1

..
ANKLE SWELLING

ASYMMETRICAL SYMMETRICAL
VENOUS THROM BOSIS CARDIAC FAILURE

TRAUMA COR PULMONALE

CELLULITIS CLD

ARTHRITIS MALABSORPTION

LYMPHOEDEMA NEPHROT~SYNOROME

LOWER LIMB VENOUS OBSTRUCTION RE~Al DISEASE

DEPENDANT OEDEMA HYPOTHYROIDISM

EXTRINSIC V.ENOUS ~OMPRESS I~~ ·

DRUGS

HYPOALBUM I NE~IA (NEPHROTIC

SYNDROME,CLD,NUTRmON)

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HYPERTENSION

PRIMARY
ESSENTIAL

WHITE COAT INDUCED

ANXIETY PROVOKED

SECONDARY

RENAL (~USES [DIABATIC NEPHROPATHY, GN, APKD, RENOVASCULAR DISEASE, TUBULO

INTERSTITIAL NEPHRITIS)

ENDOCRINE [HYPERTHYROIDISM, ACROMEGALY, CUSHING SYNDROME, CONN; S SYNDROME,

PHEOCROMOCYTOMA, ADRENAL HYPERPLASIA

CARDIORESPIRATORY (COARCTATION OF AORTA, OSA]

DRUGS [NSAIDS, NASAL DECONGESTANT, OCP, STEROIDS, CYCLOSPORIN, ILLICIT DRUGS, ANABOLIC
STEROIDS)

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BACK PAlN
ACUTE CAUSES
TRAUMA

FRACTURE

OSTEOPOROSIS [DIET,FAMILY HISTORY,SEDENTARY LIFE STYLE,CIGGERRTE SMOKING, EARLY

MENOPAUSE,POST MENOPUSAL,H/0 OOPHORECTOMY,HYPERTHYROIDISM,HYPOGONADISM,DRUGS
LIKE STEROID }

DICS PROPALSE

SCIATICA

OSTEOMYLITIS

SPINAL CORD COMPRESSION [TUMOR, TRAUMA, ABSCESS, TB, HAEMATOMA]

CHRONIC CAUSES
OSTEOARTHRITIS

SERONEGATIVE ARTHRITIS

SPINAL STENOSIS

SPINAL CLAUDICATION

MYLOMA

PAGElS DISEASE

MALIGNANCY/METASTASIS

DEPRESSION

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BREATHLESSNESS [DYSPNOEA)

ACUTE CAUSES

PU LMONARY EMBOLISM

PNEUMOTHORAX

ANXIETY

ACUTE ON CHRONIC CAUSES

CHRONIC CAUSES
CARDIAC [ISCHEMIA, CHF (LVF, RHF), VALVULAR HEART DISEASE, CARDIOMYOPATHIES)

PULMONARY [ASTHMA, COPD, BRONCHIECTASIS, SARCOIDOSIS, ILD, PPH, PH)

INFECTIONS [PNEUMONIA, TB, ABSCESS, EMPYEMA, ABPA)

TUMOR [LU NG CA, METASTASIS)

ANEMIA

NEUROLOGICAL [GBS, MYSTHENIA GRAVIS,)

OSA

PSYCHOLOGICAL [ANXIETY, HYPERVENTILATION)

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..
NEUROPATHY
SENSORY

MOTOR

AUTONOMIC

TRANSIENT CAUSES

TIA,EPILEPSY,ANXI ETY, M IGRAI NE,MS, HYPOGLYCEMIA

ACUTE CAUSES

0/A.GBS,TOXIN,PORPHYRIA

CHRONIC CAUSES

OM OCCUPATIONAL HISTORY[VIBRATING TOOLS]

. CRF FAMILY HISTORY [HSM N]

NUTRITIONAL [VJT 812 DEF] SEXUAL HISTORY [HIV,SYPHILIS]

