Cough
febrile, most common in >65 and <5, rapid onset, profound fatigue and malaise, anorexia, +/- GI symptoms
Influenza
abrupt onset of fever, hoarseness, Severe sore throat, weakness, cough, nasal discharge, myalgia, h/o travel
Influenza
infectious contact, STI, copious purulent discharge, matting eyelids upon waking, minimum "scratchy" pain
Bacterial conjunctivitis
green, red or rust sputum, pleuritic chest pain, chills, tachycardia, fever
pneumonia
caustic, stinging sensation radiating to back, pyrosis, lying supine provokes both heartburn and regurgitation, laryngitis, wheezing, coughing
INFANTS: weight loss, arching back, vomiting, irritability
GERD
Exposure to sick contacts, clear and then yellow and thick nasal discharge, low grade fever, sneezing, sore throat, cough, watery eyes +/- HA
URI (common cold)
Primarily 5-15YO, recent exposure, spread within families, no hoarseness or cough, intense throat pain, painful swallowing
Group A Strept
tearing, gradual onset, slightly crusting along eyelid margin, unilateral progressing to bilateral, foriegn body sensation, photophobia
Viral Conjunctivitis
h/o asthma or allergies, recent respiratory tract infection, chronic, paroxsymal cough, audible wheezing
asthma
pain worsening while laying down, relieved when standing; may be retrosternal pain with radiation down left arm
hiatial hernia
Genetics, exposure to allergens, clear nasal discharge, itchy nose and throat, possible loss of smell, puffy eyes, sensitive skin
Allergic Rhinitis
adolescent, young adults, intimate exposure to sick contact, low-grade fever, gradual onset, pronounced fatigue and malaise
itchy, painless, seasonal, no visual changes, edema of eyelids
Allergic conjunctivitis
h/o chronic illness, fatigue, palpitations, lightheadedness, dyspnea on exertion
Anemia
episodic gnawing epigastric pain 2-5 hours after meals or on empty stomach, nightime awakening r/t pain, symptom relief with food intake, emesis, loss of appetite, weight loss
Peptic Ulcer Disease
Drug induced from overuse of nasal decongestant or cocaine, atrophic geriatric from progressive-degenerative mucosa
Non-allergic rhinitis
Exposure to sick contacts, scratchy sore throat starts after 2-3 days of other illness symptoms, malaise, myalgia, chills, mild conjunctivitis, congestion, hoarseness, cough
Viral pharyngitis
Contact lens wearers or by trauma, moderate to severe pain, watery discharge, marked decrease in vision, HA, irritation when patient blinks
Corneal Abrasion
!! RED FLAG !!
hoarse, seal bark cough, variable fever, comes on gradually
!! RED FLAG !!
Croup
dyspepsia with abdominal pain, epigastric discomfort worse after eating,
gastritis
prolonged congestion, h/o URI, no fever, nasal speech, yellow/green discharge
Predisposing factors: deviated septum, swimming, dental abcess, trauma, h/o DM, cystic fibrosis or asthma
sinusitis
!!!RED FLAG!!!
common in adults or children ≤4, severe throat pain with difficulty opening mouth, recurrent fever, cervical lymphedemopathy
Peritonsil or retropharyngeal access
dryness/flakiness of eyelids causing burning, itching, lacrimal tearing, loss of margins and lashes in late stages
blepharitis
Smoker, progressive worsening, usually resolves with rest, persistent cough--worse in AM, minimal clear/yellow sputum, easily fatigued
COPD
Chronic with symptoms for 6-8 months, epigastric pain or burning with sense of fullness
dyspepsia
!!!RED FLAG!!!
<5 or >65 is largest population, h/o smoking, COPD, recent viral URI, DM, hospitalization
Noisy cough, dyspnea, pleuritic chest pain, chills, yellow/green/red nasal discharge
Pneumonia
!! RED FLAG !!
h/o influenza b (HIB), rapidly progressive, potentially fatal, unvaccinated (mostly 2-5YO), respiratory distress, sore throat, difficulty swallowing, drooling, inspiratory stridor
epiglottis
!!! RED FLAG !!!
spasms of pupillary sphincters, constant/boring/throbbing eye pain, decreased visual acuity and black spots
Iritis AKA uveitis
!! RED FLAG !!
family h/o clotting disorder or immobilization, smoker or recent surgery, oral contraceptive, HF meds, acute onset--mild to severe chest pain, impending doom, hemoptysis, fever, cough
Pulmonary Embolism
!!! Red Flag !!!
severe chest pain or pressure, shortness of breath, and pain radiating to the jaw, neck, back, or arms
Acute Coronary DIsease (MI)