Problem by System

Problem

Pt with h/o [PMH] presents with [timing] [CC]. [HPI]. [PE] on exam.

• [Labs]

• [Imaging]

• [Intervention]

• Pt advised to [anticipatory guidance]

Respiratory

• Acute chest syndrome

• Exudative vs. transitive pleural effusion

Cardiovascular

• Hypertriglyceridemia

• Vasculitis

  • HSP

  • Temporal arteritis

• Renaud’s

  • May be associated with systemic sclerosis, scleroderma, or mixed connective tissue disease

  • Start nifedipine, topical nitroglycerin

  • Advise lifestyle change with wearing warm gloves

  • Consider referral to rheumatology

Renal

• Urinary retention

  • Neurologic

  • Iatrogenic

• Acute kidney injury

• Nephrotic syndrome

• Renal artery stenosis

MSK

• Elbow pain

  • Ulnar collateral ligament injury

  • Medial epicondylitis

  • Biceps tendinopathy

  • Triceps tendinopathy

  • Cubital tunnel syndrome

• Finger injuries

  • Mallet fracture

  • Jersey finger

• Knee pain

  • Growing pains

  • Patellofemoral syndrome

  • Patellar tendinopathy

  • Meniscal tear

  • Knee osteoarthritis

  • Popliteal cyst

• Heel pain

  • Plantar fasciitis

  • Heel pad syndrome

  • Plantar wart

  • Calcaneal stress fracture

  • Tarsal tunnel syndrome

  • Achilles tendinopathy

• Muscle tenderness/weakness

  • Fibromyalgia

  • Statin-induced myopathy

  • Polymyalgia rheumatica

• Gout

• Toe fracture

• Neck mass in child

  • Congenital

    • Thyroglossal duct cyst

    • Branchial cleft cyst

    • Hemangioma

  • Inflammatory

    • Reactive lymphadenopathy

    • Infectious lymphadenitis

  • Benign growths

    • Lipoma

    • Neurofibroma

    • Salivary gland tumor

Dermatology

• Viral exanthem

  • Erythema infectiosum (Parvovirus B19)

  • Roseola infantum

  • Pityriasis rosea

• Erythematous

  • Rosacea

  • Cutaneous erythrasma

  • Dermatomyositis

• Scaling

  • Tinea

  • Seborrheic dermatitis

• Raised

  • Vascular: Infantile hemangioma

  • Papules: Molluscum

  • Cysts

    • Mucoid cyst

    • Ganglion cyst

    • Epidermal inclusion cyst

  • Vesicular/bullous

    • Poison ivy

    • Zoster

    • Bullous impetigo

    • Necrotizing fasciitis

  • Plaque

    • Atopic dermatitis

    • Psoriasis

  • Hypertrophic scars

• Pressure ulcers

• Hair Loss

  • Alopecia areata

  • Androgenic

  • Female

Psychiatric

• ADHD

• Autism

• Bipolar disorder

• Schizophrenia

• Serotonin syndrome

• NMS

Neurologic

• Headache

  • Tension

  • Cluster

  • Migraine

• Insomnia: No pets in bedroom, caffeine after 4PM, exercising within 2 hours of bedtime, nicotine use. Maintain a cool room and comfortable bed. Limit use of bedroom to sleep and dex, delay sleep until feeling sleepy, consider CBT.