Diagnosis History and physical/other Mimicking features Inflammatory bowel disease (IBD) Abdominal pain, severe cramps, weight loss, bloody diarrhea, anemia, enterocutaneous fistula/anal fissures (Crohn’s), toxic megacolon (ulcerative colitis) Crohn’s can present…
Diagnosis History and Physical Comments Pneumonia Fever, dyspnea, dullness to percussion, prolonged intubation, aspiration, PPI use → ↑gastric pH leading to ↑gram-negative bacteria growth in stomach Most common cause of…
Etiology History and Physical Septic arthritis Triad of fever, pain, and impaired range of motion; typically have underlying joint disease (e.g., rheumatoid arthritis) Lyme disease Ixodes tick bite (Borrelia burgdorferi);…
Diagnosis Common features Distinguishing features Gastroschisis Medial abdominal wall defect with evisceration of abdominal contents No membrane over abdominal contents Evisceration usually to the right of umbilical stalk Higher risk…
Degree Involves Presentation 1st (superficial) Epidermis only Similar to sunburn; localized, painful, dry, blanching redness with no blisters 2nd (superficial partial thickness) All of the epidermis and some dermis Painful,…
Sign/symptom Significance Stridor Stridor is a sign of upper airway obstruction caused by compression of the trachea from a large hematoma, soft tissue swelling, direct laryngeal injury, or bilateral recurrent…
Type of shock Clinical scenario Mechanism Hypovolemic Any blunt or penetrating trauma with hemorrhage; burns Decreased blood and plasma volume Cardiogenic Blunt cardiac injury, arrhythmias, cardiac tamponade, tension pneumothoraxa Failure…
Diagnosis Distinguishing features Choanal atresia Nasogastric tube (NGT) cannot be placed Congenital diaphragmatic hernia (CDH) Loops of intestine (left) or liver (right) above the diaphragm on CXR Cystic lesions: Cystic…
Fig. 35.1 (a, b) Anteroposterior and lateral chest radiographs Diagnosis What Is the Differential Diagnosis of Excessive Drooling/Feeding Intolerance in a Newborn? Diagnosis Distinguishing features Choanal atresia Inability to pass…
Condition Change in bowel habits Other characteristics Colorectal cancer Diarrhea, constipation, iron deficiency anemia (more so with right sided) Anemia, fatigue, weight loss, decreased stool caliber Irritable bowel syndrome (IBS)…
