Week 2 - Differential Dx lecture Flashcards
The mnemonic VINDICATE stands for:
Vascular, inflammatory, neoplastic, degenerative/deficiency, idiopathic/intoxication, congenital, autoimmune/allergic, traumatic, endocrine
A ___ ___ is a process of thinking that takes you from a long list of possible dx to the one that seems most likely, given the H&P you obtain from your pt.
differential dx
From the ___ ___ is a way to consider all the possible causes of the pt’s complaint and symptoms beginning at the skin, then moving deeper into the body.
skin in
Going from the ___ ___ keeps the practitioner from jumping to early conclusions w/out considering a wide range of problems.
skin in
___ looks at possibility of MI, HTN, chest wall trauma, PE, anemia.
Vascular
___ looks at arthritis, pleurisy, muscular irritation, acid reflux of the esophagus, pericarditis, chest wall pain, herpes zoster.
Inflammatory
___ looks at neoplastic growth in the chest wall, heart, or lungs, or disorders involving the diaphragm, pancreas, or spleen.
Neoplastic
___/___ looks at electrolyte imbalance, heart valve problems (rheumatic heart dis), lung disorders (smoking).
Degenerative/Deficiency
___/___ looks at alcohol (esophageal varices), poisons, pneumothorax (air/fluid), stress/anxiety/panic attack, fibromyalgia, herbal supplements.
Idiopathic/Intoxication
___ looks at heart valve deformities, hiatal hernia.
Congenital
___/___ looks at ingestion/exposure to allergens, lupus.
Autoimmune/Allergic
___ looks at accidents, trauma, falls.
Traumatic
___ looks at thyroid disease.
Endocrine
Pertinent ___ are symptoms that the pt c/o that are present.
positives
Pertinent ___ are symptoms that are not present and helps to rule things out.
negatives
