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DDxPro
Possible Diagnoses
Rocky mountain spotted fever
Rocky mountain spotted fever
Fever
Blanching erythematous rash
Maculopapular rash
Skin rash
Headache
Nausea
Vomiting
Rash on the palms
Tick bite
Anorexia
Early summer
Malaise
Myalgia
Severe headache
Triad of fever rash and tick exposure
Petechiae
Triad of fever rash and headache
Petechia not disappear upon compression
Petechial rash
Maculopapular rash on the ankles
Meningitis
Acute bacterial meningitis in adults
Fever
Meningismus
Neck stiffness
Nuchal rigidity
Stiff neck
Headache
Severe generalized headache
Cochlear implant
Contact with patient with meningitis
Cranial anatomic defects
Crowding
Hyposplenic state
Immunodeficiency
Leukemia
Lymphoma
Mastoiditis
Otitis media
Pneumonia
Sinusitis
Kernig sign
Psoas abscess
Psoas abscess
Flank pain
Lower abdominal pain
Lower back pain
Psoas sign
Fever
Pain referred to the hip
Pain referred to the knee
Radiate to anterior thigh
Radiate to buttocks
Radiate to posterior thigh
Limitation of hip movement
Subacute
Absence of pain in the retrovesical pouch
Anorexia
Anterior thigh muscles weakness
Buttocks weakness
Diabetes
Hiv infection
Inguinal mass
Instrumentation in the hip region
Infectious mononucleosis
Infectious mononucleosis
Adenopathy
Lymphadenopathy
Fatigue
Low grade fever
Sweats
Dysphagia
Tonsillitis
Pharyngeal inflammation
Pharyngitis
Sore throat
Malaise
Splenomegaly
Posterior cervical lymphadenopathy
Palatal petechiae
Palatal petechiae with blotchy red macules
Palatal petechiae with streaky hemorrhages
Anorexia
Symmetrical lymphadenopathy
Chills
Ebv shedders
Pharyngitis
Bacterial pharyngitis
Acute-onset of symptoms
Cervical lymphadenopathy
Low-grade fever
Malaise
Severe exudative pharyngitis
Fever
Patchy tonsillar exudates
Pharyngeal edema
Sore throat
Tender anterior cervical lymphadenopathy
Absence of cough
Tonsillar exudates
Tightly adherent gray membrane that bleeds when dislodged
Sore throat worsens when swallowing
Worsens when swallowing
Exposure to others with gas pharyngitis
Lower respiratory tract infection
Oral ulcers
Painful cervical lymphadenopathy
Abdominal pain
Pyelonephritis
Acute pyelonephritis in adults
Back pain
Costovertebral angle tenderness
Flank pain
Chills
Fever
Enlarging uterus
Hormonal changes
Dehydration
Nausea
Vomit
Autonomic dysreflexia
Change in functional status
Change in mental status
Chemotherapy
Corticosteroid
Delirium
Fall
Frequent sexual intercourse
Having new sex partner
Health care exposures
Systemic lupus erythematosus
Systemic lupus erythematosus
Arthralgia
Myalgia
Fatigue
Fever
Arthritis
Arthritis in hands
Arthritis in knees
Arthritis in wrists
Intermittent arthritis
Migratory arthritis
Nonerosive arthritis
Polyarticular arthritis
Symmetrical arthritis
Tenderness in joints
Tenderness in tendons
Anorexia
Malaise
Weight loss
Photosensitivity
Malar rash
Acute intermittent porphyria
Acute intermittent porphyria
Abdominal pain
Severe abdominal pain
Severe pain
Tachycardia
Back pain
Poorly localized pain
Steady pain
Vomiting
Constipation
Chest pain
Head pain
Limb pain
Muscle weakness
Neck pain
Nausea
Psychiatric symptoms
Hypertension
Dysuria
Urinary retention
Sensory loss
Liver abscess
Amebic liver abscess
Abdominal pain
Fever
Last less than 14 days
Right upper quadrant tenderness
Hepatomegaly
Weight loss
Pleuritic pain
Jaundice
Cough
Severe pain
Right upper quadrant pain
Acute onset
Solitary lesion
days
weeks
Fevers
Last days
Last one to two weeks
