• AAA suspected -> abdominal aortic aneurysm
• Abd pain or vag bleed (any) -> ectopic pregnancy
• Abd pain or vag bleed (indeterminate USN) -> ectopic pregnancy
• Abdominal pain -> cholecystitis (acute)
• Abdominal pain -> illness requiring inpatient care
• Abnl UGI / persistent symptoms -> gastric adenocarcinoma
• Abnormal Pap (any) -> LSIL/HSIL/CA
• Abnormal Pap (ASCUS or LSIL) -> cervical CIN 1/2/3
• Abnormal Pap (ASCUS or LSIL) -> cervical CIN 2/3
• Abnormal Pap (ASCUS) -> cervical CIN 1/2/3
• Abnormal Pap (ASCUS) -> CIN 2 or worse
• Abnormal Pap (atypia) -> any cervical dysplasia
• Abnormal Pap (atypia) -> high-grade cervical dysplasia
• Abnormal Pap (LSIL) -> cervical CIN 1/2/3
• Abnormal Pap (LSIL) -> cervical CIN 2/3
• Abscess suspected -> abd abscess
• Abscess suspected -> abd or pelvic abscess
• Abscess suspected -> pelvic abscess
• Acute coronary syndrome -> 30 day death or MI
• Acute coronary syndrome -> 30 day mortality
• Acute respiratory failure and infiltrates -> ARDS
• Adenomyosis suspected -> adenomyosis
• Adnexal mass suspected -> endometrial cysts
• Adrenal mass (cancer patient) -> metastatic cancer
• Aldosteronism suspected (abnormal PAC:PRA ratio) -> primary aldosteronism
• Amenorrhea -> failed progestin withdrawal bleed
• Anemia (adults) -> anemia (iron deficiency)
• Anemia (cirrhotic patient) -> anemia (iron deficiency)
• Anemia (elderly) -> anemia (iron deficiency)
• Aortic dissection suspected -> thoracic aortic dissection
• Appendicitis suspected (adults) -> appendicitis
• Appendicitis suspected (any) -> appendicitis
• Appendicitis suspected (child) -> appendicitis
• Appendicitis suspected (dx uncertain) -> appendicitis
• Asthma exacerbation -> unfavourable outcome
• Back pain -> ankylosing spondylitis
• Back pain -> cancer
• Back pain -> spinal stenosis
• Back pain and suspected CA -> extradural mass
• Back pain with sciatica -> lumbar disk herniation
• Biliary obstruction suspected -> biliary obstruction
• Biliary tract symptoms -> common bile duct pathology
• Blunt trauma -> hemoperitoneum
• Bowel symptoms -> organic disease (not IBS)
• Breast CA -> liver metastasis
• Breast lump -> breast CA
• Breast lump or abnormal mammogram -> breast CA
• Breast mass or enlargement (men) -> breast cancer
• Breast mass or enlargement (men) -> gynecomastia
• C. difficile suspected -> C. difficile toxin
• Cardiac bypass surgery -> post-op MI
• Cardiac disease -> LA enlargement
• Cardiac disease -> LV enlargement
• Cardiac disease -> rt heart enlargement
• Cardiac disease -> total heart enlargement
• Carotid stenosis suspected -> carotid stenosis (> 40%)
• Carotid stenosis suspected -> carotid stenosis (0-40% or 100%)
• Carotid stenosis suspected -> carotid stenosis (50-69%)
• Carotid stenosis suspected -> carotid stenosis (70-99%)
• Cerebral aneurysm suspected -> cerebral aneurysm
• Cervical trauma -> cervical vascular injury
• Chest pain (all) -> acute MI
• Chest pain (all) -> coronary artery disease
• Chest pain (htn and abnl stress test) -> coronary artery disease
• Chest pain (LBBB) -> acute MI
• Chest pain (normal ECG) -> acute MI
• Chest pain (normal ECG) -> death or nonfatal MI in 30 days
• Chest pain (normal ECG) -> unstable angina
• Chest pain (previous CABG) -> coronary artery disease
• Chest pain -> adverse cardiac events at 30 days
• Collagen vascular disease suspected (any) -> MCTD (CVD controls)
• Collagen vascular disease suspected (any) -> SLE (CVD controls)
• Collagen vascular disease suspected (child) -> rheum disease
