Differential Diagnosis

Differential Diagnosis of the Top 100 Complaints in Primary Care

 

How to Come Up with a Differential Diagnosis

5 Steps to generating a differential diagnosis.

The Differential Diagnosis Grid

To come up with a thorough differential diagnosis, use the differential diagnosis grid. Use an anatomic framework plus a Mnemonic like CASE DIAGNOSED! or VINDICATED MEN. Put anatomic location on one axis and the different diseases (elicited by VINDICATED MEN) on the other axis.

Rule out Worst Case Scenario

Rule out the worst case scenario.

DDx still to write

Musculoskeletal

  • Foot and Ankle pain & and problems
  • Knee pain, etc.
  • Hip pain etc.
  • Shoulder
  • Elbow
  • Hand pain
  • Neck mass
  • Monoarthritis
  • PMR
  • Weakness

Elevated Creatinine
Elevated liver enzymes (mild vs. gross elevation)
Hypercalcemia

 

Good resources

Dr. John Ey’s Differential Diagnosis list, well organized:  http://pie.med.utoronto.ca/DC/
http://www.improvediagnosis.org/page/Checklist
Academic Medicine: March 2011 – Volume 86 – Issue 3 – p 307-313

Click to access p426.pdf

Diagnostic checklist by Dr. Ely (PDF)
Preventing Diagnostic Errors in Primary Care

Medical Checklists Save Lives

Medical Checklists Save Lives.