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Symptoms and Signs – Differential Diagnosis of Facial swelling
Periorbital oedema
Nephrotic syndrome, hypoalbuminaemia
Infection: orbital/periorbital cellulitis, trichinosis (rare)
Hypo/hyperthyroidism
Dermatomyositis
Carotico-cavernous fistula, cavernous sinus thrombosis
Allergy to insect bites/drugs (including anaphylaxis), Cl inhibitor deficiency
Other causes of facial swelling/enlargement
Dental/sinus infection
Trauma, burns
Subcutaneous emphysema
SVC thrombosis
Cushing's syndrome, obesity
Periorbital oedema
Nephrotic syndrome, hypoalbuminaemia
Infection: orbital/periorbital cellulitis, trichinosis (rare)
Hypo/hyperthyroidism
Dermatomyositis
Carotico-cavernous fistula, cavernous sinus thrombosis
Allergy to insect bites/drugs (including anaphylaxis), Cl inhibitor deficiency
Other causes of facial swelling/enlargement
Dental/sinus infection
Trauma, burns
Subcutaneous emphysema
SVC thrombosis
Cushing's syndrome, obesity
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Symptoms and Signs – Differential Diagnosis of Faecal incontinence
Pelvic floor abnormality: accidental injury, e.g. pelvic fracture, anorectal surgery, obstetric-traumatic childbirth, rectal prolapse
Overflow
Neurological: epilepsy, spinal cord compression, stroke, multiple sclerosis, trauma and tumours (brain, spinal cord, cauda equina), peripheral neuropathy (e.g. diabetes), dementia, Parkinson's disease
Fever in traveller
Diarrhoea
Congenital: meningomyelocele, anorectal anomalies
Pelvic floor abnormality: accidental injury, e.g. pelvic fracture, anorectal surgery, obstetric-traumatic childbirth, rectal prolapse
Overflow
Neurological: epilepsy, spinal cord compression, stroke, multiple sclerosis, trauma and tumours (brain, spinal cord, cauda equina), peripheral neuropathy (e.g. diabetes), dementia, Parkinson's disease
Fever in traveller
Diarrhoea
Congenital: meningomyelocele, anorectal anomalies
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Symptoms and Signs – Differential Diagnosis of Fasciculations
Thyrotoxicosis
Primary myopathy
Polyneuropathy
Motor root compression
Motor neurone disease
Thyrotoxicosis
Primary myopathy
Polyneuropathy
Motor root compression
Motor neurone disease
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Symptoms and Signs – Differential Diagnosis of Fatigue
Malignancy
Inflammatory/connective tissue diseases
Infection
Heart failure
Endocrine/metabolic: diabetes mellitus, hypo/hyperthyroidism, Addison's disease, uraemia
Drugs, e.g. Beta -blockers
Depression
Chronic fatigue syndrome
Anaemia
Malignancy
Inflammatory/connective tissue diseases
Infection
Heart failure
Endocrine/metabolic: diabetes mellitus, hypo/hyperthyroidism, Addison's disease, uraemia
Drugs, e.g. Beta -blockers
Depression
Chronic fatigue syndrome
Anaemia
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Symptoms and Signs – Differential Diagnosis of Increased and Decreased Ferritin
Increase Ferritin
Still's disease
Sideroblastic anaemia
Repeated transfusions in thalassaemia, iron therapy
Haemochromatosis
Anaemia of chronic disease, chronic haemolysis
Acute phase response: infection, inflammation, malignancy
Decrease Ferritin
Iron deficiency
Increase Ferritin
Still's disease
Sideroblastic anaemia
Repeated transfusions in thalassaemia, iron therapy
Haemochromatosis
Anaemia of chronic disease, chronic haemolysis
Acute phase response: infection, inflammation, malignancy
Decrease Ferritin
Iron deficiency
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Symptoms and Signs – Differential Diagnosis of ECG changes
Axis deviation (left and right)
Bundle branch block (left and right)
Low voltage complexes: obesity, COPD, pleural effusion, myxoedema
P wave (absent and tall)
ST segment (elevation and depression)
Tachycardia
U wave
Axis deviation (left and right)
Bundle branch block (left and right)
Low voltage complexes: obesity, COPD, pleural effusion, myxoedema
P wave (absent and tall)
ST segment (elevation and depression)
Tachycardia
U wave
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Symptoms and Signs – Differential Diagnosis of Surgical Emphysema
Gas gangrene
Obstructive lung disease, e.g. asthma
Oesophageal injury
Positive pressure ventilation
Trauma, surgery, chest drain insertion
Gas gangrene
Obstructive lung disease, e.g. asthma
Oesophageal injury
Positive pressure ventilation
Trauma, surgery, chest drain insertion
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Symptoms and Signs – Differential Diagnosis of Surgical Emphysema
Gas gangrene
Obstructive lung disease, e.g. asthma
Oesophageal injury
Positive pressure ventilation
Trauma, surgery, chest drain insertion
Gas gangrene
Obstructive lung disease, e.g. asthma
Oesophageal injury
Positive pressure ventilation
Trauma, surgery, chest drain insertion
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Symptoms and Signs – Differential Diagnosis of Disseminated intravascular coagulation
Burns, snake bites, grafts
Haemolytic transfusion reaction
Infection: Gram -ve sepsis
Malignancy: (AML: M3; adenocarcinoma)
Obstetric complications: missed abortion, severe pre-eclampsia, placental abruption, amniotic fluid emboli)
Severe trauma
Surgery
Burns, snake bites, grafts
Haemolytic transfusion reaction
Infection: Gram -ve sepsis
Malignancy: (AML: M3; adenocarcinoma)
Obstetric complications: missed abortion, severe pre-eclampsia, placental abruption, amniotic fluid emboli)
Severe trauma
Surgery
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Symptoms and Signs – Differential Diagnosis of Dizziness
Faintness: anaemia, blackouts
Imbalance
Vertigo
Faintness: anaemia, blackouts
Imbalance
Vertigo