• Colon CA -> liver metastasis
• Colon CA suspected -> colon CA
• Compartment syndrome suspected -> chronic exertional compartment syndrome
• DCIS suspected -> ductal carcinoma in-situ
• Diverticulitis suspected -> diverticulitis
• DM (Type I or II) -> Type I DM
• DVT or PE -> low risk for recurrent DVT/PE
• DVT or PE suspected -> DVT or PE
• DVT suspected (asymptomatic post-op) -> DVT (all)
• DVT suspected (asymptomatic post-op) -> DVT (proximal)
• DVT suspected (symptomatic) -> DVT (all)
• DVT suspected (symptomatic) -> DVT (proximal)
• Elevated aminotransferases -> hepatic steatosis
• Endometrial CA -> nodal metastasis
• Endometriosis suspected -> endometriosis
• Epicondylitis suspected -> epicondylitis
• Esophageal cancer -> nodal staging
• Esophageal cancer -> spread of disease
• Gastric cancer -> peritoneal metastases
• Gastric cancer -> peritoneal metastases
• GI bleed (rectal) -> GI bleeding source
• GI bleed -> colonic angiodysplasia
• Headache -> CNS malignancy
• Heart failure -> death or 30 d readmit
• Heart murmur (child) -> structural heart disease
• Heavy alcohol use + abnl ALT -> alcoholic hepatitis
• Hematuria (gross or microscopic) -> bladder CA (any)
• Hematuria (gross or microscopic) -> bladder CA (excluding TaG1)
• Hematuria (microscopic) -> cause of bleeding
• Hemochromatosis suspected -> hemochromatosis
• Hepatobiliary disease suspected -> hepatobiliary disease
• HF suspected ((asthma/COPD pt)) -> heart failure
• HF suspected -> heart failure
• HF suspected -> HF (diastolic)
• HIV infected patient -> pneumocystis carinii pneumonia
• HPV infection -> any cervical dysplasia
• HPV infection -> high-grade cervical dysplasia
• Hypertension -> high mean ambulatory diast BP
• Hypertension -> renal artery stenosis
• Hypertension suspected -> hypertension (> 140/90)
• IBD suspected (adult) -> UC or Crohns disease
• Inguinal hernia suspected -> inguinal hernia
• IPF suspected -> idiopathic pulmonary fibrosis
• Knee pain (child) -> internal derangement
• Knee pain -> internal derangement
• Leiomyoma suspected -> leiomyoma
• Lipoma suspected -> liposarcoma
• Liver disease suspected -> subacute hepatic necrosis
• Lower RTI (children) -> bacterial or atypical cause
• Lung CA (non-small cell) -> hilar or mediastinal nodal spread
• Lung CA -> hilar adenopathy
• Lung CA -> mediastinal adenopathy
• Lung CA suspected (any lesion) -> lung CA
• Lung CA suspected (central lesion) -> lung CA
• Lung CA suspected (peripheral lesion) -> lung CA
• Mastoiditis -> coalescence of trabeculae
• Mastoiditis -> intracranial extension
• Mediastinal adenopathy suspected -> mediastinal adenopathy
• Meningitis (child) -> bacterial meningitis
• Mononucleosis suspected -> infectious mononucleosis
• Nipple discharge (spontaneous single duct) -> cancer or DCIS
• Non-palpable breast abnormality -> cancer or DCIS
• Optic neuritis -> multiple sclerosis diagnosed
• Osteomyelitis suspected (diabetic) -> osteomyelitis
• Osteomyelitis suspected -> osteomyelitis (chronic)
• Otitis media (chronic) -> glue ear
• Pancreatic CA suspected -> pancreatic CA
• Pancreatitis (gallstone) -> common bile duct stone
• Pancreatitis -> alcoholic pancreatitis
• Pancreatitis -> cholelithiasis
• Pancreatitis -> severe pancreatitis
• Pancreatitis suspected -> pancreatitis
• PE suspected -> pulmonary embolism
• Pelvic mass -> ovarian CA
• Peripheral arterial disease suspected -> PAOD
• Pheochromocytoma -> localization
• Pheochromocytoma suspected -> pheochromocytoma
