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58 Cards in this Set

  • Front
  • Back

List the life-threatening causes of acute chest pain

1) acute coronary syndrome


2) aortic dissection


3) pulmonary embolism


4) pneumonia


5) tension pneumothorax


6) oesophageal rupture

List the causes of presentation with acute upper airway obstruction

1) inhaled foreign body


2) epiglottitis


3) croup


4) facial burns


5) angioedema


6) trauma


7) carcinoma


8) retropharyngeal abscess

List the causes of distributive shock

1) anaphylaxis


2) sepsis


3) neurogenic


4) drug-related


5) acute adrenal insufficiency

List the causes of hypovolaemic shock

1) haemorrhage


2) external fluid loss

List the causes of obstructive shock

1) pulmonary embolism


2) tension pneumothorax


3) cardiac tamponade


4) dynamic hyperinflation

List the causes of cardiogenic shock

1) acute coronary syndrome


2) myocarditis


3) cardiomyopathy


4) drug toxicity


5) acute valvular dysfunction


6) arrythmia

List the causes of acute breathlessness

1) acute asthma


2) COPD


3) pneumonia


4) pulmonary embolism


5) pneumothorax


6) pulmonary oedema


7) acute upper airway obstruction


8) metabolic causes


9) respiratory muscle weakness

List the causes of upper gastrointestinal haemorrhage

1) peptic ulcer disease


2) gastritis


3) reflux oesophagitis


4) oesophageal or gastric varices


5) oesophageal tear


6) neoplasm

List broad categories of causes of altered level of consciousness

1) hypoxia


2) drugs


3) cerebral


4) metabolic


5) endocrine


6) septicaemia

List the cerebral causes of altered level of consciousness

1) meningitis / encephalitis


2) head injury


3) seizure disorder


4) cerebrovascular accident


5) space-occupying lesion


6) hypertensive encephalopathy


7) vasculitis (such as SLE)

List the metabolic causes of altered level of consciousness

1) renal failure


2) liver failure


3) electrolyte disorder


4) vitamin deficiency (eg thiamine)


5) acute intermittent porphyria

List the endocrine causes of altered level of consciousness

1) hypoglycaemia


2) hyperglycaemia


3) thyrotoxicosis


4) myxoedema


5) Cushing's syndrome


6) Addison's disease


7) hyperparathyroidism

List the cardiac causes of syncope

1) arryhthmia


2) myocardial infarction


3) stenotic valve lesion


4) hypertrophic cardiomyopathy


5) drug toxicity

List the causes of postural hypotension

1) hypovolaemia


2) autonomic dysfunction


3) drugs

List the causes of secondary seizure

1) hypoglycaemia


2) head injury


3) hypoxia


4) infection


5) acute poisoning


6) drug withdrawal


7) intracranial pathology


8) electrolyte disturbance


9) eclampsia

List the serious or life-threatening causes of headache

1) meningitis


2) subarachnoid haemorrhage


3) space-occupying lesion


4) temporal arteritis


5) acute narrow-angle glaucoma


6) hypertensive encephalopathy

List the causes of acute monoarthropathy

1) septic arthritis


2) gout or pseudogout


3) trauma and haemarthrosis

List the causes of acute polyarthropathy

1) rheumatoid arthritis


2) SLE


3) psoriatic arthritis


4) ankylosing spondylitis


5) reactive arthritis


6) viral illness


7) sarcoidosis


8) osteoarthritis, haemochromatosis, acromegaly


9) ulcerative colitis, Crohns disease, gonococcal infection, Behcets disease, Lyme disease

List the common skin blistering disorders

1) herpes zoster


2) herpes simplex


3) impetigo


4) bullous eczema / pompholyx


5) drug reaction

List the causes pruritic rash

1) insect bites, scabies, parasites


2) eczema


3) contact dermatitis


4) urticaria


5) lichen planus


6) pityriasis rosea


7) drug reaction


8) dermatitis herpetiformis

List the causes of non-palpable purpura

1) thrombocytopaenia


2) trauma


3) corticosteroids


4) uraemia


5) von Willebrand's disease


6) old age

List the causes of palpable purpura

1) vasculitis


2) meningococcaemia


3) gonococcaemia


4) other infections (eg Staphylococcal, enteroviruses)

