1. CNS
1.1. CVA/TIA
1.2. Epidural Abscess/Hematoma
1.3. Spinal Fracture with Cord Impingement
1.4. Compressive Malignancy
1.5. Cauda Equina Sdr
2. GU
2.1. Male
2.1.1. Paraphimosis
2.1.2. Testicular Torsion
2.1.3. Phimosis
2.1.4. Gonadal Torsion
2.2. Female
2.2.1. Uterine Rupture
2.2.2. Pregnancy
2.2.2.1. Precipitous Delivery
2.2.2.2. Placenta Abruption
2.2.2.3. Ectopic Pregnancy
2.2.2.4. Placenta Previa/Vasa Previa
2.2.2.5. Fatty Liver of Preganancy
2.2.2.6. Pre-eclampsia/Eclampsia
2.2.2.7. Hyperemesis Gravidarum
3. AFE
4. Toxic Shock Sdr
5. Transverse Myelitis
6. Botulism
7. Air Embolism
8. Hypothermia/Hyperthermia
9. Hypercapnia
10. Uremia
11. Neutropenia
12. Endocarditis
13. Malaria
14. Autonomic Dysreflexia
15. Respiratory Distress
15.1. Anaphylaxis
15.2. Pulmonary Edema
15.3. Arrhythmia
15.4. Neuromuscular Ventilatory Failure
15.5. Pulmonary Embolism
15.6. Pheumonia
15.7. Acute Coronary Sdr
15.8. Asthma/COPD
15.9. Occult Foreign Body
15.10. Airway Obstruction
15.11. Esophageal Rupture
15.12. Myopericarditis/Tamponade
15.13. Aortic Dissection
15.14. Hypoxia
16. Addisonian Crisis
17. Bleeding Disorders
17.1. GI Bleed
17.1.1. UGIB
17.1.1.1. Tracheo-innominate Artery Fistula
17.1.1.2. Esophageal Varices
17.1.2. LGIB
17.1.2.1. Aorto-Enteric Fistula
17.1.2.1.1. PMH AAA repair?
17.1.3. Occult GI Bleed
17.2. Retroperitoneal Hemorrhage
17.3. Coagulopathy/DIC
18. AMS
18.1. Psychosis
18.2. Withdrawal
18.3. Hepatic Failure
18.4. Wernicke's Encephalopathy
19. HEENT
19.1. Eye Pain/Visual Loss
19.1.1. CRAO/CRVO
19.1.2. Orbital Cellulitis
19.1.3. Corneal Ulcer/Endophthalmitis
19.1.4. Scleral Penetration
19.1.5. Conjunctivitis Bacterial
19.1.6. Retrobulbar Hematoma
19.1.7. Hypoglycemia/Hyperglycemia
19.1.8. Increased ICP/Tumor
19.1.9. CVA/TIA
19.1.10. Caustic Exposure
20. ABD Pain
20.1. 3 Types of Abd Px
20.1.1. Visceral Pain
20.1.1.1. Quality
20.1.1.1.1. Poorly characterized/localized
20.1.1.1.2. Intermittant/crampy/colicky
20.1.1.1.3. sometimes perceived far from location
20.1.1.2. Where
20.1.1.2.1. Upper Abd Pain in Foregut
20.1.1.2.2. Periumbilical Pain in Midgut
20.1.1.2.3. Lower Abd Pain in Hindgut
20.1.2. Somatic Pain
20.1.2.1. Where
20.1.2.1.1. Parietal Peritoneum
20.1.2.2. Quality
20.1.2.2.1. well localized
20.1.2.2.2. Intense/Constant
20.1.3. Referred Pain
20.1.3.1. nerve roots collect simuli from many peripheral nerves
20.1.3.1.1. i.e. epigastric w MI
20.1.3.1.2. shoulder w diaphragm irritation
20.2. ABD Trauma
20.2.1. Trama in Pregnancy
20.2.2. Pelvic Fractures
20.2.2.1. Acetabular
20.2.2.2. Open Book
20.2.2.3. Straddle
20.2.2.4. Avulsion
