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+ (98) 9128093509
DDxPro
Possible Diagnoses
Pancreatic cancer
Pancreatic cancer
Asthenia
Weight loss
Anorexia
Abdominal pain
Intermittent pain
Epigastric pain
Jaundice
Intermittent abdominal pain
New onset of diabetes mellitus
Nausea
Midepigastric pain
Upper abdominal pain
Radiate to back
Radiate to sides
Hepatomegaly
Vomiting
Courvoisier sign
Trousseau syndrome
Palpable periumbilical mass
Abdominal mass
Cholangiocarcinoma
Cholangiocarcinoma
Jaundice
Painless jaundice
Pruritus
Associated with primary sclerosing cholangitis
Pale stool
Right upper quadrant pain
Hepatomegaly
Courvoisiers sign
Fever
Palpable gallbladder
Biliary obstruction
Intermittent jaundice
Symptoms of obstructive jaundice
Constant dull ache
Abdominal pain
Weight loss
Triad of cholestasis and abdominal pain and weight loss
Abdominal mass
Anorexia
Declining performances status
Chronic heart failure
Chronic heart failure
Shortness of breath
Dyspnea on exertion
Fatigue
Dyspnea occurring in the recumbent position
Orthopnea
Relieved by sitting upright
Relieved by sleeping with additional pillows
Cool peripheral extremities
Cyanosis of the lips
Cyanosis of the nail beds
Dyspnea at rest
Dyspnea exacerbated in the supine position
Peripheral edema
Symmetric peripheral edema
Atherosclerotic
Cardiomyopathy
Dyspnea awaken the patient from sleep
Metabolic syndrome
Nocturnal cough
Paroxysmal nocturnal dyspnea
Diabetic amyotrophy
Diabetic amyotrophy
Weight loss
Acute asymmetric focal onset of proximal leg pain
Severe onset of proximal legs pain
Weakness of brachial plexus
Weakness of upper extremity nerves
Type 2 diabetes mellitus
Lower extremity weakness
Severe thigh pain
Unilateral
Autonomic failure
Focal proximal leg weakness
Distal sensory loss
Numbness of upper extremity nerves
Proximal sensory loss
Severe onset of back pain
Severe onset of buttock pain
Severe onset of hip pain
Severe onset of thigh pain
Lower brachial plexus weakness
Middle brachial plexus weakness
Polyarteritis nodosa
Polyarteritis nodosa
Myalgia
Hairy cell leukemia
Hepatitis b virus
Hepatitis c virus
Asymmetric polyneuropathy
Peroneal mononeuropathy multiplex
Radial mononeuropathy multiplex
Ulnar mononeuropathy multiplex
Weight loss
Abdominal pain after eating
Abdominal pain after meals
Bullous
Continuous abdominal pain
Intermittent abdominal pain
Livedo reticularis
Palpable purpuric lesions
Tender erythematous nodules
Tender purpura
Ulcer
Vesicular eruption
Alcoholic liver disease
Alcoholic liver disease
Anorexia
Fatigue
Fever
Jaundice
Nausea
Right upper quadrant abdominal discomfort
Vomiting
Weight loss
Digital clubbing
Palmar erythema
Ascites
Splenomegaly
Asterixis
Confusion
Dupuytren contractures
Gynecomastia
Hematemesis
Leg swelling
Weight gain
Gastrointestinal bleeding
Chronic kidney diseases
Chronic kidney diseases
Hypertension
Fatigue
Last three months
Bone disease
Facial puffiness
Flank pain
Metabolic acidosis
Nocturia
Pedal edema
Polyuria
Volume overload
Renal osteodystrophy
Brucellosis
Brucellosis
Lethargy
Sweating
Weight loss
Arthralgia
Chills
Fever
Acute febrile illness
Night sweats
Joint swelling
Joint tenderness
Arthlargia
Arthlargia of hips
Arthlargia of knees
Arthlargia of spine
Malaise
Joint bursitis
Intermittent back pain
Pallor
Conjuctival contact with infected brucella material
Inhalation of infected aerosols
Cirrhosis
Biliary cirrhosis
Anesthesia
Increased need for sleep
Lack of stamina
Lethargy
Listlessness
Poor energy
Symptoms of temporal lobe seizures
Muscle weakness
Proximal muscle weakness
Absence of parenchymal kidney disease
Absence of shock
Amnesia
Anxiety
Ataxic gait
Babinski sign
Bizarre behavior
Clonus
Disorientation for time
Dyspraxia
Euphoria
Liver cirrhosis
Anesthesia
Increased need for sleep
Lack of stamina
Lethargy
Listlessness
Neurological manifestations
Poor energy
Symptoms of temporal lobe seizures
Abdominal swelling
Decreased libido
Jaundice
