DDx in general: INVESTIGATIONS Infection Neoplasia Vascular Endocrine Structural/Mechanical Traumatic Inflammatory Genetic/Congential Autoimmune Toxic Infectious Old

age/degenerative Nutritional Spontaneous/Idiopathis FOR all Discharges.... including Diarrhoea,Cough ACCOD A-amount C -consistency C- color O- odor D- duration DDx Fatigue FATIGUED Fat/food poor diet Anemia (CA, Fe def, active bleed, blood dyscrasia or loss) Tumor Infection (HIV, SBE) General joint or liver Dz Uremia Endocrine (Hypo T, Addistons, DM) Depression, Drugs DDx: / Loss of Consciousness/Spells CAMPUS C-CAD A-Arrythmias/ Aortic Stenosis M-Migraine/ Meds P-Psychiatric /Personality disorder( hyperventilation) U-Unexplained Syncope S-eizures/Strokes 1

DDx: Dizziness DENTAL CAMPUS D-Diabetic comp ( Orthostatic ) E-Ear problems (Meniere's/ BPV) N-Neural tumors/Neuropathy T-Thyroid A-Anemia L-Leaves me C-CAMPUS DDx Confusion DEMENTIA D-Diabetes /Dementia/ Drugs E-Epilepsy M-Migraine/Mult Infarct Dementia E-Ethanol (withdrawl / Toxicity) N-Neurological Deficit diseases= BETA (Bleeds,Encephalitis,Tumors,Abscess,Meningitis) T-TIA/ Trauma I-Insulin/ Infections A-Alzheimers/Abscess Check list accordingly :- Numbness weakness/Headach ,Flashes, N/V /Jerky movements, LOC/ Insulin use /PHx Trauma/FHx of Alzheimer + Risk factor screen (Cholestrol,HTN,DM etc). For Suspected DEMENTIA =Instrumental inquiry = SHAFT Q's (Shop/Housekeep/Aaccount/Food prep/ Transport) , & Daily activity inquiry =DEATH Q's (Dress/Eat/Ambulate/Toilet/Hygiene) DDx Hematuria SWITCH G.Ps S-Stones, Sickle cell disease, SLE, scleroderma W-Wegener's granulamtosis I-Infection T-Trauma, tumor, TTP C-Cryoglobulinemia H-HUS, HSP, hemophilia G-Goodpasture's syndrome, glomerulonephritis P-PCKD S-Sponge disease (medullary sponge disease)

Sx Urination: FINISHHD PUBS F-Frequency I-Incomplete N-Noctiuria I- Incontinence S-Stream H-Hematuria H-Hesitency P-Pyuria U-Urgency B- Burning S- Straining

DDx Obesity OBESITY DISC O-Osteoarthritis B-Breathing problems E-Excess Cholestrol S-Sleep Apnea I-Increased Incidence Ca's (Endomet/Breast/Colon) T-Type 2 DM Y- hYpertension D-Depression I-Incontinence S-Stress C-Cholelithiasis/Cycle disturbances/Cardiac Associated Sx of Joint pain RED CUNT R-Rash (B19) E-Eye redness (iritis- ( AS, Behcets, Crohns Dz) D-Dysuria (Urethritis- Gonnoccocus) C-Constitutional Sx (fever, night sweats, wt. loss) U-Ulcers (genital and oral) (AS, Behcets, N-Numbness T-Tenderness

DDx Joint pain SPLINTER S-Septic, Spondyloarthropathies P- Pseudogout/Gout L- Lyme Dz I- Infetion N-Neoplasia T-Truama E-Endocarditis R-Reiters Sy DDx Shoulder pain case DEFORMS D-Dislocation ( Ant/Post) E-Elderly Abuse F-Fracture ( Head/Shaft) O-Osteoporosis /Osteoarthritis R-Rotator Cuff Tear M-Multiple myeloma S-Subacromial Bursitis DDx Nasuea & Vomiting A MOPING Anorexia Metabolic( DKA)/Meds Obstruction (pyloric /Intestinal) Pregnancy Inflammation( Pyelo/Cholecysto/Appi/Pancreas/PID) Neurological (BETA)= Bleed/Encephalitis/Tumor/Abscess Gastroenteritis