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198 Cards in this Set
- Front
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5 DDs for patient with migraine sx (+ focal neuro signs)
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migraine
tension HA cluster HA pseudotumor seizure |
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workup for patient with migraine sx (+ focal neuro signs) (4)
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CBC
CT head MRI brain LP |
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5 DDs for patient with cluster HA sx
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cluster HA
migraine HA tension HA trigeminal neuralgia sinusitis |
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workup for patient with cluster HA sx (4)
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CBC
ESR CT head MRI brain |
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5 DDs for patient with:
intermittent vision loss jaw claudication u/l HA |
GCA
migraine HA tension HA meningitis carotid dissection |
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5 workups for patient with:
intermittent vision loss jaw claudication u/l HA |
CBC
ESR temporal a. bx carotid doppler US MRI brain |
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4 DDs for patient with sinusitis sx (+ fever)
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sinusitis
tension HA migraine HA meningitis |
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4 workups for patient with sinusitis sx (+ fever)
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CBC
XR sinus CT sinus LP |
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4 DDs for patient with tension HA sx
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tension HA
migraine HA depression caffeine withdrawal |
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2 workups for patient with tension HA sx
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CBC
CT head |
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5 DDs for patient with SAH sx (+ nuchal rigidity, focal neuro sx)
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SAH
other intracranial hemorrhage meningitis migraine HA sinus vein thrombosis |
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5 workups for patient with SAH sx (+ nuchal rigidity, focal neuro sx)
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CBC
PT/PTT CT head- no contrast LP MRI brain |
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4 DDs for patient with meningitis sx
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meningitis
SAH migraine HA intracranial or epidural abscess |
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3 workups for patient with meningitis sx
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CBC
CT head LP |
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5 DDs for patient with pseudotumor sx
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pseudotumor cerebri
migraine HA meningitis sinus vein thrombosis intracranial neoplasm |
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4 workups for patient with pseudotumor cerebri sx
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CBC
CT head LP MRI brain |
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5 DDs for patient with trigeminal neuralgia sx
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trigeminal neuralgia
tension HA migraine HA TMJ dysfunction intracranial neoplasm |
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3 workups for patient with trigeminal neuralgia sx
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CBC
ESR MRI brain |
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5 DDs for patient with vascular dementia sx (+ falls)
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vascular dementia
Alzheimer's NPH SDH neurosyphilis/B12 deficiency |
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4 workups for patient with vascular dementia sx (+ falls)
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CBC
B12 VDRL/RPR CT head |
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5 DDs for patient with Alzheimer's sx
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Alzheimer's
hypothyroidism B12 deficiency depression neurosyphilis |
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5 workups for patient with Alzheimer's sx
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CBC
TSH B12 MRI brain VDRL/RPR |
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5 DDs for patient with NPH sx
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NPH
chronic SDH Alzheimer's Vascular dementia intracranial neoplasm |
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2 workups for patient with NPH sx
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CT head
LP |
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5 DDs for patient with CJD sx
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CJD
vascular dementia Lewy body dementia Wernicke encephalopathy intracranial neoplasm |
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4 workups for patient with CJD sx
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MRI brain
EEG LP brain bx |
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4 DDs for elderly patient with insulin-induced hypoglycemia sx
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insulin-induced hypoglycemia
delirium TIA cardiac arrhythmia |
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5 workups for elderly patient with insulin-induced hypoglycemia sx
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CBC, electrolytes, glucose
EKG carotid doppler cardiac echo CT head |
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4 DDs for patient with chronic SDH sx
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chronic SDH
SIADH intracranial neoplasm CJD |
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4 workups for patient with chronic SDH sx
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CBC
electrolytes CT head MRI brain |
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4 DDs for low mood after death of spouse
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normal bereavement
adjustment disorder major depression schizoaffective disorder |
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5 workups for low mood after death of spouse
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physical exam
mental status exam TSH CBC urine tox |
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3 DDs for low mood + fatigue, insomnia
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major depression
substance-induced mood disorder dysthymia |
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5 workups for low mood + fatigue, insomnia
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physical exam
mental status exam TSH CBC urine tox + blood EtOH |
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4 DDs for low mood + manic episode 6 months ago
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bipolar I
bipolar II cyclothymia schizoaffective disorder |
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3 workups for low mood + manic episode 6 months ago
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physical exam
mental status exam urine tox |
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5 DDs for psychosis
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schizophreniform disorder
schizophrenia schizoid/schizotypal PD depression with psychotic feature substance induced psychosis |
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5 workups for psychosis
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mental status exam
urine tox TSH CBC electrolytes |
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3 DDs for substance-induced psychosis
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substance-induced psychosis
brief psychotic disorder schizophreniform disorder |
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workups for substance-induced psychosis
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urine tox
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5 DDs for schizoaffective disorder
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schizoaffective disorder
mood disorder with psychotic features schizophrenia schizophreniform disorder psychotic disorder due to general medical condition |
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5 workups for schizoaffective disorder
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mental status exam
beck depression inventory TSH CBC electrolytes |
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5 DDs for intermittent vertigo + tinnitus
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Meniere's disease
labyrinthitis acoustic neuroma vestibular neuritis BPPV |
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3 workups for intermittent vertigo + tinnitus
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CBC
VDRL MRI brain |
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3 DDs for dizziness + volume depletion
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orthostatic hypotension 2/2 dehydration
vertebrobasilar insufficiency cerebellar SOL |
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5 workups for dizziness + volume depletion
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orthostatic BP measurement/tilt test
CBC, electrolytes if 2/2 diarrhea: stool exam for blood, electrolytes MRA brain MRI brain |
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4 DDs for BPPV sx
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BPPV
vestibular neuritis labyrinthitis Meniere disease |
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workups for BPPV sx
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MRI brain
electronystagmography audiogram |
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4 DDs for hours-long dizziness + hearing loss
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labyrinthitis
meniere's disease acoustic neuroma vertebrobasilar insufficiency |
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4 workups for hours-long dizziness + hearing loss
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audiogram
electronystagmography MRI brain MRA brain |
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5 DDs for hours-long dizziness without hearing loss
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vestibular neuritis
BPPV vertebrobasilar insufficiency labyrinthitis meniere's disease |
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5 workups for hours-long dizziness without hearing loss
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CBC
electrolytes electronystagmography MRI brain MRA brain |
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5 DDs for GTC sx
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GTC seizure
convulsive syncope substance abuse malingering hypoglycemia |
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5 workups for GTC sx
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CBC, electrolytes, Glc
urine tox EEG CT head EKG |
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4 DDs for LOC without prodrome (but + palpitations)
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syncope 2/2 cardiac arrythmia
syncope 2/2 aortic stenosis syncope NOS seizure hypoglycemia |
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5 workups for LOC without prodrome (but + palpitations)
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EKG
holter monitoring cardiac echo CT head CBC, electrolytes, glucose |
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3 DDs for transient hemiparesis + hemisensory deficit + dysarthria
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TIA
seizure hypoglycemia |
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5 workups for transient hemiparesis + hemisensory deficit + dysarthria
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CBC, Glc, electrolytes
CT head MRI brain carotid doppler cardiac echo |
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5 DDs for persistent hemiparesis + stroke RFs
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stroke
TIA seizure intracranial SOL SDH |
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5 workups for persistent hemiparesis + stroke RFs
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CBC, electrolytes
CT head MRI brain carotid doppler cardiac echo |
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5 DDs for symmetric ascending weaknes over 2 weeks
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GBS
MS polymyositis MG spinal SOL |
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5 workups for symmetric ascending weaknes over 2 weeks
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LP
MRI spine EMG/NCS tensilon test CPK |
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5 DDs for MS sx
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MS
stroke malingering CNS SOL CNS vasculitis |
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5 workups for MS sx
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CBC
ESR MRI brain LP retinal evoked potentials |
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4 DDs for diabetic neuropathy sx + alcoholism hx
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diabetic neuropathy
alcoholic neuropathy B12 deficiency hypocalcemia |
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3 workups for diabetic neuropathy sx + alcoholism hx