List the causes of high anion gap metabolic acidosis

1) ketoacidosis


2) lactic acidosis


3) renal failure


4) exogenous acid ingestion (methanol, ethylene glycol, iron, cyanide, salicylates)

List the causes of normal anion gap metabolic acidosis

1) renal (renal tubular acidosis, carbonic anhydrase inhibitors)


2) gastrointestinal (severe diarrhoea, small bowel fistula)


3) recovery from ketoacidosis

List the causes of metabolic alkalosis

1) vomiting or gastric aspiration


2) diuretics


3) laxative abuse


4) severe hypoalbuminaemia


5) severe hypokalaemia


6) massive blood transfusion

List the causes of respiratory alkalosis

1) respiratory disorders / hypoxia


2) hyperventilation (head injury, pain / anxiety, iatrogenic)


3) drugs (eg salicylate poisoning)


4) fever


5) pregnancy


6) thyrotoxicosis


7) liver disease

List the causes of hyperkalaemia

1) increased potassium intake (oral, IV, blood transfusion)


2) increased potassium release (burns, rhabdomyolysis, haemolysis)


3) decreased renal excretion (renal failure, drugs)


4) compartment shift (acidosis, hyperglycaemia)


5) factitious (haemolysed specimen)

List the causes of hypokalaemia

1) inadequate potassium intake


2) gastrointestinal loss (vomiting, diarrhoea, laxative abuse)


3) renal loss (hypomagnesaemia, Cushing's / Conn's / Barter's syndromes, diuretics)


4) compartment shift (alkalosis, insulin, drugs, hypomagnesaemia)

List the causes of hypernatraemia

1) decreased fluid intake


2) hypotonic fluid loss (gastrointestinal due to vomiting or diarrhoea, renal due to diabetes insipidus, hyperglycaemia, hypercalcaemia)


3) increased salt load (hyperaldosteronism or Cushing's syndrome, excessive ingestion of sodium)

List the causes of pseudohyponatraemia

1) hyperglycaemia


2) hyperlipidaemia


3) hyperproteinaemia

List the causes of hypovolaemic hyponatraemia with high urinary sodium

1) diuretics
2) Addison's disease
3) salt-losing nephropathy
4) glycosuria
5) ketonuria


List the causes of hypovolaemic hyponatraemia with low urinary sodium

1) vomiting


2) diarrhoea


3) burns


4) pancreatitis

List the causes of normovolaemic hyponatraemia with urine osmolality > serum osmolality

1) SIADH


2) drugs such as antidepressants, NSAIDs, carbamazepine


3) positive pressure ventilation


4) porphyria

List the causes of normovolaemic hyponatraemia with urine osmolality < serum osmolality

1) psychogenic polydipsia


2) hypotonic fluid administration


3) malnutrition


4) alcoholism

List the causes of hypervolaemic hyponatraemia with low urinary sodium

1) congestive cardiac failure


2) cirrhosis


3) nephrotic syndrome


4) hypoalbuminaemia


5) hepatorenal syndrome

List the causes of hypervolaemic hyponatraemia with high urinary sodium

1) steroids


2) cerebral salt wasting


3) chronic renal failure


4) hypothyroidism

List the causes of hypercalcaemia

1) primary or tertiary hyperparathyroidism


2) malignancy


3) sarcoidosis


4) thyrotoxicosis


5) tuberculosis


6) drugs (eg thiazides)


7) Addison's disease

List the causes of hypocalcaemia

1) chronic renal failure


2) acute pancreatitis


3) rhabdomyolysis


4) tumour lysis syndrome


5) primary respiratory alkalosis


6) calcium channel blocker overdose

List the causes of hypomagnesaemia

1) GI loss (vomiting, diarrhoea, pancreatitis)


2) acute tubular necrosis


3) chronic renal failure


4) drugs (alcohol, diuretics, gentamicin, digoxin)