. HYPOTHYROIDISM SOCIAL HISTORY [ALCOHOL I

CONNECTIVE TISSUE DISORDERS DRUG HISTORY

[RHEUMATOID ARTHRITIS,SLE,SARCOIDOSIS) [SENSORY,M<?TOR,SENSORIMOTOR I

MULTIPLE MYLOMA

PARANEOPLASTICS

NEUROFIBROMATOSIS

AMYLOIDOSIS

CHURG STRAUSS SYNDROME

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CHEST PAIN

ACUTE CAUSES CHRONIC CAUSES

ISCHEMIA CARDIAC (ISCHEMIA,PERICARDITIS,AS 1

PLEURITIC RESPIRATORY [Pl EURISY,EMBOUSM,PNEUMONIA 1

PULMO~ARY EMBOUS.M MUSCU LAR

PERI~Ro n:is . · · ·· · GERD

PNEUfi,IIOTHORAX NERVE ROOT PAIN

· AORT(~.I?ISSECTION RADICULOPATHY

OTHERS

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RAYNAUD"PHENOMENON
SYSTEM IC SCLEROSIS SEX HISTORY [HBV,HCV,HIV]

SLE FAMILY HISTORY [RAYNAUD]

RHEUMATOID ARTHRITIS OCCUPATIONAL HISTORY [VIBRATING TOOLS]

DERMATOMYOSITIS

POLYMYOSITIS

MYLOPROLIFERATIVE DISORDERS

HEPATITIS B ,C [CRYOGLOBULINEMIA 1

CERVICAL RIB

ATHEROSCLE~9SIS [PVO 1 .
CARPAL TUNNEL SYNO~OME

HYPOTHYROIDISM

TRAUMA

DRUGS

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FALL/COLLAPSE

WITH LOSS OF CONSCIOUSNESS

SYNCOPE,SEIZU RE, HYPOGlYCEMIA

WITH RETAINED CONSCIOUSNESS

PROXIMAL MUSCLE WEAKNESS

SENSORY NEUROPATHY

CEREBELLAR DISEASE

PARKINSON DISEASE

AUTONOMIC NEUROPATHY (DM J

...

DRUGS [ACE, BETA BLOCKER,CALCIUM CHANNEL ~-~OCKER,INSUUN )

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..
PROXIMAL MUSCLE WEAKNESS

CUSH ING SYNDROME

ACROMEGALY

THYROID DISEASE

POLYMYOSITIS

DERMATOMYOSITIS

POLYMYALGIA RHEUMATICA

OSTEOMALACIA

MYSTHENIA GRAVIS

ELECTROLYTE IMBALANCE

DRUG INDUCED

MUSCULAR DYSTROPHY

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COUGH

R£SPIHATOR'( CAUSES (RT I,PU[ UMOPIIA,COPDAST HMA,IlO,SACROIOOSIS

MflliGNAtiCY,l B,BROtiOti(Cl ASIS,Alll nGY)

Gil (GWD I

cvs (lVF I
COtlti£CTIV[ TISSUE OISORO£R5

INfLAMMATION I P[RICJ\ROITIS,PUURJJlS)
rOR£1GN CODY

CNS ( ASPIRATIOt-45)

ENT (RHINITIS,Sit4USHIS)

DRUGS (ACE.AMIOOAROP4£,PlSAJD,ASP1RJfi,PIITRATE,CA CHANNEL BLOCKER]

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DOUBLE VISION

MYSTHENIA GRAVIS

THYROID EYE DISEASE-

MILLER FISCHER

WERNICKS ENCEPHALOPATHY

CRANIAl NERVE PALSIES [SINGLE/MUTIPLE)

MS

STROKE

INO

BRAINSTEM LESION

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DYSPHAGIA

PAINFUL NEUROLOGICAL CAUSES

INFECl'ION [FUNGAL ,OM) MND

PILL (NSAID,CORROSIVE,OISPHOSPHONATE ] STROKE

PHARYNGITIS, LARYNGITIS MYSTHENIA GRAVIS

PARKINSON

ACUTE CAUSES [FOREIGN BODY,ANGIODEMA]

CHRONIC CAUSES

· STRICTU RES [GERD,ANEMIA,CORROSIVE)

GIT CAUSES [ACHALASIA]

.CT DISORDEnS [SCLERODERMA,POLVMVOSITIS,DERMATOMVOSITIS]

MALIGNfiNCY ESOPHAGEfll

CVS (MITRAL STENOSIS)

COMf)RESSION [GOITRE ,LYMPH NODE]

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DOUBLE VISION

MYSTHENIA GRAVIS

GRAVE"OPHTHALMOPATHY

MILLER FISCHER SYNDROME

1
CRANIAL NERVE PALSIES [SINGLE OR MULTIPLE,LIKE 3R 0 ,4n ,6rH]

CAUSES [TRAUMA,BRAINSTEM LESION,MONONEURITIS MULTIPLEX,VASCULAR

INFECTION,INFLAMMATION,TUMOR)

