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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
Anaphylaxis
Anaphylaxis
Conjunctival swelling
Generalized flushing
Generalized hives
Generalized pruritus
Intensely pruritic
Intensely pruritic urticarial eruptions
Involvement of the mucosal tissue
Involvement of the skin
Periorbital edema
Swollen lips
Swollen tongue
Swollen uvula
Urticarial eruptions
Uniphasic
Bronchospasm
Change in voice quality
Cough
Dyspnea
Hypoxemia
Nasal congestion
Pancreatitis
Acute pancreatitis
Nausea
Vomiting
Mild discomfort
Left upper quadrant pain
Alleviated in fetal position
Worsens with movement
Acute upper abdominal pain
Boring pain
Periumbilical pain
Relief on bending forward
Relieved by sitting up
Epigastric pain
Pain radiate to back
Signs of hypovolemia
Anorexia
Hypotension
Abdominal distention
Blue-red-purple of flanks
Clinical signs of hypocalcemia
Gradual pain
Motion sickness
Motion sickness
Anxiety
Motion exposure
Perceived motion
Real motion
Nausea
Sense of being aware of one stomach
Vomiting
Malaise
Cold sweating
Diaphoresis
Lateral motion
Low-frequency certain directional motion
Postural hypotension
Vertical motion
Visual disorder
Wearing reversal prisms
Headache
Dry mouth
Dyspnea
Epigastric discomfort
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
Eclampsia
Eclampsia
Hypertension
Frontal headaches
Headache
Occipital headaches
Thunderclap headaches
Preexisting preeclampsia
After 20 weeks of gestation
Blurred vision
Decreased visual acuity
Flashing lights
Flashing sparks
Headaches
Scotomata
Visual loss
Symptoms of cns dysfunction
Altered mental status
Cerebral symptoms
Confusion
Cortical blindness
Hepatic abnormality
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
Gastroenteritis
Mucosal eosinophilic gastroenteritis
Diarrhea
Early satiety
Nausea
Vomiting
Abdominal bleeding
Acute onset of gastrointestinal bleeding
Black stool
Bleeding episodes
Blood in the vomitus
Colitis
Gi bleeding
Hemorrhagic complications
Melena
Occult blood
Stool guaiac-positive
Tarry stool
Bloody diarrhea
Discomfort or pain in upper belly
Discomfort or pain near the ribs
Upset stomach
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
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
Preeclampsia
Preeclampsia
After 20 weeks of gestation
Blurred vision
Flashing lights
Flashing sparks
Headaches
Hypertension
Scotomata
Altered mental status
Cerebral symptoms
Cortical blindness
Epigastric pain
Hepatic abnormality
Photopsia
Right upper quadrant pain
Severe headache
Visual symptoms
Edema
Abruptio placentae
Antiphospholipid syndrome
Chronic renal disease
Papilledema
Papilledema
Headache
Headache worse in early morning
Worse in early morning
Dilated disk surface capillaries
Disk telangiectasia
Hyperemic disc appearance
Binocular horizontal diplopia
Headache worsening with recumbency
Worsening with recumbency
Brief unilateral visual obscurations
Increased blind spot
Bilateral
Nausea
Vomiting
Buried blood vessels as they course the disc
Cup obliteration
Disc margins obscuration
Flat disc with irregular margins
Optic disc elevation
Serpentine engorgement of retinal veins
Nausea and Vomiting
History, PE, Laboratory evaluation
Assess for mechanical obstruction, peritonitis, dehydration, or bleeding
YES (mechanical obstruction, peritonitis, dehydration, or bleeding)
Replace fluids, Consider hospitalization
NO (mechanical obstruction, peritonitis, dehydration, or bleeding)
Regurgitation of undigested food? rumination, esophageal stricture, Zenker’s diverticulitis
Assess for pharmacologic or toxic causes
YES (pharmacologic or toxic causes)
Discontinue offending agent Treat toxicity
NO (pharmacologic or toxic causes)
Constant or recurrent, intermittent
Consider: Migraines, Seizure disorder, Cyclic vomiting, CNS lesions
Duration < 1 wk
Consider: Food poisoning, Gastroenteritis
Fluid and electrolyte replacement, observation, antiemetics
Duration > 7 days
Predominantly AM vomiting
Consider: Pregnancy, Uremia, Alcohol use, Increased intracranial pressure
Focal defects, Brainstem Posterior fossa, Abdominal migraine
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Vomiting > 1 hr after meal
Gastric emptying study
Prolonged emptying
Consider: Gastroparesis, Trial prokinetic agents, Gastric outlet obstructions
EGD
Normal emptying
Consider: Conversion reaction, Depression
Psychological evaluation
Vertigo
Consider: Labyrinthine disorder
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Vomiting immediately after meals
Consider: Gastroesophageal reflux disease, Bulimia
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Chronic orthostatic hypotension, hyponatremia
Consider: Adrenal insufficiency
Etiology still uncertain
Consider: Electrogastrography, MRI of brain
Weight loss
Consider: Malignancy, Gastroparesis, Gastric outlet obstruction
EGD
Etiology still uncertain
Consider: Electrogastrography, MRI of brain