• AAA suspected -> abdominal aortic aneurysm
• Abdominal pain -> cholecystitis (acalculus)
• Abdominal pain -> cholecystitis (acute)
• Abdominal pain -> illness requiring inpatient care
• Abnl UGI / persistent symptoms -> gastric adenocarcinoma
• Abscess suspected -> abd abscess
• Abscess suspected -> abd or pelvic abscess
• Abscess suspected -> pelvic abscess
• Acute coronary syndrome -> 30 day death or MI
• Adrenal insufficiency suspected -> adrenal insufficiency
• AIDS and diarrhea -> cryptosporidiosis
• Aldosteronism suspected (abnormal PAC:PRA ratio) -> primary aldosteronism
• 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 (child) -> appendicitis
• Appendicitis suspected (dx uncertain) -> appendicitis
• