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​Symptoms and Signs – Differential Diagnosis of Tracheitis
• Cytomegalovirus (CMV) in immunocompromised patients
• Diphtheria
• Epiglottitis
• Hypoglycemia
• Invasive aspergillosis in immunocompromised patients
• Mass lesions
• Migraine
• Necrotizing herpes simplex infection in the elderly
• Seizures
• Subdural hemorrhage
• Transient ischemic attack (TIA)
• Vestibular disease
• Viral croup
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​Symptoms and Signs – Differential Diagnosis of Tremor
TREMOR PRESENT AT REST
• Parkinsonism
• CNS neoplasms
• Tardive dyskinesia
POSTURAL TREMOR (PRESENT DURING MAINTENANCE
OF A POSTURE)
• Essential senile tremor
ACTION TREMOR (PRESENT WITH MOVEMENT)
• Anxiety
• Medications (e.g., bronchodilators, caffeine, corticosteroids, lithium)
• Endocrine disorders (hyperthyroidism, pheochromocytoma, carcinoid)
• Withdrawal from substance abuse


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​Symptoms and Signs – Differential Diagnosis of Trochanteric Bursitis
• Fibromyalgia
• Gout
• Iliopsoas bursitis
• Neuropathy
• Osteoarthritis of the hip
• Osteoarthritis of the lumbar spine
• Osteonecrosis of the hip
• Pseudogout
• Stress fracture of the hip
• Trauma
• Trochanteric tendinitis
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​Symptoms and Signs – Differential Diagnosis of  Pulmonary Tuberculosis
• Cancer
• Coccidioidomycosis
• Histoplasmosis
• Interstitial lung diseases (rarely)
• Melioidosis
• Necrotizing pneumonia (anaerobic, gram-negative)
• Paragonimiasis
• Rare pneumonias: Rhodococcus equi (cavitation), Bacillus cereus (50% hemoptysis), Eikenella corrodens (cavitation)
• Sarcoidosis
• Silicosis
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​Symptoms and Signs – Differential Diagnosis of Miliary Tuberculosis
• Brucellosis
• Collagen-vascular disease
• Lymphoma
• Neoplasms
• Typhoid fever
• Widespread sites of possible dissemination associated with myriad differential diagnostic possibilities
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​Symptoms and Signs – Differential Diagnosis of Trigger Finger
• Acute digital tenosynovitis
• Carpal tunnel syndrome
• de Quervain’s tenosynovitis
• Dupuytren’s contracture
• Flexion tendon rupture
• Proliferative tenosynovitis
• Trauma
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​Symptoms and Signs – Differential Diagnosis of Thyroiditis
• Factitious hyperthyroidism can mimic silent thyroiditis.
• Painful subacute thyroiditis can be mistaken for infections of the oropharynx and trachea or for suppurative thyroiditis.
• Riedel’s thyroiditis can be mistaken for carcinoma of the thyroid.
• The hyperthyroid phase of Hashimoto’s, subacute, or silent thyroiditis can be mistaken for Graves’ disease.
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