• Abdominal pain (child) -> constipation
• Abdominal pain (non-specific) -> urgent intervention required
• Abdominal pain -> acute cholecystitis
• Abdominal pain -> appendicitis
• Abdominal pain -> bowel obstruction
• Abdominal pain -> peritonitis
• Abdominal pain/change bowel habits -> irritable bowel syndrome
• Abdominal symptoms (children) -> abnormal radiograph
• Abdominal symptoms -> abnormal radiograph
• Abnormal CVP suspected -> low central venous pressure
• Acute febrile RTI > 1 week -> bacterial cause
• Acute illness (child > 2 mos) -> bacterial meningitis
• Acute illness in child (primary care) -> serious bacterial infection
• Ankle pain -> ankle fracture
• Ankle pain -> synovial impingement
• AOM suspected -> acute otitis media
• Aortic stenosis (symptomatic) -> severe aortic stenosis
• Ascites suspected -> ascites
• Atopic dermatitis suspected -> atopic dermatitis
• Back pain -> ankylosing spondylitis
• Back pain -> cancer
• Back pain -> herniated disc
• Back pain -> spinal osteomyelitis
• Back pain and/or leg pain -> spinal stenosis (lumbar)
• Bowel symptoms -> Crohn's disease
• Bowel symptoms -> ulcerative colitis
• Celiac disease suspected -> celiac disease
• Chest pain (age >= 65) -> myocardial infarction
• Chest pain (age 30-64) -> myocardial infarction
• Chest pain -> acute coronary syndrome
• Chest pain -> myocardial infarction
• Chest pain -> thoracic artery aneurysm
• CHF suspected (post-MI) -> CHF (LVEF < 40%)
• Cholelithiasis suspected -> cholelithiasis
• Chronic constipation -> disordered defecation
• Chronic constipation -> slow transit
• Colon CA suspected (age < 70) -> colon CA
• Colon CA suspected (age >= 70) -> colon CA
• Compartment syndrome suspected -> acute compartment syndrome
• COPD suspected -> COPD
• Cough (adult) -> pneumonia
• CTS suspected -> carpal tunnel syndrome
• Dehydration suspected -> acidosis (CO2 < 15)
• Dehydration suspected -> over 5% dehydrated
• Diarrhea (acute) -> cholera
• Diarrhea (non-bloody) -> invasive diarrhea
• Diarrhea -> invasive diarrhea
• Dizziness -> peripheral vertigo
• Dizziness -> serious cause of vertigo
• DVT suspected -> DVT
• Dyspepsia (child) -> H. pylori infection
• Dyspepsia -> cholelithiasis
• Dyspepsia -> gastric CA
• Dyspepsia -> GERD
• Dyspepsia -> non-ulcer dyspepsia
• Dyspepsia -> peptic ulcer disease
• Dyspepsia -> PUD or GERD
• Dyspnea ((asthma/COPD pt)) -> CHF
• Dyspnea -> CHF
• Ectopic pregnancy suspected -> ectopic pregnancy
• Encopresis -> fecal retention
• Fecal incontinence -> final diagnosis
• Fever (>= 38 C) and age <= 3 months -> bacteremia or meningitis
• GCA suspected -> giant cell arteritis
• GERD suspected -> GERD
• GI bleed (hematechezia) -> proximal lesion
• Headache -> cluster headache
• Headache -> migraine
• Headache -> significant intracranial abnormality
• HIV + respiratory symptoms -> Pneumocystis pneumonia
• HIV suspected -> HIV disease
• Increased intracranial pressure suspected -> increased ICP
• Infectious mono suspected (adult) -> infectious mononucleosis
• Influenza suspected (pediatric) -> influenza
• Influenza suspected -> influenza
• Joint pain (women) -> osteoarthritis
• Joint pain -> gout
• Knee dislocation -> arterial injury
• Knee pain (child) -> internal derangement
• Knee pain -> internal derangement
• Knee pain -> osteoarthritis
• Knee pain -> patellofemoral pain syndrome
• Liver disease suspected -> subacute hepatic necrosis
• Lung symptoms -> lung cancer
• Meningitis suspected (adults) -> meningitis
• Orthostatic complaint -> neurocardiogenic syncope
• Orthostatic complaint -> postural orthostatic tachycardia
• Ovarian cancer suspected -> ovarian cancer
• Palpable liver -> hepatomegaly
• PE suspected -> pulmonary embolism
• Perimenopause suspected -> perimenopause
• Peritonsillar abscess suspected -> peritonsillar abscess
• PID suspected -> PID (any)
• PID suspected -> PID (chlamydia)
• Pneumonia suspected (1 to 16 yrs) -> pneumonia
• Post-cardiac arrest coma -> poor neuro outcome or death
• Pulmonary disease -> lung cancer
• Respiratory symptoms -> pleural effusion
• Screening (child) -> asthma
• Screening -> breast CA
• Screening -> mitral valve prolapse (classic)
• Screening -> neonatal jaundice
• Screening -> suicidal ideation
• Septic arthritis suspected -> septic arthritis
• Shoulder pain -> instability or torn labrum
• Shoulder pain -> rotator cuff tear
• Sinusitis suspected -> acute sinusitis
• Sore throat -> Group A strep pharyngitis
• Suspected hypovolemia -> hypovolemia not due to blood loss
• Suspected hypovolemia -> large blood loss
• Suspected hypovolemia -> moderate blood loss
• Syncope (no suspicion heart disease) -> cardiac syncope
• Syncope (no suspicion heart disease) -> neurally mediated syncope
• Syncope (suspected heart disease) -> cardiac syncope
• Systolic murmur -> mitral regurgiation and VSD
• Systolic murmur -> right-sided cause
• Temp > 38 (0 - 8 wks) -> pneumonia
• Testicular torsion suspected -> testicular torsion
• Trauma -> C-spine fracture
• UTI suspected (children) -> UTI
• UTI suspected (men) -> UTI
• UTI suspected (women > 50 yrs) -> UTI
• UTI suspected (women 15 - 49) -> UTI
• UTI suspected (women) -> UTI
• Vaginitis suspected -> candidiasis
• Valve disease suspected -> detecting any murmur
• Whiplash injury -> disability at 1 year