colic
DIFFERENTIAL DIAGNOSIS OF ENCOPRESIS
DIFFERENTIAL DIAGNOSIS OF ENCOPRESIS - Encopresis - Hirschsprung - Drugs - Anal fissure Hypothyroidism
DIFFERENTIAL DIAGNOSIS OF TIREDNESS
DIFFERENTIAL DIAGNOSIS OF TIREDNESS H- Hemochromatosis, Hepatitis E- Endocrine - DM, Thyroid, Adrenal M - Malignancy I - Infection F - CFS A - Anemia D - Diet, Drugs - Steroids O - OSA S - Stress, Sleep deprivation
DIFFERENTIAL DIAGNOSIS OF IRRITABLE BABY /CRYING BABY
DIFFERENTIAL DIAGNOSIS OF MOTHER
DIFFERENTIAL DIAGNOSIS OF IRRITABLE BABY /CRYING BABY - Reflux - Infection ○ UTI, Gastroenteritis ○ Ear or throat infection - Surgical ○ Hernia ○ Intussusception ○ Volvulus or malrotation ○ Pyloric stenosis - Psychosocial ○ Non accidental injury /Abuse ○ Infantile colic
DIFFERENTIAL DIAGNOSIS OF MOTHER
- Postnatal Blues - Postnatal Depression - Postnatal psychosis - Hypothryoidism - Malignancy - Chronic disease - Adjustment disorder - GAD - Bipolar disorder
Differential diagnosis of diarrhea
Differential diagnosis 1-toddlers diarrhea 2-Giardiasis, Amoebiasis 3-celiac 4-lactose intolerance 5-antibiotics 6-gastroenteritis (unlikely)
DIFFERENTIAL DIAGNOSIS OF HEADACHE
DIFFERENTIAL DIAGNOSIS OF HEADACHE - Migraine - Tension Headache - SOL - Infection ○ Meningitis ○ Encephalitis ○ Conjunctivitis ○ Sinusitis ○ Rhinitis ○ Otitis media - Referred pain from toothache - TMJ - Psychogenic
DIFFERENTIAL DIAGNOSIS OF SYNCOPE
DIFFERENTIAL DIAGNOSIS OF SYNCOPE
- Cerebrovascular causes (Seizures, TIA/Stroke, Migraine)
- Cardiac Arrhythmia (HOCM, Aortic stenosis, aortic dissection)
- Orthostatic hypotension (Polypharmacy)
- Metabolic (Hypoglycemia/Hyperglycemia,
- Vasovagal (long standing)
- Situational/Positional/Reflex syncope (coughing, defecation, micturation
- Autonomic reflex
- Medications
- Psychiatric causes
- Unknown
DIFFERENTIAL DIAGNOSIS OF ACUTE DIARRHEA
DIFFERENTIAL DIAGNOSIS OF ACUTE DIARRHEA Differential diagnosis 1-viral gastro 2-UTI 3-Appendicitis 4-other infections 5-other abdominal surgical conditions - Surgical: intusussception, appendicitis, strangulated hernia
DIFFERENTIAL DIAGNOSIS OF CHRONIC ABDOMINAL PAIN
DIFFERENTIAL DIAGNOSIS OF CHRONIC ABDOMINAL PAIN ○ Infection ○ IBD ○ IBS ○ abdominal migraine ○ coeliac disease ○ Constipation ○ lactose intolerance ○ Non specific abdominal pain
DIFFERENTIAL DIAGNOSIS OF URTI
DIFFERENTIAL DIAGNOSIS OF URTI
- Allergic rhinitis - Asthma - Common cold - Cystic Fibrosis - Congenital heart problems - Pneumonia - Foreign body - Medication
DIFFERENTIAL DIAGNOSIS OF PALLOR/IDA
DIFFERENTIAL DIAGNOSIS OF PALLOR/IDA
- IDA d/t cow's milk - Diet - Infection - Bleeding disorder - Malabsoprtion: Celiac disease, Lactose Intolerance - Malignancy: Leukemia, lymphoma - CHD - Thyroid problems - Spherocytosis - Thalassemia
DIFFERENTIAL DIAGNOSIS OF VULVOVAGINITIS
RISK FACTORS
DIFFERENTIAL DIAGNOSIS OF VULVOVAGINITIS 1-vulvovaginitis 2-UTI 3-child abuse 4-foreign body 5-thread worms
RISK FACTORS
- Tight clothes - Swimming - Irritants - soaps, bubble baths, cosmetics - Abuse
DIFFERENTIAL DIAGNOSIS OF FAILURE TO THRIVE
DIFFERENTIAL DIAGNOSIS OF FAILURE TO THRIVE
- Reduced calorie intake o Fussy eater o Diet - too much cow's milk o Persistent vomiting o Improper breastfeeding technique o Inadequate provision of food - Reduced absorption of Food o Cystic Fibrosis o Coeliac disease o Chronic diarrhea o Chronic liver disease - Increased number of calories used o Congenital heart disease o Diabetes o Hyperthyroidism o Recurrent UTIs o Cystic fibrosis o Inborn errors of metabolism* - Psychosocial issues o Neglect o Poverty o Parental depression o Behavioral disorder in the child (ADHD, autism) o Coercive/Forceful feeding
FTT cluster.
A) decreased or faulty intake —
o fussy eater,
o too much cow milk are AMC cases
b) decreased absorption— cealiac disease is amc case
c) increased utilisation- hyperthyroid and DM — not AMC cases
d) psychosocial issues— single mother this is a AMC case.
DIFFERENTIAL DIAGNOSIS OF HEADACHE
DIFFERENTIAL DIAGNOSIS OF HEADACHE - Migraine - Tension Headache - SOL - Infection ○ Meningitis ○ Encephalitis ○ Conjunctivitis ○ Sinusitis ○ Rhinitis - Referred pain from toothache - TMJ - Psychogenic - Bullying
DIFFERENTIAL DIAGNOSIS OF ADHD
DIFFERENTIAL DIAGNOSIS OF ADHD
- ASD - Autism Spectrum Disorder - ADHD - Attention Deficit Hyperactivity Disorder - ODD - Oppositional Defiant Disorder - Absence seizures - Stressors at home or school or child care - Hearing and vision - Any chronic illness - Head trauma - Infection - Lead toxicity
DIFFERENTIAL DIAGNOSIS OF FACE SWELLING
DIFFERENTIAL DIAGNOSIS OF FACE SWELLING
- Acute post strept glomerulonephritis which is an immune reaction to viral infection
- heart problems
- liver problems
- diet problems
- insect bite
- medication allergies
DIFFERENTIAL DIAGNOSIS OF EYE PROBLEM
DIFFERENTIAL DIAGNOSIS OF EYE PROBLEM
○ Strabismus
○ Retinoblastoma
○ 6th nerve palsy
