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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
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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
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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
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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
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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
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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

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