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HbA1c
calcium serum B12 |
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5 DDs for MG sx
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MG
MS horner's syndrome intracranial SOL ALS |
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5 workups for MG sx
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tensilon test, anti-AChR serology
CXR CT chest MRI brain EMG |
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4 DDs for fatigue + low mood
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depression
adjustment disorder hypothyroidism anemia |
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2 workups for fatigue + low mood
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CBC
TSH |
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5 DDs for fatigue + hx of trauma 1 yr ago
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PTSD
depression GAD hypothyroidism substance abuse |
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4 workups for fatigue + hx of trauma 1 yr ago
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CBC
TSH Ca2+ urine tox |
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4 DDs for fatigue + constipation
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CRC
hypothyroidism hypercalcemia renal failure |
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4 workups for fatigue + constipation
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rectal exam, stool guiac
CBC, electrolytes, Ca2+ colonoscopy BUN/Cr |
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4 DDs for hypothyroidism sx
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hypothyroidism
depression DM anemia |
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3 workups for hypothyroidism sx
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TSH, FT3, FT4
CBC Glc, HbA1c |
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4 DDs for OSA sx
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OSA
hypothyroidism chronic fatigue syndrome narcolepsy |
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4 workups for OSA sx
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CBC
TSH polysomnography nocturnal pulse oximetry |
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4 DDs for fatigue + incresed urination
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DM
DI 1' polydipsia atypical depression |
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5 workups for fatigue + increased urination
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CBC, electrolytes, Glc
OGTT HbA1c UA BUN/Cr |
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4 DDs for fatigue + change in work shift
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sleep deprivation
circadian rhythm sleep disorder depression anemia |
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1 workup for fatigue + change in work shift
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CBC
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5 DDs for night sweats + lymphadenopathy
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TB
acute HIV Ly leukemia hyperthyroidism |
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5 workups for night sweats + lymphadenopathy
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PPD, sputum gram stain, acid fast stain + culture
CBC CXR HIV antibodies TSH |
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5 DDs for insomnia
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stress
caffeine circadian rhythm sleep disorder depression OSA |
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4 workups for insomnia
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CBC
TSH polysomnography mental status (if depressed) |
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4 DDs for sore throat + abd pain
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infectious mono
hepatitis pharyngitis (viral or bacterial) acute HIV |
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5 workups for sore throat + abd pain
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CBC
monospot (heterophile Abs) throat culture AST, ALT, ALP, bilirubin HIV Abs |
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4 DDs for sore throat + fever, rash, weight loss
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acute HIV (acute retroviral syndrome)
infectous mono viral pharyngitis strep tonsillitis |
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4 workups for sore throat + fever, rash, weight loss
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CBC
HIV Abs, viral load, CD4 count monospot test throat culture |
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4 DDs for sore throat + fever
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pharyngitis (viral or bacterial)
Mycoplasma pneumonia infectious mono acute HIV |
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5 workups for sore throat + fever
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throat culture
rapid strep test monospot test CBC HIV Abs |
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5 DDs for cough + wheezing
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asthma
GERD bronchitis pneumonitis foreign body aspiration |
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4 workups for cough + wheezing
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CBC
CXR PFTs methacholine challenge test |
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4 DDs for productive cough over last 2 years
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chronic brochitis
bronchiectasis lung Ca TB |
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5 workups for productive cough over last 2 years
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CBC
PPD, sputum gram stain, acid fast stain, culture CXR CT chest |
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5 DDs for productive cough + fever, chest pain
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pneumonia
bronchitis lung abscess lung Ca TB |
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5 workups for productive cough + fever, chest pain
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CBC
PPD, sputum gram stain, acid fast stain, culture CXR CT chest |
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3 DDs for nonproductive cough 2 weeks after URI
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atypical pneumonia
postnasal drip GERD |
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5 workups for nonproductive cough after URI
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CBC
sputum gram stain, culture CXR Mycoplasma IgM urine Legionella Ag |
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4 DDs for hemoptysis for 6 months
