safe diagnosis strategy

Question 1

things not to miss

Answer 1

Neoplasia, esp. malig
-HIV/ AIDS
severe infec: meningoencephalitis, septicaemia, meningococcal infection, epiglottitis, infective endoc, pneumonia/influenza/SARS,clostridia infec
coronary diseases: MI, unstable angina, arrythmias
potential suicide
intracerebral lesions
ectopic preg.

Question 2

DXT of septicaemia

Answer 2

fever + rigors + hypotensions

Question 3

DXT meningitis

Answer 3

fever + vomiting + headaches

Question 4

dxt cardiac arrythmia

Answer 4

fatigue + dizziness + syncope

Question 5

dxt epiglottitis

Answer 5

fever + drooling + stridor (child)

Question 6

dxt SAH

Answer 6

headache + vomiting + altered consciousness

Question 7

dxt ectopicc preg

Answer 7

abdominal pain + amenorrhea + abnormal vag bleeding

Question 8

dxt cardiomyopathy

Answer 8

fatigue + dyspnea on exertion + dizziness

Question 9

red flags

Answer 9

weight loss
vomiting
altered cognition
fever above 38
dizziness 
syncope at the toilet 
pailor

Question 10

dxt paget

Answer 10

aching bones + waddling gait + deafness

Question 11

dxt of sarcoidosis

Answer 11

malaise + cough + fever(+/- erythema nodosum)

Question 12

dxt of tourrette sy

Answer 12

(male child)snorting, blinking + oral noises +/- loud expletives

Question 13

pitfalls

Answer 13

abscess
addision
allergies
candida inf
chronis fatigue sy
coeliac disease
domestic abuse. including child abuse
drugs
endometriosis
faecal impaction
foreign bodies
giardiasis
haemochromatosis
herpes zoster
lead poisoning 
malnutrition
menopause sy
migraine
paget disease
preg (elderly)
sarcoidosis
seizure disorders
tourette sy
urinary infec

Question 14

seven primary masquerades

Answer 14

1. depression
2. diabetes mellitus
3. drugs (iatrogenic, self abuse with (alch,narcotics,nicotine,others)
4. anemia
5. thyroid (hyper, hypo, addision)
6. spinal dysfunction
7. UTI

Question 15

seven other masquerades

Answer 15

1. chronic kidney failure
2. malignant disease
3. HIV/ AIDS
4. Baffling bacterial infec. (syph,TB,infec endo, zoonoses, chlamydia, atypical pneumonia)
5. Viral, and protozoal (EBV,TORCH, Hep A,B,C,D,E, mosquito infec (malaria,ross river fever, dengue, others)
6. Neurological( parkinsons, GB sy, seizure disorder, MS, myasthenia g, space occupying lesions of the skulll, mirgaine and its variants, overlap sy.
7. connective tissue disorders and vasculitides

Question 16

dxt for TB or sarcoidosis

Answer 16

malaise + fever + cough

Question 17

dxt of EB mono

Answer 17

fever + sore throat + cervical LAD

Question 18

dxt of chronic kidney failure

Answer 18

fatigue + a/n/v + sallow skin

Question 19

dxt of DM

Answer 19

polyuria + polydipsia + skin/oriface infections

Question 20

dxt of infective endocarditis

Answer 20

FUO + cardiac murmur + embollic phenomena

Question 21

SLE

Answer 21

fatigue + polyarthritis + fver or skin lesions

Question 22

kidney carcinoma

Answer 22

loin pain + heamturia + palpable loin (flank areas) mass

Question 23

lung carcinoma

Answer 23

malaise + weightloss + cough

Question 24

atypical pneumonia

Answer 24

fever + myalgia/headache + nonproductive cough

Question 25

non-hodgkin lymphoma

Answer 25

malaise + night sweats + painless LAD

Question 26

systemic sclerosis

Answer 26

arthralgia + raynaugh phenomenon + GORD (+/-skin changes)

Question 27

temporal arteritis

Answer 27

fatigue + headache + jaw claudication

Question 28

multiple myeloma

Answer 28

weakness + backpain + weightloss

Question 29

hypothyroidism

Answer 29

lethargy + physical/ mental slowing + constipation