Infectious disease
Acute diarrhea -> campylobacter jejuni Acute diarrhea -> inflammatory bacterial cause Acute diarrhea -> salmonella spp Acute diarrhea -> shigella spp Acute diarrhea -> yersinia spp Adrenal mass (cancer patient) -> metastatic cancer AIDS and diarrhea -> cryptosporidiosis B. pertussis suspected -> Bordetella pertussis C. difficile suspected -> C. difficile toxin Catheter-associated infection suspected -> catheter-associated infection Cervical discharge -> chlamydia GU infection Chlamydia suspected (men) -> chlamydia GU infection Chronic rhinosinusitis suspected -> chronic rhinosinusitis Cirrhosis -> ascites CNS syphilis suspected -> CNS syphilis Creutzfeldt-Jakob suspected -> Creutzfeldt-Jakob disease Diarrhea (acute) -> cholera Diarrhea (acute) -> salmonella or shigella Diarrhea (non-bloody) -> invasive diarrhea Dyspepsia (child) -> H. pylori infection Dyspepsia -> H. pylori infection Febrile illness ((< 18 years)) -> serious infection Febrile illness (> 38 C rectal) ((7 d to 36 mos)) -> serious infection Febrile illness -> leptospirosis Fever (< 3 months old) -> pneumonia HCV or cirrhosis -> hepatocellular CA Hepatitis C -> cirrhosis Hepatitis C -> histologic response to interferon Hepatitis C -> severe fibrosis or cirrhosis Herpes encephalitis suspected -> herpes encephalitis Herpes zoster suspected -> herpes zoster HIV disease -> CD4 < 100 HIV disease -> CD4 < 350 HIV infected patient -> pneumocystis carinii pneumonia HIV suspected -> HIV disease HPV infection -> any cervical dysplasia HPV infection -> high-grade cervical dysplasia Infection suspected -> late fracture related infection Influenza -> bacterial pneumonia Influenza suspected (adult) -> influenza Influenza suspected (all ages) -> influenza Influenza suspected (child) -> influenza Liver disease suspected -> chronic active liver disease Lower RTI (children) -> bacterial or atypical cause Lyme disease suspected (erythema migrans present) -> Lyme disease Lyme disease suspected (late, after 1st wks of infection) -> Lyme disease Malaria suspected -> malaria (P. falciparum) Malaria suspected -> malaria (P. malariae or P. ovale) Malaria suspected -> malaria (P. vivax) Meningitis (child) -> bacterial meningitis Meningitis suspected (any age) -> aseptic meningitis (enterovirus) Meningitis suspected (any age) -> bacterial meningitis Meningitis suspected (child) -> bacterial meningitis Meningococcal disease suspected (child) -> meningococcal disease Mononucleosis suspected -> infectious mononucleosis Onychomycosis suspected -> onychomycosis Peptic ulcer (bleeding) -> H. pylori infection Peritonsillar abscess suspected -> peritonsillar abscess PID suspected -> PID Pleural effusion -> complicated effusion (parapneumonic) Pleural effusion -> exudate Pleural effusion -> tuberculosis Pneumonia -> pneumococcal pneumonia Pneumonia suspected (children) -> bacterial pneumonia Pneumonia suspected (ventilator associated) -> pneumonia Pneumonia suspected -> pneumonia Positive blood culture -> catheter-related infection Respiratory illness -> Legionnaire's disease Sarcoidosis suspected -> sarcoidosis Screening (any) -> HIV infection Screening (any) -> serious infection Screening (any) -> syphilis Screening (infant) -> iron deficiency Screening (men) -> chlamydia GU infection Screening (men) -> hep B antigen (+) Screening (men) -> hep C antibody (+) Screening (men) -> neisseria gonorrhea Screening (women) -> HPV infection Screening (women) -> neisseria gonorrhea Screening (women) -> trichomoniasis Screening -> cytomegalovirus infection Screening -> Hepatitis B Sepsis -> septic shock within 6 hours Sepsis suspected (< 1 yr) -> sepsis Sepsis suspected (0 to 1 month of age) -> sepsis Sepsis suspected (any age) -> sepsis Septicemia suspected (adult) -> septicemia Septicemia suspected (newborn) -> septicemia Sinusitis suspected -> acute sinusitis Skin abscess suspected -> skin abscess Sore throat (high risk for strep) -> GABHS pharyngitis Sore throat -> GABHS pharyngitis STI suspected -> chlamydia or gonorrhea Suspected influenza -> H1N1 pandemic flu Syphilis suspected -> syphilis Systemic inflammatory response syndrome (children) -> organ dysfunction at 24 hrs Systemic inflammatory response syndrome -> infectious cause (sepsis) Tuberculosis suspected -> tuberculosis UTI (infant) -> vesicoureteral reflux (any) UTI (infant) -> vesicoureteral reflux (Grade III-V) UTI (men) -> urinary abnormality UTI suspected (adult) -> UTI UTI suspected (child in primary care) -> UTI UTI suspected (child) -> UTI Vaginal symptoms -> trichomoniasis