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DDxPro
Possible Diagnoses
Amebiasis
Intestinal entamoeba histolytica amebiasis
Bloody diarrhea
Bloody stools
Diarrhea
Mild diarrhea
Several weeks diarrhea
Watery diarrhea
Exposure in endemic area
Abdominal pain
Lower abdominal pain
Amebic dysentery
Back pain
Diarrhea with blood in stools
Environmental enteropathy
Hematophagous trophozoites
Impoverished gut
Malaise
Weight loss
Fever
Colitis
Malnutrition
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
Intussusception
Intussusception
Abdominal pain
Constipation
Fever
Intermittent abdominal pain
Intermittent pain
Nausea
Vomiting
Weight loss
Rectal bleeding
Redcurrant jelly stools
Chronic
Progressive lethargy
Colicky pain
Intermittent partial bowel obstruction
Abdominal distention
Palpable abdominal mass
Leading to bowel perforation
Leading to secondary bacterial peritonitis
Peritonism
Hypovolemic shock
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
Mesenteric ischemia
Mesenteric ischemia
Over age 60 years
Early frequent passage of mucosal
Nonspecific abdominal pain
Severe periumbilical pain
Bloody diarrhea
Abdominal distension
Continuous pain
Diffused
Diffused abdominal pain
Early severe abdominal pain
Moderate tenderness
No bowel sounds
Severe pain
Abdominal bruits
Peritoneal signs
Hematochezia
Severe abdominal pain
Weight loss
Diarrhea
Massive fluid protein and electrolytes start to leak
Familial adenomatous polyposis syndrome
Familial adenomatous polyposis syndrome
Attenuated fap
Enlargement of polyp size
Colorectal cancer in middle age
Duodenal polyp
High grade dysplasia
Periampullary polyp
Fibroma
Lipoma
Osteoma
Epidermoid cyst
Brain tumor
Cns tumors
Turcot syndrome
Supernumerary teeth
Adenomas
Cholangiocarcinoma
Desmoid tumor
Duodenal polyps
Gastric polyps
Hepatobiliary tumors
Cholangitis
Primary sclerosing cholangitis
Associated with inflammatory bowel diseases
Anesthesia
Increased need for sleep
Lack of stamina
Lethargy
Listlessness
Poor energy
Symptoms of temporal lobe seizures
Muscle weakness
Proximal muscle weakness
Increasing cholestasis
Right upper quadrant pain
Jaundice
Fatigue
Fever
Complication ulcerative colitis
Absence of parenchymal kidney disease
Absence of shock
Amnesia
Anxiety
Peptic ulcer
Acute peptic ulcer
Awakes from sleep
Relief with anti secretory agents
Abdominal pain
Intense pain
More localized pain
Recurs when stomach is empty
Sudden onset
When stomach is empty
Burning pain
Upper abdomen discomfort
At night
Epigastric pain
Hunger-like pain
Sudden severe abdominal pain
Relieved by eating
Relief with antiacid
Awakes the patient from sleep
Hematochezia
Vomiting
Diffused
Gastric ulcer
Awakes from sleep
Relief with anti secretory agents
Recurs when stomach is empty
When stomach is empty
Burning pain
Upper abdomen discomfort
At night
Epigastric pain
Hunger-like pain
Relieved by eating
Relief with antiacid
Awakes the patient from sleep
Discomfort or pain in upper belly
Discomfort or pain near the ribs
Upset stomach
three months
Diarrhea
Burning
Symptom onset at least six months
Abdominal pain
Ulcerative colitis
Ulcerative colitis
Rectal bleeding
Chronic diarrhea
Frequent discharge of mucus
Frequent diarrhea
Gross bleeding
Diarrhea
Physical signs of proctitis
Frequent bloody diarrhea
Feeling of incomplete evacuation
Abdominal tenderness
Bloody stools
Malnutrition
Weight loss
Constipation
Abdominal pain
Fever
Bloody diarrhea
Cramping abdominal pain
Pallor
Erythema nodosum
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
Anal fissure
Anal fissure
Located in the posterior midline of the anal canal
Anal pain
Severe anal pain
Severe pain
Exacerbated by defecation
Anal bleeding
Anal pain at rest
Debilitating anal pain after defecation
External skin tags
Hypertrophied anal papillae
Pain lasts for hours after defecation
Last fewer than eight weeks
Hematochezia
Painful defecation
Located in the anterior midline of the anal canal
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