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lung Ca
TB lung abscess COPD |
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5 workups for hemoptysis for 6 months
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CBC
PPD, sputum Gram stain, acid fast stain, culture CXR CT chest bronchoscopy |
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5 DDs for productive cough + dyspnea in COPDer
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COPD exacerbation
pneumonia URI lung Ca CHF |
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5 workups for productive cough + dyspnea in COPDer
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CBC
CXR CT chest PFTs sputum Gram stain, culture |
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5 DDs for cough + night sweats + TB exposure
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TB
Ly pneumonia lung abscess other Ca |
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5 workups for cough + night sweats + TB exposure
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CBC
PPD, sputum Gram stain, acid fast stain, culture CXR CT chest bronchoscopy |
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5 DDs for cough + dyspnea + AIDS RFs + TB exposure
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TB
pneumonia (e.g. PCP) bronchitis acute HIV asthma |
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4 workups for cough + dyspnea + AIDS RFs + TB exposure
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CBC
PPD, sputum gram stain, acid fast stain, silver stain, culture CXR HIV Abs |
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3 DDs for cough + orthopnea
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CHF
cardiac valvular disease GERD |
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5 workups for cough + orthopnea
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CBC
BNP cardiac echo EKG esophageal pH monitoring |
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5 DDs for typical chest pain
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ACS
stable angina aortic dissection PTX GERD |
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5 workups for typical chest pain
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EKG
CK-MB, Tn cardiac echo cardiac cath CBC, electrolytes |
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4 DDs for chest pain in young African American
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acute chest syndrome (HbS disease pulmonary infarction)
pneumonia PE PTX ACS |
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5 workups for chest pain in young African American
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CBC, reticulocytes, peripheral smear
ABG CXR EKG CT chest + contrast |
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5 DDs for GERD-like chest pain
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GERD
esophagitis PUD esophageal spasm ACS |
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4 workups for GERD-like chest pain
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EKG
EGD esophageal pH monitoring barium swallow |
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3 DDs for stable angina sx
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stable angina
esophageal spasm esophagitis |
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5 workups for stable angina sx
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EKG
CK-MB, Tn cardiac cath EGD esophageal pH monitoring |
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5 DDs for atypical chest pain worse on inspiration
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pericarditis
costochondritis GERD esophageal rupture ACS |
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5 workups for atypical chest pain worse on inspiration
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CBC
EKG CK-MB, Tn cardiac echo EGD |
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3 DDs for atypical chest pain + dyspnea
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PE
pneumonia costochondritis |
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5 workups for atypical chest pain + dyspnea
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CBC
EKG CT chest + contrast doppler US legs CXR |
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5 DDs for palpitations in diabetic
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hypoglycemia
hyperthyroidism cardiac arrhythmia panic attack pheochromocytoma |
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4 workups for palpitations in diabetic
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CBC, electrolytes, glucose
TSH EKG holter monitor |
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4 DDs for unintentional weight loss
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hyperthyroidism
Ca malabsorption HIV |
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4 workups for unintentional weight loss
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TSH, FT4
HIV Abs anti TTG, anti-gliadin serology colonscopy + bx |
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5 DDs for unintentional weight gain
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hypothyroidism
cushing's syndrome DM smoking cessation drug side effect |
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4 workups for unintentional weight gain
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CBC, electrolytes, glucose
TSH 24h urine free cortisol dexamethasone suppression test |
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5 DDs for dysphagia in smoker
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esophageal Ca
achalasia esophagitis systemic sclerosis ALS |
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5 workups for dysphagia in smoker
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CBC
CXR CT neck + chest EGD barium swallow |
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4 DDs for RUQ or LUQ pain + flank tenderness
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nephrolithiasis
RCC pyelonephritis appendicitis |
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5 workups for RUQ or LUQ pain + flank tenderness
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rectal exam
UA, urine culture + sensitivity Bun/Cr CT abdomen US renal |
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4 DDs for epigastric pain + weight loss + acholic stool
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pancreatic ca
acute hepatitis cholecystitis/choledocholithiasis PUD |
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5 workups for epigastric pain + weight loss + acholic stool
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rectal exam
