Differentials step 2 CS Flashcards
0
Q
Child with short stature
A
Constitutional short stature Growth hormone deficiency Hypothyroidism Chronic renal insufficiency Genetic causes Cystic fibrosis
1
Q
Behavioral problems in childhood
A
ADHD Oppositional defiant disorder Manic episode Conduct disorder Hyperthyroidism Substance intoxication
2
Q
Child with red eye
A
Bacterial conjunctivitis Viral conjunctivitis Keratitis Seasonal allergies Uveitis
3
Q
Child with GI symptoms
A
Pyloric stenosis Partial duodenal atresia GERD Gastroenteritis Hepatitis UTI Hirschsprung's disease Low fiver diet Anal stenosis Lead poisoning Enteric ileitis IBS Lactose intolerance
4
Q
Child with fever
A
Measles Rubella Roseola Fifth disease Varicella Scarlet fever Meningitis Gastroenteritis UTI URI Volvulus Intussusception Neonatal sepsis Pyelonephritis
5
Q
Low back pain
A
Disk herniation Lumbar muscle sprain Lumbar spinal stenosis Vertebral compression fracture Tumor or metastatic disease Ankylosing spondylitis
6
Q
Dyspareunia
A
Atrophic vaginitis Endometriosis Cervicitis Depression Domestic violence Vaginismus Vulvodynia PID
7
Q
Vaginal discharge
A
Bacterial vaginosis
Vaginitis candida
Vaginitis trichomoal
Cervicitis chlamydia and gonorrhea
8
Q
Vaginal bleeding
A
Dysfunctional uterine bleeding Coagulopathy Cervical cancer Molar pregnancy Hypothyroidism DM Endometrial cancer Endometrial hyperplasia Endometrial polyps Ectopic pregnancy Ruptured ovarian cyst PID Ovarian torsion
9
Q
Amenorrhea
A
Pregnancy Anovulatory cycle Hyperprolactinemia UTI Hypothyroidism PCOS Premature ovarian failure Pituitary tumor
10
Q
Erectile dysfunction
A
Drug relate ED
ED 2/2 hypertension or DM
Psychogenic ED
Peyronie’s disease
11
Q
Nocturia
A
BPH Prostate cancer UTI Bladder stones RCC
12
Q
Burning during urination
A
Urethritis
Cystitis
Prostatitis
13
Q
Painless hematuria
A
Bladder cancer RCC Nephrolithiasis Acute glomerulonephritis Prostate cancer Coagulopathy
14
Q
Blood in stool
A
Colorectal cancer Anal fissure Hemorrhoids Diverticulosis Ischemic bowel disease Angiodysplasia Upper GI billed IBS/UC/Crohn's disease Proctitis
15
Q
Upper GI bleed
A
Bleeding peptic ulcer Gastritis Gastric cancer Esophageal varices Mallory Weiss tear
16
Q
Watery diarrhea
A
Crohn's disease Gastroenteritis Ulcerative colitis Celiac disease Paeudomembranous colitis Hyperthyroidism Small bowel lymphoma Carcinoid syndrome Travelers diarrhea Giardiasis Amebiasis Food poisoning Hepatitis A
17
Q
Alternating diarrhea and constipation
A
Colorectal cancer IBS Diverticulosis GI parasitic infection IBD
18
Q
Constipation
A
Low fiver diet Depression Substance abuse IBS Hypothyroidism
19
Q
Neck mass
A
Hodgkin’s or nonhodgkin lymphoma
Tuberculosis
Thyroid nodule
Gastric carcinoma
20
Q
Dysphagia
A
Esophageal cancer Achalasia Esophagitis (CMV, HSV, HIV, pill induced) GERD Zener diverticulum Systemic sclerosis Esophageal stricture ALS MVS
21
Q
Cough
A
Asthma GERD Bronchitis Pneumonitis Foreign body COPD Bronchiectasis Lung cancer TB PNA Pericarditis Vasculitis CHF
22
Q
Sore throat
A
Infectious mononucleosis Hepatitis Viral or bacterial pharyngitis Acute HIV infection Secondary syphilis Streptococcus pharyngitis/ scarlet fever
23
Q
Insomnia
A
Stress induced insomnia
Caffeine induced
Insomnia related to MDD
obstructive sleep apnea
24
Night sweats
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Tuberculosis
Acute HIV infection
Lymphoma
Leukemia
Hyperthyroidism
Pheochromocytoma
Carcinoid syndrome
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25
Intermittent or positional vertigo
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Members disease (get vdrl/rpr to r/o syphilis)
Vestibular neuronitis
Labyrinthitis
Benign positional vertigo
Acoustic neuroma
```
26
Loss of vision
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Retinal artery occlusion
Retinal vein occlusion
Acute angle closure glaucoma
Retinal detachment
Temporal arteritis
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