20.2.3. GU Trauma
20.2.4. Solid Organ Injury
20.2.4.1. Liver Trauma
20.2.4.2. Spenic Injury
20.2.4.3. Diaaphragm Injury
20.2.4.4. Renal
20.2.5. Hollow Viscous Injury
20.2.5.1. Ureter
20.2.5.2. Retroperitoneal Hemorrhage
20.2.5.2.1. Workup
20.2.5.2.2. Classification
20.2.5.2.3. Management
20.2.5.2.4. Dispo
20.2.5.3. Abd Compartment Sdr
20.3. Flank Pain
20.3.1. Pyelonephritis
20.3.2. Nephrolithiasis
20.3.3. PID/TOA
20.4. Diarrhea
20.4.1. Dehydration
20.4.2. IBD
20.4.3. Diverticulitis
20.5. Perforated Viscous/Peritonitis
20.6. Appendicitis
20.7. Bowel Obstruction/ Ileus/Volvulus
20.8. Cholecystitis
20.9. Pancreatitis
20.10. Cholangitis
20.11. Incarcerated Hernia
20.12. AAA
20.13. Mesenteric Ischemia
20.14. DKA
20.15. Extra-Abdominopelvic
20.15.1. Thoracic
20.15.1.1. ACS
20.15.1.2. Pneumonia
20.15.1.3. Herniated Thoracic Disk
20.15.1.4. PE
20.15.2. Infectious
20.15.2.1. Strep Pharyngitis (kids)
20.15.2.2. RMSF
20.15.2.3. Mono
20.15.3. Systemic
20.15.3.1. DKA/AKA
20.15.3.2. Glaucoma
20.15.3.3. Uremia
20.15.3.4. Hbss
20.15.3.5. Porphyria
20.15.3.6. SLE/Vasculitis
20.15.3.7. ^T4
20.15.4. Toxic
20.15.4.1. Methanol
20.15.4.2. Metals
20.15.4.3. Scorpion
20.15.4.4. Black Widow
20.15.5. Abdominal Wall
20.15.5.1. Muscle Spasm
20.15.5.2. Hematoma
20.15.5.3. Zoster
20.15.6. GU
20.15.6.1. Testicular Torsion
20.16. Diffuse
20.16.1. Ddx
20.16.1.1. Peritonitis
20.16.1.2. Pancreatitis
20.16.1.3. Hbss
20.16.1.4. Early Appendicitis
20.16.1.5. Mesenteric Thrombosis
20.16.1.6. Gastroenteritis
20.16.1.7. AAA
20.16.1.8. Obstruction
20.16.1.9. DM
20.16.2. Ask
20.16.2.1. Constant or Intermittant?
20.16.2.1.1. Constant = Ominous
20.16.2.2. Pain or Vomitting first?
20.16.2.2.1. Pain first = Ominous
20.17. Localized/High Risk
20.17.1. LUQ
20.17.1.1. Gastritis
20.17.1.2. Pancreatitis
20.17.1.3. Spleen
20.17.1.3.1. Enlargement
20.17.1.3.2. Rupture
20.17.1.4. MI
20.17.1.5. LLL PNA
20.17.2. LLQ
20.17.2.1. Sigmoid Diverticulitis
20.17.2.2. Pregnancy
20.17.2.3. Advanced Age
20.17.2.4. Pain -> Vomiting
20.17.2.5. Acute Pain
20.17.2.5.1. <48H
20.17.2.6. Prior Abd Surgery
20.17.2.6.1. obstruction
20.17.2.7. Constant
20.17.2.8. No prior episodes
20.17.2.9. significant PMH
20.17.2.9.1. HIV
20.17.2.9.2. EtOH
20.17.2.9.3. Abx/Steriods
20.17.3. RUQ
20.17.3.1. Cholecystitis/Biliary Colic
20.17.3.2. Hepatitis
20.17.3.3. Hepatic Abscess
20.17.3.4. Hepatomegoly/Congestion
20.17.3.4.1. CHF
20.17.3.5. Perforated Duodenal Ulcer
20.17.3.6. Pancreatitis
20.17.3.7. Retrocecal Appendicitis
20.17.3.8. Zoster
20.17.3.9. MI
20.17.3.10. RLL PNA
20.17.4. RLQ
20.17.4.1. Appendicitis
20.17.4.2. Regional Enteritis