CBC, electrolytes amylase, lipase AST, ALT, ALP, bilirubin CT abdomen |
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5 DDs for epigastric pain + vomiting in alcoholic
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acute pancreatitis
PUD cholecystitis/choledocholithiasis gastritis alchoholic hepatitis |
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5 workups for epigastric pain + vomiting in alcoholic
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amylase, lipase
EGD AST, ALT, ALP, bilirubin US abdomen CT abdomen |
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5 DDs for RUQ pain + fever
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cholecystitis
acending cholangitis (esp. if jaundice present) other GB disease PUD acute hepatitis |
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5 workups for RUQ pain + fever
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rectal exam
CBC AST, ALT, ALP, bilirubin EGD US abdomen |
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4 DDs for postprandial epigastric pain
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PUD
gastritis GERD cholecystitis |
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4 workups for postprandial epigastric pain
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rectal exam
amylase, lipase EGD AST, ALT, ALP, bilirubin |
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5 DDs for intestinal obstruction sx
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intestinal obstruction
intestinal cancer volvulus ileus hernia |
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5 DDs for intestinal obstruction sx
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rectal exam
AXR CXR CT abdomen CBC, electrolytes |
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4 DDs for crampy abdominal pain in patient with AF
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bowel ischemia/infarction
ACS diverticulitis PUD |
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5 workups for crampy abdominal pain in patient with AF
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rectal exam
CBC, amylase, lipase, lactate mesenteric angio CT abdomen EKG |
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5 DDs for RLQ pain + vomiting in woman
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ovarian torsion (if no peritoneal sx)
appendicitis (if peritoneal sx, fever) ruptured ectopic ruptured ovarian cyst nephrolithiasis |
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5 workups for RLQ pain + vomiting in woman
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rectal exam
pelvic exam bhCG doppler US pelvis CT abdomen |
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4 DDs for LLQ pain + alternating diarrhea/constipation
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diverticulitis
Crohn's UC IBS (if no N/V or weight loss) |
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5 workups for LLQ pain + alternating diarrhea/constipation
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rectal exam
AXR CXR CBC, electrolytes CT abdomen |
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4 DDs for appendicitis sx
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appendicitis
Crohn's nephrolithiasis volvulus |
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5 workups for appendicitis sx
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rectal exam
CBC, electrolytes AXR CT abdomen US abdomen |
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5 DDs for b/l lower abdominal pain in woman associated with menstruation
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PID (if sexual hx supports)
endometriosis dysmenorrhea vaginitis cystitis |
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5 workups for b/l lower abdominal pain in woman associated with menstruation
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rectal exam
pelvic exam US pelvis UA, urine culture, cervical cultures urine hCG |
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5 DDs for alternating constipation + diarrhea, + weight loss
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CRC
IBS diverticulosis IBD parasite |
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5 workups for alternating constipation + diarriea, + weight loss
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rectal exam
CBC colonoscopy barium enema CT abdomen |
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5 DDs for constipation
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low fiber diet
IBS substance abuse (esp. heroin) depression hypothyroidism |
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4 workups for constipation
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rectal exam
CBC, electrolytes TSH urine tox |
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3 DDs for infectious diarrhea sx
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infectious diarrhea
food poisoning IBD |
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5 workups for infectious diarrhea sx
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rectal exam, stool for occult blood
stool leukocytes + culture CBC, electrolytes CT abdomen CT pelvis |
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5 DDs for diarrhea + diffuse abdominal pain (without vomiting or fever)
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Crohn's
UC Celiac gastroenteritis hyperthyroidism |
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5 workups for diarrhea + diffuse abdominal pain (without vomiting or fever)
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rectal exam
stool exam, culture CBC, electrolytes colonoscopy CT abdomen |
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5 DDs for coffee ground emesis
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PUD
gastritis (esp if taking NSAIDs chronically) gastric cancer esophageal varices Mallory-Weiss tear |
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4 workups for coffee ground emesis
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rectal exam
CBC EGD AST, ALT, ALP, bilirubin |
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5 DDs for blood in stool in older person
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anal fissure
hemorrhoids CRC diverticulosis bowel ischemia |
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5 workups for blood in stool in older person
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rectal exam
CBC, PT/PTT CEA, AST, ALT, ALP, bilirubin colonoscopy CT abdomen, pelvis |
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5 DDs for blood in stool in younger person
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UC
Crohn's proctitis hemorrhoids dysentery |
