Differential Diagnosis Mnemonics

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WI J Differential Diagnosis Mnemonics Differential Diagnosis Mnemonics Thomas J.Donnelly,MD Pulmonary andCritical CareConsultants Dayton,Ohio ChristopherC.Giza,MD AssistantResearcher DivisionofNeurosurgery University of California LosAngeles,California HANLEY BELFUS,INC. / Philadelphia Hcolshe(A|LcY&ocL'Uo.|C.^ed coHco'se|szIJooc| I J|o|ee| ' ode' o o. A l -I J' z I o| o^z-J.oJJ-z l o-z'A/ ' z I o| -J-JJJ\eos |e||o //V oceyodoe |cs co~Noteto the reader:A' |ocq|e|o~o| o | s oooosoeecoe|cyev eved |ocoec|esso|dosoqeocd d co| os.e |e|e oc|os o |e ed|o|s co |e ocose|coc occeo| ocyeqoesoocs o |y |o ocyeos oo~ ss ocs|o| ~oyoe ~ode.'e |e|e ocose| o|e ed |os ~oe oyvo|oc|y. exo|essed o|~oed. v | esoec|| o| e~o|e oco|o ed eeoe|o|e o|esc o qocyd cq.|e eode ~cs| evev |e ~oc|oc|c|es cce|o|odcc| |o~o|o 'ooc\oqe cse|s||oocceo|edd co| os.ooso c|e dosoqeeco~~ecdo| os.od o|ec|o~o| oc oe| ce||o|e so|e od e||ec|ve cseo||eoodcc|desc|oedlibrary of CongressCotologing-in-Publ icotionDota Donnelly,Thomos J1962-DifferentialDi ognosi s Mnemonics/Thomas J.Donnelly,Christopher C.Gizo. p.;cm. Includesbi bl iographicalreferencesandindex. ISBN 1-56053- 31 10 lalkpaper) 1.Diagnosis,Di fferential.2.Mnemonics.I.Gi za,Christopher. 1965-II.Ti tle. [DNlM:! Diagnosi s,Di fferential-Termi nol ogy-English.2.Association Learni ng-Terminology-English.WB15D685d2000J RC71.5.D66 2001 616 07'5'014-dc21 99-088120 Diferential Di agnosi s Mnemoni cs' So` loJoJJ l I JzJJl oy o'ey&oe' |cs. ' c. A' '| q|s |eseved `o oo|o| | s ooo ~oyoe eo|odcced. ecsed. eoco'sed. o( |ocs~ ||ed oy|o ~.os|oed odo|o oose o|e|evo' sys|e~. v|oc|v||e oe~ ss oo| |e oco'se |os|d q |s|e o| c| cc~oe|- o o ^ J z lCONTENTS I . I ntroduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ov|o Jse | s Hoo\ . . .. . . .. .. . . .. . . . .. . . . . . . .. Ce^e|o Aooooc |o ||ee^| o' oq^os s.. . .... . .. + . + +! ^ ^qAooc| ||e|e^| o oq^oses .. .. . . .. . . |ese^| ^qo^d sccss ^q Coses . . .. . . .. . . . . . . . . . .. . ... I I . Pulmonary and Critical Care. . . . . . . . . . . . . . . . . . . . . . . . . . Ce^e|o' Co^s de|o| o^sCe^e|o'Aoo|ooc|oc' ~o^o|y^ed c ^e . . . ... . . . . . ... Ce^eo' Aooooc |o C |coCoe ^ed c ^e . . . . . . . . . . . . . .. Ces|/Ore >oll ondoole. | |onde|c|ey|>>==n |n >lole> ol ch(on|c`oloc|o>> |>loo| , en>lruo| , occul|| , b\ de>l(uc||on'heo|y>| >| , or nul(|l|onOl del|c|ency |veqelO(| On d|el| 1hetho| o:>em|> oreOd|ver:e q(ouo ol d|>eo>e> (e>u|||nq |n delecl| ve qloo| ncho| no(oducl|on1he:|de|Oo|o:|iconem|o:orechO(ocler|edoyr|nqed>|de(oolo>l>| nlheOrrowondOonoroloo(ohy(|n >ynlhe| > 1hey oy oe hered|lo(y|rO(e, /l| nred|ocqu| reO|o|coho| ,| >on| o|, leOd|, o( | d| ooolh| c|o(eo| |qnonl|

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'|| i || onol delic|encyollo| ole | > >een | n >lo(vol|on, cond| l| on> w'lh'nc(eOeO (equ| (eenl> , o(eqnOncy,o| | qnoncy, ch(on| c heo|y>| >,ch(on| cOd'GO3lOlOQvB L E E D I N GD I AT H E S E S APTT :.. . .., AVM, . -.... . ..,r,. ./.... . .... ..,r...`..1 . A oeed cqooo' e~s~os|co~~oc ye'o|ed|oocanatomi c abnormal ity. Cocqec |o' ooco|~o'|essccosoc o||e|ovecocs ~o'|o|~o|oc oocqc edde|ec|s scc~ os oeo|c cce d seose oe co~~oc . Pl asmaprotei n abnormal i ti es o|e'essco~~ococd~oyoe~ode~oc |es|v |ccexoec|ed e~o~oqeossoc o|ed v | o ~ co|sc|q co'o|ocedc|e. Thrombocytopeni aos ~ocy cocsesocdseo|veyco~~oc. oc|qual i tative platelet abnormal ities oe |o|e ' co' 'y.traumas o co~~oc cocseo| e~o|oqeocd csco' 'y oov ocs. oc|excessveo'eed cqo|ocs cqo|e|~ co|oc~o ~oy cd co|e ococcc'|oeed cq d o|es s 2. |~eAPT,|. o'o|e e|cocc|. ocd o eed cq | ~e oe |e o| ~oyooo|o|o|ys|cdesoo|o cedveccves|qo| cqo ooss o' eo'os~ooo|e cooco|~o'|yo|qco'|o|veoo|ee|de|ec| |e||es|scccd cq||o~o c| ~e | o| coqecossoy. c o|soco ' |yocd 'ys s. ocd|oc|o|ossoys~oybe'o|c' c dec||ycqsoec|c de|c ecc es.Pri maryHemostati c( Platel et)Di sorders Platelet adhesion defects: \oc \ ' eoocdsd seosee|codSoce|sycdo~e 'oosecce. dys|ccc|oco|Co