STROKE

MULTIPL~ .SCLEROSIS
,.
INO ·

. WERNIK"ENCE.PHALOPATHY

MUSCLE DISEASE

ORBITAL LESIONS

LOCAL EYE CAUSES

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HAEMOPTVSIS

RESPIRATORY CAUSES

INFECTION [PNEUMONIA,TB,LUNG ABSCESS,ACUTE BRONCHITIS

BRONCHIECTASIS,ASPERGILLOSIS)

NEOPLASTIC [LUNG CARCINOMA,METASTASIS,KAPOSI SARCOME)

VASCULAR [PULMONA~Y EMBOLISM,WEGENER GRANULOMATOSIS,GGOD PASTURE,HHT)

CARDIAC CAUSES

PULMONARY OEDEMA

MITRAL STENOSIS

OTHER CAUSES

BLEEDING DISORDER

THORACIC ENDOMETRIOSIS

DRUGS [ANTICOAGULANT)

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HEADACHE

ACUTE CAUSES ACUTE ON CHRONIC /CHRONIC

CAUSES

M IGRAINE MIGRAINE

CLUSTER CLUSTER HEDACHE

TEMPORAL ARTERITIS TEMPORAL ARTERITIS

SAH BENIGN INTRACRANIAL HYPERTENSION

INTRACRANIAL BLEEDING ANALGESIA INDUCED

. .
SPORTS HEADACHE TENSION INDUCED

TRAUMA .SOL/METASTASIS ··

PITUARY APOPLEXY SUBDURAL HAEMATOMA

VENOUS SINUS THROMBOSIS ' MENINGITIS ·

FACIAL HEADACHE HYPERTENSION

TRIGEMINAL NEURALGIA BRAIN ABSCESS

TEMPORAL ARTERITIS

ACROMEGALY

POST HERPETIC

TOOTHACHE

EAR PROBLEM

LOCAL EYE CAUSES

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HOARSE VOICE

.UPPER Rll

ItHI AlA f iO rlfll lriiURY

Jrl r£CTIO U (CAPIOIOIJ\51S I

G£RO

cvs (MITRAl S Tlti O!>t~ I

TltYROIO OIS[AS(

J\CROM£GI\l Y

SUfiG{RY ON THttOM

t.tJ\lGUMKY (LJ\RllfX,.POlYP I

OCCUPA TlOtt.\l

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HYPERCALCEMIA

DIETARY

IMMOBILilY

MALIGNANCY [PARATHYROID ,MEN l,MEN 2 ]

SOL BRAIN [ACROMEGALY,CUSHING]

METASTASIS

SARCOIDOSIS

MULTIPLE MYLOMA

ORUGSSS

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JAUNDICE '

ACUTE CAUSES OTHER CAUSES

GALLSTONE DISEASE CCF,RHF

ACUTE HEPATITIS COR PULMONALE

ACUTE BUDD CHIARI SYNDROME HAEMO LYTIC ANEMIA

HAEMOLYSIS POST HEPATIC CAUSES

SUB ACUTE CAUSES

PANCREATIC AND HEPATOBILIARY MALIGNANCY

INTRA HEPATICCHOLESTASIS [DRUG INDUCED,AUTOIMMUNE,INFILTERATIVE LIVER DISEASE]

RIGHT HEART FAILURE

RECURRENT CAUSES
GALL STONE DISEASE

DISORDERS OF BILE TRANSPORT

COMMON CAUSES
HEPATITIS A

HEPATITIS B ,C

ALCOHOLIC HEPATITIS

PRIMARY BILIARY CIRRHOSIS

TRAVELLERS JAUNDICE

WILSON DISEASE

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JOINT PAINS

sYMMETRICAL POLYARTHRITIS MONOARTHRITIS

RHEUMATOID ARTHRITIS TRAUMA

SLE CRYSTALARTHRITIS

VASCULITIS OSTEOARTHRITIS

PSORIASIS INFCTION [GONOCOCCAL/NON GONO]

VIRAL SERONEGATIVE ARTHRITIS

ASYMMETRICAL POLYARTHRITIS HAEMOPHILIA

SERONEGATIVE ART~~ITIS DRUGS [WARFARIN]