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5 workups for blood in stool in younger person
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rectal exam
CBC, PT/PTT colonoscopy AXR CT abdomen, pelvis |
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5 DDs for painless hematuria
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TCC
RCC acute GN bleeding disorder ADPKD (esp if FHx) |
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5 workups for painless hematuria
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genitourinary exam
UA, urine cytology cystoscopy CBC, PT/PTT CT abdomen, pelvis |
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4 DDs for dysuria + fever + flank tenderness
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acute pyeplonephritis
nephrolithiasis RCC lower UTI |
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4 workups for dysuria + fever + flank tenderness
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UA, culture, sensitivity
CBC, BUN/Cr US renal CT abdomen |
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5 DDs for amenorrhea in non-elderly
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pregnancy
anovulatory cycle thyroid hyper-PRL PCOS |
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5 workups for amenorrhea in non-elderly
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pelvic exam
urine hCG CBC, electrolytes US pelvis PRL, TSH, LH, FSH |
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6 DDs for non-traumatic vaginal bleeding in young person
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DUB
bleeding disorder thyroid DM Cx cancer abnormal/aborting pregnancy |
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5 workups for non-traumatic vaginal bleeding in young person
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pelvic exam
urine bhCG Cx cultures, Pap smear TSH CBC, PT/PTT, glucose |
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5 DDs for vaginal bleeding in older person
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endometrial ca
cervical ca endometrial hyperplasia atrophic endometrium atrophic vaginitis |
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5 workups for vaginal bleeding in older person
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pelvic exam
pap smear endometrial bx US pelvis colposcopy |
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5 DDs for dyspareunia in young person
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endometriosis
cervicitis/PID vulvodynia/vaginismus abuse depression |
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5 DDs for MCP/PIP/DIP joint pain
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SLE
RA OA gonococcal arthritis psoriatic arthritis |
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5 workupss for MCP/PIP/DIP joint pain
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CBC, ESR
ANA, RF serology X-ray hands synovial fluid aspiration, analysis + culture UA |
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4 DDs for hip pain
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hip fx
hip dislocation trochanteric bursitis avascular necrosis (LCP in Peds/HbS in AfAm) |
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patients with hip fx hold leg ___ly
patients with hip dislocation hold leg ___ly |
in external rotation
in internal rotation |
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patients with hip joint problem have pain on ___patients with trochanteric bursitis have pain on ___
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internal rotation
external rotation |
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4 workups for hip pain
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XR hip
MRI hip serum Ca2+, Vit D DEXA scan |
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5 DDs for red, hot, painful knee
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septic arthritis
gonococcal arthritis gout/pseudogout Lyme arthritis rheumatic fever |
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5 workups for red, hot, painful knee
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synovial fluid aspiration, analysis + culture
XR knee CBC ESR |
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3 DDs for foot pain
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plantar fasciitis
stress fx foot sprain |
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3 workups for foot pain
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XR foot
bone scan foot MRI foot |
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2 PhEx tests for tennis elbow
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point tenderness on lateral epicondyle
pain on resisted wrist dorsiflexion with elbow extended |
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5 DDs for thigh pain on exertion
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PVD
Leriche's syndrome lumbar spinal stenosis OA statin myopathy |
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4 workups for thigh pain on exertion
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ABI
doppler US legs angio MRI L spine |
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5 DDs for calf pain
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DVT
Baker's cyst rupture myositis/statin myopathy cellulitis superficial venous thrombosis |
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5 workups for calf pain
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Doppler US leg
CBC CPK d-dimer PT/PTT |
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5 DDs for L shoulder pain on exertion
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angina
OA tendonitis dislocation rotator cuff injury |
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5 workups for L shoulder pain on exertion
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EKG
CK-MB, Tn cardiac echo XR shoulder MRI shoulder |
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4 DDs for baby with fever + lethargy
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neonatal sepsis
meningitis pneumonia UTI |
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5 workups for baby with fever + lethargy, no rash
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physical exam
CBC, electrolytes UA, urine culture Blood culture LP |
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5 DDs for baby with diarrhea + vomiting
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gastroenteritis
food poisoning UTI URI intususception |
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5 workups for baby with diarrhea + vomiting
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physical exam
CBC, electrolytes UA, urine culture stool exam + culture AXR |
