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