&d\d & differential diagnosis

[color=darkblue]ascites
hepatic cirrhosis with portal hypertention
intra abdominal malignancy with peritoneal spread
congestive heart failure
hepatic or portal vein occlusion
peritonitis

D.D of red eye:
conjunctivitis
foreign body
episcleritis
scleritis
corneal abrasion
acute glaucoma
ant. uveitis
endophthalmitis

d\d of acute wheez
paediatrics^_^
1.....acute broncholitis
2....bronchopneumonia
3.......bronchial asthma
4...gastroesophygeal reflux
5..foreign body aspiration
6.....cystic fibrosis
7.....broncheactesis
8.....cow milk allergy
9.....heart failure

D/D of Erythema nodosum:
1.IBD
2.TB
3.Sarcidosis
4.Mycoplasma pneumonia
5.Bioderma gangrenosum

bloody diarrhoea
d/d
1-infectionsalmonela-e coli-
2- ulcerative colitis
3-cronh s colitis
4-ca colon
5-gE
6-diverticulum colitis

D/D of hepatosplenomegaly:-
lymphoma
myeloproliferative disease
cirrhosis with portal hypertention
amyloidosis, sarcoidosis

d/d of haematemesis
1- peptic ulcer
2- E varices
3-mallory weiss syndrom

D.D OF malar flush ???
- polycythemia
-mitral stenosis
-SLE

d.d of flapping tremor ?
-renal failure
-hepatic failure
-res.failure type2
-phenytoin toxicity

d\d of widning of mediastinum

1.......achalasia
2......retrosternal goiter
3.......aortic anyorism
4......lymphoma
5......ca lung

d\d of rt-iliac fossa mass

1....ca ceacum
2....t.b
3......crons disease
4....appendicular mass\abces
5.....ovarian mass\tumour
6....undesended testis
7....ectopic pregnancy
8....emplanted kidney
9....psuos muscle abcess

d.d of spider naevi ???

- 2% normal in people
- 3rd trimester of pregnancy
- liver cirrhosis
- radiations
- thyrotoxicosis
- side effect of corticosteroid

d\d of palmar erythema

1.....liver cirrhosis
2....RA
3....(COPD (polycythemia
4....hyperdynamic circulation

d.d of gynecomastia ?
painless and bilateral

1====cimitidin
2=====digoxin
3=======spironolactone
4==========hyperprolactenoma

d.d of massive spleenomegaly ?
1==== chronic myeloid leukemia
2=====myelofibrosis
3======malaria
4======== kalazar

D/D of palpable swelling in the groin
1- inguinal hernia
2- femoral hernia
3-lymph node
4- lipoma
5- undescended testis

d\d of clupping
1....caliac dis
2...IBD
3...liver cirrhosis
4....1ry billiary cirrhos

d.d of hepatic encephalopathy???

1 **** subdural haematoma
2 ***** drug + alcohol intoxication
3 ****** wernickes encephalopathy
4 ******* 1ry psychiatric disorder
5 ******** hypoglycaemia
6 ********* neurological wilson`s disease

d\d of duptryns contraction

1....(liver cirrhosis (alcoholic patient
2....DM
3...heavy manual work
4...S\E of anticonvulsent drugs

DDx of Hemoptysis.:
1. TB
2. Lung CA
3. Bronchiectasis
4. URTI & Pneumonia
5. Pulmonary embolism
6. Mitral stenosis
7. Blood disease

DDx of Wheeze :
1. Obstructive airway disease [Asthma, COPD, Bronchiectasis
2. Heart failure [Cardiac asthma]
3. Pneumonia

DDx ofCOPD:
]. Asthma
2. Bronchiectasis
3. TB
4. Heart failure

D/D of rectal bleeding:
1- heamoroids
2- anal fissure
3- colorectal poyps

:.vv:

الحكي سليم :ض/:

:nn.:

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