One to two weeks of fever
One to two weeks of right upper quadrant pain
Chronic bacterial prostatitis
Chronic bacterial prostatitis
Bulk-related symptoms
Charcot triad
Constitutional symptoms
Cystitis
Cystitis symptoms
Fever
High grade fever
High-grade fever
Intermittent fever
Low grade fever
Mild fever
Pelvic pain
Perineal pain
Recurrent abdominal pain
Recurrent infection
Recurrent pain
Recurrent uti
Reynold pentad
Suprapubic pain
Symptoms onset six months
Toxic megacolon
Toxic megacolon
Frequently severe bloody diarrhea
Malaise
Abdominal distention
Abdominal pain
Altered sensorium
Hypotension
Mental status changes
Volume depletion
Fever
Tachycardia
Abdominal tenderness
Acute diarrhea
Postural hypotension
Appear very ill
Chronic diarrhea
Generalized peritonitis
Localized peritonitis
Lower abdominal distension
Lower abdominal tenderness
Toxic appearing patient
Gastroenteritis
Listerial gastroenteritis
Signs of volume depletion
Abdominal pain
Decreased skin turgor
Reduced skin turgor
Diarrhea
Dry mucous membranes
Watery diarrhea
Bloody diarrhea
Last less than two days
Travel
Continuous pain
Radiates to right iliac fossa
Colicky pain
Constitutional symptoms
Drinking unclean well or surface water
Drinking unpasteurized milk
Ingesting ground beef
Pain is less marked
Cramping pain
Fever
Acute Abdominal Pain
History and physical examination
Unstable or Obvious surgical indication
Consider: Hemorrhage Perforation Acute peritonitis Bowel obstruction Ischemia
Resuscitation
Surgical consultation
LAPAROTOMY
Stable
Observation
Exclude: Medical causes
Consider: Inadequate physical manifestations
Further studies
Decreased pain
Observation
Continued pain Increased pain
Surgical Consultation
Chronic Abdominal Pain
History Physical examination, Laboratory tests
Evidence suggestive of visceral organ source
Stomach
Consider: Peptic ulcer Gastric tumor
Endoscopy Upper GI Series
Small bowel
Consider: Inflammation Tumor Obstruction
Small Bowel Follow-Through or Enteroclysis CT
Pancreas
Consider: Pancreatitis Cyst/tumor
Ultrasonography CT ERCP Pancreatic Function Test
Hepatobiliary
Consider: Gallstones Biliary obstruction Tumor/cyst Infiltration Chronic hepatitis Engorgement
Ultrasonography CT ERCP Liver Biopsy
Renal
Consider: Pyelonephritis Nephrolithiasis Tumor/cyst
Ultrasonography CT IV Pyelography
Colon
Consider: Inflammation Tumor Obstruction Diverticulosis
Barium Enema and/or Endoscopy
Abdominal wall source
Referred spinal nerve source
Vascular aneurysm
Ultrasonography CT Angiography
Pelvic source
Ultrasonography Laparoscopy
Nonlocalized or inapparent source
Consider: Metabolic disorders
Functional pain/dysmotility
IBS Nonulcer dyspepsia Postcholecystectomy syndrome
Chronic mesenteric ischemia Vasculitis
Angiography
Consider: Drug effect Lead toxicity
Consider: Tumor/cyst Infection Inflammatory process: Peritoneum Mesentery Omentum Retroperitoneum
Ultrasonography CT Laparoscopy Laparotomy
Dysphagia
History, Physical examination
EGD
Abnormal EBG
Treat Specific Structural Abnormality
Normal EGD
History suggestive of transfer dysphagia
Barium Video or Cine-Esophagography
Abnormal Barium study
Treat Dysphagia
Normal Barium study
Esophageal manometry
Abnormal manometry
Achalasia
Other motility disorders
Normal manometry
Barium Esophagography
Extrinsic compression
Functional dysphagia
History Not suggestive of transfer dysphagia
Esophageal manometry
Abnormal manometry
Achalasia
Other motility disorders
Normal manometry
Barium Esophagography
Extrinsic compression
Functional dysphagia