5) malnutrition


6) diabetic ketoacidosis


7) thyrotoxicosis


8) hyperparathyroidism

List the causes of pre-renal failure

1) shock


2) burns


3) sepsis


4) dehydration


5) heart failure


6) renal artery stenosis


7) renal artery embolism

List the causes of intrinsic renal failure

1) acute tubular necrosis


2) acute interstitial nephritis


3) acute glomerulonephritis


4) malignant hypertension


5) renal vein thrombosis

List the causes of post-renal failure

1) ureteric obstruction caused by calculi, tumour, strictures, retroperitoneal fibrosis


2) prostatic disease

List the gastrointestinal causes of acute abdominal pain

1) acute appendicitis


2) intestinal obstruction


3) intussusception


4) perforation of a viscus


5) diverticulitis


6) inflammatory bowel disease


7) biliary colic


8) acute cholecystitis


9) acute pancreatitis

List the vascular causes of acute abdominal pain

1) ruptured aortic aneurysm


2) ischaemic colitis


3) mesenteric infarction


4) ruptured spleen

List the genitourinary causes of acute abdominal pain

1) renal colic


2) pyelonephritis


3) acute urinary retention


4) acute epididymo-orchitis


5) acute testicular torsion

List the gynaecological causes of acute abdominal pain

1) ruptured ectopic pregnancy


2) pelvic inflammatory disease


3) ruptured ovarian cyst


4) ovarian torsion


5) endometriosis

List the thoracic causes of acute abdominal pain

1) myocardial infarction


2) pericarditis


3) pulmonary embolism


4) pneumonia


5) aortic dissection

List the endocrine and metabolic causes of acute abdominal pain

1) diabetic ketoacidosis


2) hypercalcaemia


3) Addison's disease


4) lead poisoning


5) iron poisoning


6) paracetamol poisoning


7) acute intermittent prophyria

List the causes of breathlessness in a child

1) asthma


2) bronchiolitis


3) pneumonia


4) anaphylaxis

List the causes of stridor in a child

1) croup


2) epiglottitis


3) inhaled foreign body

List the surgical causes of acute abdominal pain in children

1) appendicitis


2) Meckel's diverticulitis


3) peritonitis


4) intussusception


5) malrotation / volvulus


6) incarcerated hernia


7) testicular torsion


8) trauma / abuse

List the medical causes of acute abdominal pain in children

1) mesenteric adenitis


2) gastroenteritis


3) constipation


4) urinary tract infection


5) hepatitis


6) HSP


7) diabetic ketoacidosis


8) pneumonia


9) tonsillitis


10) meningitis

List the causes of diarrhoea in a child

1) gastroenteritis


2) infection (septicaemia, UTI, pneumonia, tonsillitis, otitis media)


3) appendicitis


4) intussusception


5) partial bowel obstruction


6) medications (antibiotics)


7) chronic relapsing conditions (eg inflammatory bowel disease)

List the causes of a limping child aged between 1 and 3 years old

1) infection (septic arthritis or osteomyelitis)


2) developmental dysplasia of the hip


3) trauma: toddler's fracture, stress fracture, puncture wound


4) cerebral palsy, neuromuscular disease, tumours, congenital hypotonia

List the causes of a limping child aged between 4 and 10 years old

1) transient synovitis


2) Perthes' disease


3) infection: septic arthritis or osteomyelitis


4) trauma: fractures, ligamentous injuries


5) juvenile rheumatoid arthritis


6) juvenile idiopathic arthritis


7) leukaemia

List the causes of a limping child aged between 11 and 15 years old

1) slipped capital femoral epiphysis


2) trauma: overuse syndromes


3) infection: gonoccocal


4) neoplasia


5) arthritis (juvenile idiopathic or rheumatoid)

List the causes of a painful red eye

1) acute conjunctivitis (allergic, viral, bacterial)


2) acute keratitis


3) acute iritis


4) acute episcleritis and scleritis


5) acute glaucoma

List the causes of sudden loss of vision in an uninflamed eye

1) central retinal artery occlusion


2) central retinal vein occlusion


3) vitreous haemorrhage


4) retinal detachment


5) optic neuritis