20.17.4.3. Meckel's Diverticulitis
20.17.4.4. Cecal Diverticulitis
20.17.4.5. Mesenteric Adenitis
20.17.4.6. Abd Wall Hematoma
20.17.5. b/l lower quadrant
20.17.5.1. AAA
20.17.5.2. Reptured Ectopic
20.17.5.3. PID
20.17.5.4. Hernia
20.17.5.4.1. Incarcerated
20.17.5.4.2. Strangulated
20.17.5.5. Psoas Abscess
20.17.5.5.1. Workup
20.17.5.5.2. Management
20.18. Empiric Management Options
20.18.1. NG Tube
20.18.2. Antiemetics
20.18.3. Abx
20.18.4. Analgesia
20.18.5. Antacids
20.18.6. Antimortality agents
21. Rash
21.1. Tick Paralysis
21.2. HSP
21.3. SJS/TEN
21.4. ITP
21.5. Kawasaki's Dz
21.6. Abscess/Cellulitis/Fasciitis
21.7. TTP/HUS
21.8. SSSS
21.9. RMSF
22. Tachycardia
22.1. Anemia
22.2. Electrolyte Imbalance
22.3. Valvular Emergency
22.4. Sepsis/Bacteremia
22.5. Hypotension
22.6. Toxic Ingestion
23. Neuro
23.1. Myasthenia Gravis
23.2. Guillain-Barr Sdr
23.3. Tetanus
23.4. Seizure/Todd's Paralysis/NCSE
23.5. Seafood Toxins
24. Headache
24.1. ICH
24.1.1. Trauma?
24.1.2. Bleeding Diathesis?
24.1.3. Loss of conciousness?
24.2. SAH
24.2.1. Max intensity at onset?
24.3. Hypertensive Encephalopathy
24.3.1. HTN?
24.4. CO Exposure
24.4.1. Anyone else at home affected?
24.5. Temporal Arteritis
24.5.1. Elderly/Scandinavian?
24.5.2. Jaw, Visual, Scalp Sx?
24.6. Meningoencephalitis
24.6.1. Fever?
24.6.2. Meningismus?
24.7. Cerebral Sinus Thrombosis
24.7.1. Thrombophilia?
24.8. Altitude Sickness
24.8.1. Altitude?
24.9. Acute Angle Closure Glaucoma
24.9.1. Visual Disturbance?
24.9.2. Abnormal Eye Exam?
24.10. Cerebral Artery Dissection
24.10.1. Neck Pain?
24.10.2. Horners?
24.10.3. Neck Manipulation?
24.11. Tumor/Elevated ICP
24.11.1. CA Hx?
25. MSK
25.1. Extremity Pain
25.1.1. Knee Pain
25.1.1.1. Infectious Arthritis
25.1.1.1.1. Red/hot joint?
25.1.1.1.2. Exquisitely painful ROM?
25.1.1.1.3. RF?
25.1.1.2. Knee Dislocation
25.1.1.2.1. Trama?
25.1.1.2.2. Unstable Knee?
25.1.1.3. Fractrure
25.1.1.3.1. Trama?
25.1.1.3.2. Ottawa Positive?
25.1.1.4. Patellar Dislocation
25.1.1.4.1. Abn Patella location?
25.1.1.5. Quadriceps Tendon Rupture
25.1.1.5.1. Weakness or inability to extend knee?
25.1.1.6. DVT
25.1.1.6.1. Extra-articular Findings?
25.1.1.6.2. RF?
25.1.1.6.3. Wells DVT Score?
25.1.1.7. Soft tissue Infxn
25.1.1.7.1. Rubor, Calor, Dolor
25.1.1.7.2. Outside of Joint?
25.1.1.8. INTERVENTIONS
25.1.1.8.1. Arthrocentesis
25.1.1.8.2. XR
25.1.1.8.3. Immobilization
25.1.1.8.4. Referral
25.1.1.8.5. Analgesia
25.1.1.8.6. Crutches
25.1.2. Arterial Injury
25.1.3. Fracture
25.1.4. Arterial Occlusion
25.1.5. Comparment Sdr
25.1.6. Trauma
25.1.7. DVT
25.1.8. Dislocation