o/'/|Platelet aggregation defects Cocz~occs|~|o~oos|ec o' oosecce. dys|ccc|oco|Co o/' ' ' olPl atelet release defects ec|eosed cyc'ooxyqecoseoc|v|y|cqsoso | c.cocs|eodo'oc|c|o~~o|oyoqec|sCocqec|o'Platelet coagulant defect Sco||ssycd|o~eGp glycoprotei n.b M0O3lOlOQv Cocc es|o|oqeooo' de|ec|sCocqec|o'Acqc |ed Ue~o 'o|ee|coo| cq' e q . oec c ' 'cor oo|oo|o|e cslRel ati onshi pBetweenSecondaryHemostati cDi sordersand Coagul ati on Test Abnormal i ti es Prolongedpartial thrombopl astintime( PTI) Nocl i ni cal bleedi ng -factors XI I , HMWK,PK Mil dor rare bleedi ng -factor XI Frequent,severebleedi ng-factors VI I IandI X Prolongedprothrombi n time(PT) Factor VIIdeficiency Vitami n Kdeficiency-early Warfar i nanticoagulanti ngestion ProlongedPTI andPT Factor ' 'V,or X deficiency Vitami nKdeficiency-late Warfari n anticoagul ant i ngestion Prolongedthrombintime(TI) Mi l d orrarebleedi ng-afi bri nogenemia Frequent,severebleedi ng -dysfi bri nogenemia Hepari n-l i kei nhi bi tors orhepar i n admi nistration ProlongedPTand/or PTI not correctedwithnormal plasma Speci fi c or nonspecifici nhi bi tor syndromes Clot sol ubi l ityi n 5N urea Factor XIIIdeficiency I nhi bitors or defectivecross-l i nki ng Rapi d clot l ysi s Al pho2plasmi ni nhi bi tor HMWK"hi gh-molecular-wei ght kininogen;PK "prekal l i krei n.BothtablesframHandi nRI : Bleedi ngandthrombosi s. I nIsselbacherKJ,etal(eds) : Harrison's PrinciplesofInternalMedicine,1 3thed.NewYork,McGraw-Hi l l , I nc. , 1994,pp317-322;withpermission. S P L E N O M E G A LY BANTI ' S s.: ./,. ,.s ../. .. . ...t,. . . .s./s,...,. ....M0O3lOlOQv M l ,.N..1 . Banti 'ssydo~e s|eeooy~csed|odesc| oecoqes|ve so eo~eqo' yw |~ yoeso es~ Us q HA'|Sos yoc| qc de.|~e cocses o| so eo~eqo yco oec' oss|eds xco|eqo es. Bloodflowprobl ems cocseso eo~eqo yoy ceosedso e cve o|essc|esodcoseqce|coqes| o . So e cve| ~o~oos s 'o||e secodoy|oooceo| | sl .oo|o ve | ~o~oos so|ex|| s cco~oess o.c os s.eoo| cve | ~o~oos s ' HcddC~ o sydo~el . od C'o'cocsecoqes|ve so' eo~eqo' y Anemi as secondary to erythrocyte abnormal i ti es 'e q . |o osse~ os.s c' eced seose. eed |oysoe|ocy|os sl cocseso' eo~eqo' yoecocse|~ee s 'yoe|o osoo||~e e| cc oedo|eo sys|e~ ossoc o|ed v | |edes|cc| o o||~eooo~oHCs|~esed seoseso' so~oycocseso' e c|oc|o 'e . sc e celNeopl asms and i nfi ltrative di seases d ec|yvove|eso eeod'eod |o|s e' oqe~e|~ye' oo|o'|eo|ve syd|o~esod ~ye' oo|~ s c oocesses.oecocse o| ~o|ov yoo|cc| o.|~ee ~oy oe co~oeso|oyex|o~edcoy~e~o|ooo es s cocs q so' eo~eqo yThyrotoxi cosi s s ossoc o|ed v |~so eo~eqo' y oecocse o| |~yo d ~o ~oe- dccedy~o~o d yoeo' os o'c~e|ocs i nfecti ons, csco' 'y c~o c.~oy cocse so' eo~eqo'y sode|s o| ~~c e eqc o| o scc~ os sarcoi dosi s and S|L ~oy|eo|ce so eo~eqo y |~e|exo~o esc cde ec~o|o d o|| | s ' 'e' |ys sydo~el. se|c~ s cess.od~~ce ~e~o'y|coe~ os. 2.|~e deqee o| so eo~eqo' y vo es v | |~e d seose e||y^oss veso' eo~eqo' yocccs co c~yeocy|cece~ o.~ye o|o|ossv|~ ~ye o d~e|oo os o.~o y ce' ' ece~ o.Cocc~e|s od ' e~o cd seoses. soco dos s. |o' osse~ o ~o o. co c ~o' o o.coqe |osyo~