GOUT/ PSEUDO GOUT MALIGNANCY

LYME DISEASE
... BECHET

RHEUMATIC FEVER

MALIGNANCY/METASTASIS

OTHER CAUSESS
SARCOIDOSIS· · ·

INFLAMMATORY BOWL DISEASE

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LOSS OF WEIGHT

WITH PRESERVED APETITE WITH LOSS OF APETITE

OM MALIGNANCY

HYPERTHYROIDISM SEVERE CARDIAC OR RESPIRATORY DISEASE

MALABSORPTION ADVANCED CRF

PHEOCROMOCYTOMA OESOPHAGEAL DISEASE

ADDISON DISEASE DEPRESSION

EXERCISE HIV

DIETING · · · · ·· CHRONIC INFAMMATORY DISEASE OF ANY CAUSE

INFECTIVE ENDOCARDITIS

LAXATIVE ABU.SE ·

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21

LOWER GIT HAEMORRHAGE

ANAL FISSURE

HAEMORRHOIDS

COLITIS [INFLAMMATORY,IN FECTIVE,RADIATION,ISCH EM IC)

DRUG INDUCED (PSEUDOMEMBRANOUS COLITIS,NSAID,WARFARIN]

DIVERTICULITIS

POLYP

MALIGNANCY

ANGIODYSPLASIA

Ill IT

TRAUMA [COLONOSCOPY]

CLD

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' MACROCYTIC ANEMIA

MEGALOBLASTIC
VITAMIN 812 DEFICIENCY (PERN ICIOUS ANEMIA,GASTRECTOMY,ILEAL RESECTION,BACTERIAL OVER

GROWTH,DIPHYLOBOTHRIUM LATUM INFECTION]

FOLATE DEFICIENCY [RENAL ANS SKIN DISEASE,ALCOHOL,DRUGS,MALABSORPTION,CONNECTIVE TISSUE

DISORDRS]

NON MEGALOBLASTIC

HYPOTHYROIDISM

ALCOHOL

CLD

MALABSORPTION

CONNECTIVE TISSUE DISOEDERSS

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NECK LUMP '

THYROID DISEASE

GOITRE [GRAVES',MNG,HASHIMOTOS,SUB ACUTE THYROIDITIS]

SOliTARY NODULE

ADENOMA

THYROID CANCER

CONGENITAL [ THYGLOSSAL CYST]

LYMPHADENOPATHY {INFECTIVE.MALIGNANT)

NEOPLASIS HEAD AND NECK [ESOPHAGEAL,STO~ACH,LUNG,LARYNX

CERVICAL RIB

VASCULAR [CROTID ARTERY ANEURYSM,CHEMODECTOMA]

SALIVARY GLAND DISEASE [PAROTITIS, NEOPLASM)

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...
PAINFUL SHINS

STREPTOCOCCAL INFECTION

FUNGAL INFECTION

SARCOIDOSIS

TB •

IBD

BEHCET DISEASE

LEPROSY

MALIGNANCY (MYLOPROLIFERATIVE DISEASE]

DRUGS[OCP,SULPHONYLUREA,SULPHONAMIDE,PENICILUN,GOLD I

b
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 7')

PROXIMAL MYOPATHY

POLYMYOSrTIS

DERMATOMYOSITIS

POLYMVALGIA Rti£UMA11CA

OSTEOMALACIA

MVS111 £t411\ GRAVIS

JlfYROIO OIS£AS£

ACIIOMtGALY

CUSIIIUG

HECTROl Yl[ IMMlAt\a

DRUG ltiOUC£0

MUSCULAR OYS1ROPHYS

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 26

PALPITATION

ANXIETY

THYROID DISEASE

PHEOCROMOCYTOMA

CARDIAC [ IHDARRYTHMIA,VALVUlAR HEART DISEASE,STRUCTURAL DISEASE)

HYPOGl VCEMIA

CEREBROVASCUlAR DISEASE

ANEMIA

DRUGS [BETA AGONIST,THEOPHYLLINE,THYROXINE,SYMPATHOMIMETIC,RECREATIONAL DRUGS,DRUG?

PROLONGING QT INTERVAL) .. . . . .. .. .

