Approach to diagnosis Man 85

Constitutional symptoms

Approach to diagnosis Man 85

Weight change
Metabolic syndrome Obese: waist circ >90cm (male), 80cm (female) + 2/4 1. TG >150 2. HDL <40 (male), 50 (female) 3. BP >130.85 4. FPG >100

Approach to diagnosis Man 85

Gastrointestinal symptoms
Abdominal pain: dont forget - Trauma - Lung - AMI - DKA - AAA - Hernia

Approach to diagnosis Man 85

Character

Mechanical (solid liquid) Ring ( ) (PlummerVinson syndrome) CA (smoking, GERD)

Motility (liquid

solid)
Intermittent DES

Progressive (weight loss)

Achlasia Scleroderma

Approach to diagnosis Man 85

Constipation in adult - DM - CA - Amitriptyline - IBS

Approach to diagnosis Man 85

Neurological symptoms

PE: vertigo 1. BP: orthostatic ( SBP/DBP > 20/10) 2. ENT: otoscope, Weber/Rinne 3. Neuro a. CN, motor, sensory (proprio) b. Cerebellar sign c. Romberg d. Marching (Unterberger) e. Nystagmus (spontaneous/gazeevoked/positional)

Approach to diagnosis Man 85

Approach to diagnosis Man 85

Musculoskeletal symptoms

Approach to diagnosis Man 85

Respiratory symptoms

Approach to diagnosis Man 85

10

Approach to diagnosis Man 85

11

Approach to diagnosis Man 85

Cardiovascular symptoms

12

Approach to diagnosis Man 85

Genito-urinary symptoms

13

Approach to diagnosis Man 85

14

Approach to diagnosis Man 85

15

Approach to diagnosis Man 85

Dermatologic symptoms

16

Approach to diagnosis Man 85

Hematologic symptoms

17

Approach to diagnosis Man 85

18