Pruritus Flashcards

1
Q

Pruritus - Differentials

A

LIVER DISEASE:

  • Hx of ETOH
  • Stigmata of CLD (spider naevi, bruising, palmar erythema, gynecomastia)
  • Evidence of decompensation (ascites, jaundice, encephalopathy)

IRON DEFICIENCY ANAEMIA:

  • Pallor
  • Koilonychia
  • Atrophic glossitis
  • Post-cricoid webs
  • Angular stomatitis

POLYCYTHAEMIA:

  • Pruritis partic after warm bath
  • ‘Ruddy’ complexion
  • Gout
  • PUD

CKD:

  • Lethargy and pallor
  • Oedema and weight gain
  • HTN

LYMPHOMA

  • Night sweats
  • Lymphadenopathy
  • Splenomegaly
  • Hepatomegaly
  • Fatigue

Other causes:

  • DM
  • Hyper and Hypothyroidism
  • Pregnancy
  • Senile pruritis
  • urticaria
  • skin disorders - eczema, scabies, psoriasis, pityriasis rosea
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