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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
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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