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Symptoms and Signs – Differential Diagnosis of Foot drop
Common peroneal nerve lesion: mononeuritis multiplex, e.g. diabetes mellitus
Injury to the dorsiflexors, compartment syndrome
LS root lesion (radiculopathy), e.g. inter-vertebral disc prolapse
Muscular
Neurological
Rarer: motor neuron disease, multiple sclerosis, stroke
Common peroneal nerve lesion: mononeuritis multiplex, e.g. diabetes mellitus
Injury to the dorsiflexors, compartment syndrome
LS root lesion (radiculopathy), e.g. inter-vertebral disc prolapse
Muscular
Neurological
Rarer: motor neuron disease, multiple sclerosis, stroke
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Symptoms and Signs – Differential Diagnosis of Fever in traveller
Typhoid
Typhoid
TB
Malaria
Malaria
Leptospirosis
Leishmaniasis
Hepatitis A
Haemorrhagic fevers
Dengue
Brucellosis
Amoebic abscess
Typhoid
Typhoid
TB
Malaria
Malaria
Leptospirosis
Leishmaniasis
Hepatitis A
Haemorrhagic fevers
Dengue
Brucellosis
Amoebic abscess
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Symptoms and Signs – Differential Diagnosis of Epistaxis
Anticoagulants, bleeding disorders
Hereditary haemorrhagic telangiectasia
Nasal tumours
Trauma/irritation: nose picking, forceful blowing, foreign body, chronic intranasal drugs use (e.g. cocaine)
Anticoagulants, bleeding disorders
Hereditary haemorrhagic telangiectasia
Nasal tumours
Trauma/irritation: nose picking, forceful blowing, foreign body, chronic intranasal drugs use (e.g. cocaine)
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Symptoms and Signs –Differential Diagnosis of Erythema multiforme
Malignancy (lymphoma, leukaemia, myeloma), radiation
Inflammatory/connective tissue diseases: rheumatoid arthritis, SLA, sarcoidosis, PAN, Wegener's granulomatosis
Infection: viral (HSV, EBV, orf), bacterial (Mycoplasma pneumoniae, chlamydiae), fungal (histoplasmosis, coccidiomycosis)
Idiopathic
Drugs: sulphonamides, penicillins, anticonvulsants
Malignancy (lymphoma, leukaemia, myeloma), radiation
Inflammatory/connective tissue diseases: rheumatoid arthritis, SLA, sarcoidosis, PAN, Wegener's granulomatosis
Infection: viral (HSV, EBV, orf), bacterial (Mycoplasma pneumoniae, chlamydiae), fungal (histoplasmosis, coccidiomycosis)
Idiopathic
Drugs: sulphonamides, penicillins, anticonvulsants
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Symptoms and Signs – Differential Diagnosis of Erythema nodosum
Pregnancy
Malignancy: lymphoma, leukaemia
Inflammation: inflammatory bowel disease, sarcoidosis, Bechet's disease
Infection: Bacterial (Streptococcus, Chlamydia, TB, Yersinia, Rickettsia, leprosy, leptospirosis), Viral (EBV), Fungal (histoplasmosis, coccidiomycosis, blastomycosis), Protozoa! (toxoplasmosis)
Drugs: sulphonamides, penicillin, oral contraception, salicylates, dapsone
Pregnancy
Malignancy: lymphoma, leukaemia
Inflammation: inflammatory bowel disease, sarcoidosis, Bechet's disease
Infection: Bacterial (Streptococcus, Chlamydia, TB, Yersinia, Rickettsia, leprosy, leptospirosis), Viral (EBV), Fungal (histoplasmosis, coccidiomycosis, blastomycosis), Protozoa! (toxoplasmosis)
Drugs: sulphonamides, penicillin, oral contraception, salicylates, dapsone
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Symptoms and Signs - Differential Diagnosis of Increased ESR
Metabolic, e.g. phaeochromocytoma
Malignancy
Inflammatory/connective tissue diseases
Infection
Metabolic, e.g. phaeochromocytoma
Malignancy
Inflammatory/connective tissue diseases
Infection
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Symptoms and Signs – Differential Diagnosis of Increased ESR, normal CRP
Ulcerative colitis
SLE
Recovery from an infection: when CRP has normalized but ESR is still high (has a
Myeloma
longer half-life)
Ulcerative colitis
SLE
Recovery from an infection: when CRP has normalized but ESR is still high (has a
Myeloma
longer half-life)
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Symptoms and Signs – Differential Diagnosis of Swollen Eyelids
Orbital cellulitis
Herpes zoster ophthalmicus
Herpes simplex
Dacryocytitis
Chalazion, stye, spread of infection from a local lesion e.g. a squeezed comedo
Blepharitis (may be associated with rosacea, eczema, psoriasis)
Allergy (contact with cosmetics, chemicals, animals, plants)
Orbital cellulitis
Herpes zoster ophthalmicus
Herpes simplex
Dacryocytitis
Chalazion, stye, spread of infection from a local lesion e.g. a squeezed comedo
Blepharitis (may be associated with rosacea, eczema, psoriasis)
Allergy (contact with cosmetics, chemicals, animals, plants)
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Symptoms and Signs – Differential Diagnosis of Facial nerve palsy
Unilateral
Vascular: brainstem infarction
Tumours: brainstem, cerebellopontine angle (acoustic neuroma), meningeal infiltration, parotid gland
Trauma or surgery of the face
Inflammation: sarcoidosis (meningeal inflammation), multiple sclerosis (demyelination in brainstem)
Infection (petrous bone): middle ear infection or herpes zoster
Bell's palsy (idiopathic)
Bilateral
Sarcoidosis
Myasthenia gravis
Muscular dystrophy
Motor nurone disease
Infections: Lyme disease, HIV
Guillain-Barre syndrome
Congenital facial diplegia
Unilateral
Vascular: brainstem infarction
Tumours: brainstem, cerebellopontine angle (acoustic neuroma), meningeal infiltration, parotid gland
Trauma or surgery of the face
Inflammation: sarcoidosis (meningeal inflammation), multiple sclerosis (demyelination in brainstem)
Infection (petrous bone): middle ear infection or herpes zoster
Bell's palsy (idiopathic)
Bilateral
Sarcoidosis
Myasthenia gravis
Muscular dystrophy
Motor nurone disease
Infections: Lyme disease, HIV
Guillain-Barre syndrome
Congenital facial diplegia
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Symptoms and Signs – Differential Diagnosis of Facial pain
Neurological
Trigeminal neuralgia
Postherpetic neuralgia
Migrainous neuralgia and migraine
Glossopharyngeal neuralgia
Giant cell arteritis
Local causes
Temporomandibular joint dysfunction
Sinusitis
Referred cardiac pain
Post-traumatic
Orbital and ocular disease, optic neuritis, retro-orbital disease (e.g. posterior communicating artery aneurysm)
Nasopharyngeal tumours
Ear and parotid disease
Dental/oral disease
Atypical facial pain
Neurological
Trigeminal neuralgia
Postherpetic neuralgia
Migrainous neuralgia and migraine
Glossopharyngeal neuralgia
Giant cell arteritis
Local causes
Temporomandibular joint dysfunction
Sinusitis
Referred cardiac pain
Post-traumatic
Orbital and ocular disease, optic neuritis, retro-orbital disease (e.g. posterior communicating artery aneurysm)
Nasopharyngeal tumours
Ear and parotid disease
Dental/oral disease
Atypical facial pain