• PID suspected -> PID
• PID suspected -> PID (chlamydial)
• Pleural effusion -> definite or probable malignancy
• Pleural effusion -> lung CA
• Pneumonia suspected -> pneumonia
• Pneumothorax suspected -> pneumothorax
• Polycystic kidney disease suspected (autosomal dominant family) -> ADPKD
• Positive hemoccult -> colon CA
• Positive hemoccult -> polyps
• Pre-eclampsia suspected (pregnant) -> proteinuria (> 300 mg/24 h)
• Previous venous thromboembolism -> pulmonary embolism
• Primary aldosteronism -> unilateral cause
• Prostate CA (T1-2, XRT treated) -> clinical treatment failure
• Prostate CA -> bony metastases
• Pulmonary embolism -> benign course
• Pulmonary embolism -> death in hospital
• Pulmonary nodule -> lung cancer
• PVST suspected -> portal venous system thrombosis
• Pyloric stenosis suspected -> pyloric stenosis
• Renal artery stenosis -> improved renal function
• Renal cell cancer -> degree of extension/invasion
• Renal lithiasis suspected -> renal lithiasis
• Ruptured AAA suspected -> ruptured AAA
• Screening -> hepatic steatosis
• Screening (any) -> colon CA
• Screening (any) -> colon CA (Dukes A/B)
• Screening (any) -> colon CA (Dukes C)
• Screening (any) -> colon CA (Dukes D)
• Screening (any) -> colon CA or > 1cm adenoma
• Screening (any) -> colon CA or any adenoma
• Screening (any) -> colon polyps
• Screening (any) -> malignancy
• Screening (any) -> renal disease
• Screening (any) -> serious infection
• Screening (any) -> serious inflammatory disease
• Screening (infant) -> iron deficiency
• Screening (initial PSA < 3.0) (men) -> prostate CA (any)
• Screening (initial PSA < 3.0) (men) -> prostate CA (Gleason >= 7)
• Screening (initial PSA < 3.0) (men) -> prostate CA (Gleason >= 8)
• Screening (men BMI < 26.3) -> excess alcohol use
• Screening (men BMI >= 26.3) -> excess alcohol use
• Screening (men) -> hep B antigen (+)
• Screening (men) -> hep C antibody (+)
• Screening (men) -> prostate CA
• Screening (women) -> any cervical dysplasia
• Screening (women) -> breast CA
• Screening (women) -> high-grade cervical dysplasia
• Screening (women) -> HPV infection
• Screening (women) -> hyperplasia or CA
• Screening (women) -> ovarian CA
• Screening (women) -> trichomoniasis
• Screening -> alcohol abuse or dependence
• Screening -> congenital CV malformation
• Screening -> heart failure
• Septicemia suspected (newborn) -> septicemia
• Shoulder pain -> rotator cuff tear (any thickness)
• Shoulder pain -> rotator cuff tear (full thickness)
• Shoulder pain -> rotator cuff tear (partial thickness)
• Sinusitis suspected -> acute sinusitis
• Stable angina (probable or definite) -> coronary artery disease
• Staging Hodgkins -> liver involved
• Staging Hodgkins -> mesenteric nodes involved
• Staging Hodgkins -> paraaortic nodes involved
• Staging Hodgkins -> spleen involved
• Stroke -> acute intracerebral hemorrhage
• Systemic inflammatory response syndrome -> infectious cause (sepsis)
• Thyroid goiter or nodule, nl T4/T3 -> thyroid cancer
• Thyroid nodule (any) -> thyroid cancer
• Thyroid nodule (non-palpable) -> thyroid cancer
• Torsion suspected -> testicular torsion
• TOS suspected -> thoracic outlet syndrome
• Unstable angina and nl 24 hr CK -> acute MI
• UTI (men) -> urinary abnormality
• Vaginal bleeding (all) -> endometrial CA
• Vaginal bleeding (postmenopausal) -> CA, hyperplasia, or polyp
• Vaginal bleeding (postmenopausal) -> endometrial CA
• Varicose veins -> venous reflux
• Vascular surgery -> 30 day cardiac death or non-fatal MI