Above the Diaphragm
New Onset Murmur.
Mobile mass on TOE
Splenomegaly
Infective Endocarditis (consider culture negative)
Travel
Thick and Thin Blood Film
Mosquitos
Malaria
Symmetrical polyarthritis associated with other autoimmune conditions and typically DIP sparing
RA
Shoulder / Hip Pain
Morning stiffness > 45 mins
PR / Polymyalgia Rheumatica
Fever, Night Sweats, Haemoptysis, Hepatosplenomegaly
Caseating granulomas present on CT Pan Scan, CXR Normal.
Disseminated TB
Can be associated with sexual partners, blood, faecal/oral
RUQ pain
Hepatitis
Painless haematuria, flank pain / mass, hypercalcaemia
RCC
Often happens in people with cancer / on chemotherapy
low neutrophil count
febrile neutropenia
Cough, Fever, Bibasal Crackles,
Positive Urinary antigen test
No obvious organisms on gram stain.
Legionella / Atypical Pneumonia
Diarrhoea (can be bloody or non-bloody)
Abdominal Cramping
Typically from poorly cooked food / poultry / contaminated water intake
infectious colitis
New neck lump!
Night sweats, weight loss, hepatosplenomegaly
Affected by alcohol consumption
Hodgkins (and non Hodgkins Lymphoma)
hyper-reflexia
clonus
autonomic instability
agitation
rapid onset, typically in people who mix anti-depressants with recreational drugs like LSD, fentanyl or with MAOi's
Serotonin Syndrome
Pain near jaw
Myalgia + Malaise
Alternating diarrhoea and constipation
Post cleared URTI
Subacute / De Quervain's Thyroiditis
Travel, RUQ pain, spread by faecal/oral route
Weight loss, hepatomegaly.
Trophozoite mediated
Entamoeba Histolytica
Back pain, with focal tenderness -> can be associated with trauma, also maybe not. Can have cord compression signs with time.
Subacute Osteomyelitis
Hyponatraemia, Hyperkalaemia, Hypotension
Background of a previous condition
Addison's Adrenal Crisis
New Murmur
Mobile mass on TOE / TTE
Weight loss
30<Age<60
Atrial Myxoma
Associated with pork ingestion.
Leading cause of acquired epilepsy
Starry Sign appearance on CT brain
T.Solium / Neurocystericosis
Tumour markers for Pancreatic Cancer
Young adults (16-35)
Evanescent Salmon Pink macular rash on trunk and limbs
Daily spikes over 39 then normal temperature rest of day
Adult Onset Stills Disease