Muscle wasting
Splenomegaly
Weight loss
Palmar erythema
Spider angiomas
Fatigue
Weakness
Abdominal distention
Afternoon fatigue
Hepatic encephalopathy
Hepatic encephalopathy
Bradycardia
Cerebral edema
Cough response to tracheobronchial suctioning
Increased intracranial pressure
Paralysis of corneal reflex
Paralysis of jaw reflex
Paralysis of oculocephalic reflex
Paralysis of other brain stem reflexes
Pupillary changes
Respiratory depression
Seizures
Systemic hypertension
Positive earlier stroop color word test
Positive portosystemic encephalopathy syndrome test
Hyperresponsive pupils
Pupils progress from normal response
Slowly responsive pupils
Amnesia
Anxiety
Apathy
Esophagitis
Esophagitis
Substernal region pain
Weight loss
Dysphagia to solid foods
Odynophagia
Episodic dysphagia
Regurgitation
Slowly progressive over years
Unchanged over years
Vomiting
Due to delayed hypersensitiv- ity reaction to food allergens
Centrally located chest pain
Dysphagia
Esophageal food impaction
Chest pain
Chest discomfort
Heartburn
Food impaction
Long standing dysphagia
After radiation therapy
Allergic conditions
Involuntary Weight Loss
Recent institution of diuretic
Observe Repeat weight at 1–2 mo
Stable weight
Usual follow-up
Documented further IWL
Complete history, mental status, examination, diet and appetite, routine cancer screening tests
Preexisting chronic illness known to cause IWL
Reevaluate and optimize therapy
Review prescription and over-the-counter medications for anorectic side effects
Eliminate or modify offending medications
History or examination findings suggestive of illnesses known to cause IWL
Focus evaluation directed by abnormal findings
No history or examination findings suggestive of cause
CBC, SMA 12 Urinalysis Thyroid-stimulating hormone level Chest x-ray Stool guaiacs
Normal findings(CBC,SMA...)
More detailed psychosocial history: Screen for depression, anxiety, eating disorders...
Probable psychosocial cause detected
Treat Appropriate(psychosocial cause)
No abnormalities detected(psychosocial cause)
Unexplained IWL
Follow at close intervals (high risk)
Abnormal findings(CBC,SMA...)
Follow-up abnormal values
No recent institution of diuretic
Complete history, mental status, examination, diet and appetite, routine cancer screening tests
Preexisting chronic illness known to cause IWL
Reevaluate and optimize therapy
Review prescription and over-the-counter medications for anorectic side effects
Eliminate or modify offending medications
History or examination findings suggestive of illnesses known to cause IWL
Focus evaluation directed by abnormal findings
No history or examination findings suggestive of cause
CBC, SMA 12 Urinalysis Thyroid-stimulating hormone level Chest x-ray Stool guaiacs
Normal findings(CBC,SMA...)
More detailed psychosocial history: Screen for depression, anxiety, eating disorders...
Probable psychosocial cause detected
Treat Appropriate(psychosocial cause)
No abnormalities detected(psychosocial cause)
Unexplained IWL
Follow at close intervals (high risk)
Abnormal findings(CBC,SMA...)
Follow-up abnormal values
Anorexia
History Physical examination, Laboratory tests
Non-medical cause
Social factors
Psychological disorders
Depression Dementia Alcoholism Drug abuse Psychosis Anxiety Bereavement
Age-related conditions
Decreased olfactory sense Hypogeusia Visual disorders Hearing disorders Dental disorders
Eating disorders
Medical disease
Medications
Sedatives & psychotropics Digoxin Laxatives Appetite suppressants Thiazide diuretics...
CNS disease
Endocrine disorders
Thyroid disease, Adrenal insufficiency, Diabetes, Hyperparathyroidism, Hypercalcemia
GI disorders
Malabsorption syndromes, Peptic ulcer, Biliary disease, Hepatitis, GERD...
Diagnostic tests: Stool for blood, fat, parasites Upper GI with small bowel follow-through...
Other medical diseases
Chronic infection Malignancy Cardiopulmonary disease Cerebrovascular disease Abdominal ischemia