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Differentials For Histories > questions > Flashcards

questions Flashcards

1
Q

Differentials for chest pain

A 
Angina
MI
pericarditis
pulmonary embolism
pneumothorax
pneumonia
GORD
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2
Q

associated symptoms for chest pain history

A 
SOB
Cough
Sputum
Nausea + Sweating
Haemoptysis
Fevers
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3
Q

Investigations after chest pain history

A 
CV/Resp exam
Sputum Sample
Echo
CXR
Bronchoscopy
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4
Q

Differentials for palpitations

A 
Cardiac arrhythmia
thyrotoxicosis
anxiety
Drug Induced
anaemia
systemic fever
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5
Q

associated symptoms for palpitations history

A

SOB
Chest pain

Weight loss
Heat intolerance
Hand Tremor

Panic attacks/feelings of anxiety

Sweating + hunger (hypoglycaemia)

Last Menstrual Period (LMP)
vaginal dryness
mood changes

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6
Q

Differentials for cough/SOB history

A 
pulmonary oedema
COPD 
Asthma exacerbation
pneumonia 
lung cancer
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7
Q

Associated symptoms for cough/SOB history

A

Fever
Cough (productive)

FLAWS

Chest Pain
Haemoptysis
Swelling/pain in legs
PE risk factors - travel, surgery, immobility, cancer

Wheeze

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8
Q

Differentials for Haemoptysis

A 
Lung Cancer
TB
Pulmonary Embolism
Foreign Body/Trauma
Bronchiectasis
Pneumonia
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9
Q

Associated symptoms in haemoptysis history

A 
FLAWS
Chest pain (SOCRATES)
Swelling/pain in legs
Wheeze
PE risk factors - travel, surgery, immobility, cancer
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10
Q

Differentials for Abdo pain

A 
Appendicitis
Constipation
Diverticulitis
Renal Colic
IBS
Torted Ovarian Cyst
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11
Q

Investigations for Respiratory History

A 
Lung function test
PEFR
Sputum microscopy
U+Es
CXR
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12
Q

Investigations for haemoptysis

A 
D-dimer
CXR
Ventilation/Perfusion scan
Sputum Microbiology
ECG
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13
Q

Associated Systems for Abdo pain

A

Nausea + Vomiting
Diarrhoea
Dysphagia
Dyspepsia

Hep: RUQ, jaundice, fever

IBD: Arthralgia, eye,skin,bloody diarrhoea

Pruritis

FLAWS

Correlation with menstrual periods (?pregnancy ?ectopic)

Bleeding from orifices

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14
Q

Investigations for Abdo Pain

A 
Examination
FBC
Us+Es
CRP
LFTs
Amylase
urine
AXR
CT abdo
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15
Q

Differentials for Rectal Bleeding

A 
Haemorrhoids
Anal/rectal trauma
angiodysplasia 
colorectal polyps
colorectal cancer
Ulcerative Colitis
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16
Q

Differentials for Constipation

A 
Drugs
Dietary
Dehydration
IBS
Fissure
Depression
17
Q

Differentials for Diarrhoea

A 
IBD 
Gastroenteritis
Colonic cancer
Colonic polyps
Psuedomembranous colitis
thyrotoxicosis
18
Q

Differentials for jaundice

A 
Hep A, B or C
Viral infections CMV or EBV
Alcoholic Hepatitis
Drug-induced hepatitis 
Malaria
Head of pancreas tumour
19
Q

Differentials for Weight gain

A 
Dietary/lack of exercise
Hypothyroidism
Cushing's Syndrome
Depression
Drug induced
Undiagnosed Pregnancy
20
Q

Differentials for weight loss

A 
Diabetes Mellitus
Hypothyroidism
Malignancy
Eating disorder 
Depression
Intentional weight loss
21
Q

Associated symptoms for jaundice history

A

decompensation:- bruising, vomiting, rectal bleeding

Gallstones:- Abdo pain, pale stools/dark urine, pruritis, steatorrhea

Hepatitis:- unprotected sex, IVDU, blood transfusion, tattoos, contaminated food

22
Q

Associated symptoms for weight loss

A

low mood
Heat intolerance/menstrual disturbances (thyrotoxicosis)
FLAWS
eating disorder screen -SCOFF

DM - polyuria, polydipsia, recurrent infection

23
Q

Differentials for headache history

A 
Migraine
Meningitis
SAH
Temporal arteritis
Cluster headache
raised ICP
24
Q

Associated symptoms for headache history

A 
photophobia, Stiff neck, Rash (meningitis)
Trauma
Aura/ Vision changes
tender scalp
memory loss, vision/hearing changes
Worse in the mornings/evenings
palpitations
25
Q

Associated symptoms for loss of consciousness

A 
Speed of recovery
Aura
Movement during attack
tongue biting/urinary incontinence 
palpitations/tremors
recent head injury
26
Q

Differentials for Loss of Consciousness

A 
Vasovagal syncope
Situational syncope
Epilepsy
Cardiac causes
Hypoglycaemia
Alcohol related

Differentials For Histories (1 decks)

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