History taking differentials Flashcards
What diagnoses to consider in abnormal LFTs?
Gallstones
Hep A, B, C
EBV
PBC
Drug induced liver injury
Autoimmune hepatitis
Haemochromatosis
Non-alcoholic steatohepatitis
What diagnoses to consider in alcohol dependence and abdo pain?
Pancreatitis
Peptic ulcer disease/ gastritis
Spontaneous bacterial peritonitis
Hepatocellular carcinoma
Alcohol induced hepatitis
What diagnoses to consider in abdominal pain?
GORD
Peptic ulcer disease
Gastric Ca
Chronic pancreatitis
Functional dyspepsia
What diagnoses to consider in chronic cough?
Asthma
Postnasal drip
Sarcoid
Drug side effect
GORD
Lung Ca
TB
Bronchiectasis
What diagnoses to consider in chest pain?
Unstable angina
Stable angina
PE
Pericarditis
Pleurisy
Oesophageal spasm
GORD
Costochondritis
Anxiety
What diagnoses to consider in breathlessness?
CCF
COPD
Lung Ca
Cryptogenic fibrosing alveolitis
Recurrent PE
What diagnoses to consider in Falls?
Syncope
Postural hypotension
Epilepsy
Vertebrobasilar ischaemia
Parkinson’s disease
Myopathies
What are the diagnoses to consider in diarrhoea?
IBS
IBD
Infective diarrhoea/ small bowel overgrowth
Lactose intolerance
Bile salt malabsorption
Coeliac disease
Diverticulitis
Chronic pancreatitis
Carcinoid
Colorectal cancer
What are the diagnoses to consider in hypertension?
Essential hypertensioin
Conn syndrome
Cushing syndrome
Phaeochromocytoma
Renovascular hypertension
Coarctation of the aorta
What are the diagnoses to consider in back pain?
Bony mets (without cord compression)
Cord compression
Osteoporotic vertebral fracture
Mechanical lower back pain
What are the diagnoses to consider in acute onset headache?
SAH
Haemorrhagic stroke
Viral meningitis/ encephalitis
Bacterial meningitis
Cryptococcal meningitis
What are the diagnoses to consider in new headache of recent onset?
subdural haematoma
Brain neoplasm (primary or secondary)
Brain abscess
TB meningitis
Temporal arteritis
What are the diagnoses to consider in chronic/ intermittent headache?
Migraine
Cluster headaches
Trigeminal neuralgia
Analgesia overuse headache
Sinusitis
What are the diagnoses to consider in weak legs?
Guillain-Barre syndrome
Myopathy
MS/ transverse myelitis
Lambert-Eaton myasthenic syndrome
Cord compression
Familial hypokalaemic periodic paralysis
Motor neurone disease
What are the diagnoses to consider in painful joints of the wrist and hand?
Rheumatoid arthritis
SLE
Osteoarthritis
Crystal arthropathy