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' POLYUREA

INABILITY TO CONCENTRATE URINE

DIABETES INSPIDUS (CRANIAL,NEPHROGENIC)

CRANIAL 01 [POST SURGICAL,HEAD

· · · INJURY,RADIOTHERAPY,NEOPLASTIC(CRAN IOPHARYNGIOMA,PITUATARY METASTASIS],INFECTION
[TB,MENINGITIS ),INFALAMATION [SARCOIDOSIS,LANGERHAN CELL HISTIOCYTOSIS
),VASCULAR,IDIOPATHIC,FAMILIAL]

NEPHROGENIC 01 [CRF,ELECTROLYTE IMBALANCE. ( HYPOKALEMIA,HYPERCALCEMIA

. ),DRUGS
.
[LITHIUM,AMPHOTERICIN,OFLOXACIN,DEMECLOCYCLINE,FOSCA.RNET.J

OSMOTIC DIURESIS
OM

DIURETICS

CKD

PRIMARY POLYDYPSIA
PSYCHOGENIC

HABITUAL EXCESSIVE DRINKING

·•.

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PRURITIS

ATOPY/ALLERGY/UTRICARIA

EaEMA

INFECTION (VIRAL,FUNGAL,BACTERIAL]

POLYCYTHEMIA RUBRAVERA

LIVER DISEASE [ PBC,OBSTRUCTIVE JAUNDICE,PSC]

CRF

OM

MALIGNANCY [MYLQPROLIFERATIVE AND LYMPHOPROUFERTIVE DISEASE ]

THYROID DISEASE

PSYCHOGENIC

OBSTETRIC CAUSES$

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HAEMATURIA

DIAGNOSIS IN< 45 YEARS OF AGE DIAGNOSIS IN All AGE GROUPS

PULMONARY RENAL DISEASE RENAL CALCULI

GOOD PASTURE SYNDROME INFECTION[PYLONEPHRITIS,CYSTITIS,TB

WEGENER GRANULOMATOSIS INFECTIVE ENDOCARDITIS ]

MICROSCOPIC POLYANGITIS DRUGS [ANTI COAGULANT,STATI N

GLOMERU LONEPHRITIS CYCLOPHOSPHAMIDE ]

VASCULITIS Bl~EDING DISORDER

POLYARTERTIS NODOSA · TRAUMA,CATHETERIZATION

HENOCH SCHONLEIN PURPURA RADIOTHERAPY

CONNECTIVE TISSUE DISORDERS RHABDOMYOLYSIS

lUPUS NEPHRITIS APKD

SYSTEMIC SCLEROSIS

DIAGNOSIS IN 45 YEARS OF AGE

MALIGNANCY [KIDNEY,BLADDER,PROSTATE]

BENIGN [BPH ]

INFECTION [PROSTATITIS]

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..
FATIGUE

OM

ADDISON

THYROID DISEASE

ANEMIA

MYSTHENIA GRAVIS

POST VIRAL

CHRONIC FATIGUE SYNDROME

OSA'·
. . .
DEPRESSION

M(\LIGNANCY

CHRONIC ILLNESS

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WEIGHT GAIN

METABOLIC CAUSES OTHER CAUSES

CUSHING SYNDROME PELVIC/ABDOMINAL MASS

HYPOTHYROIDISM OBESITY

PCO SEDENTARY LIFESTYLE

INSUUNOMA PREGNANCY

HYPOTHALAMIC DISEASE NICOTINE WITHDRAWL

FLUID RETENTION ...

"
CCF

.. ASCITES 'Of ANY CAUSE .

· · NEPHROTIC SYNDROME

DRUGS
INSULIN ,SULPHONYLUREA

OCP

STEROIDS

TRICVCUC·ANTI DEPRESSANT

ATYPICAL ANTIPSYCHOTIC

ANTI EPILEPTICS

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 3l

DIARRHOEA

INFECTIOUS[ FOOD POISONING ) -- H/0 SURGERY

INFLAMMATORY [INFLAMMATORY BOWL DISEASE] H/0 RADIATION

IRRITABLE BOWL SYNDROME MICROSCOPIC COLITIS

LACTOSE INTOLERANCE DRUGS

ANKYLOSING SPONDYLITIS

COELIC DISEASE

TRAVELLERS DIARRHOEA
...
SECRETORY . .
PANCREATITIS

OM

HYPERTHROIDI$M

SYSTEMIC SCLEROSIS

CARCINOID SYNDROME

VITAMIN 812 DEFICIENCY

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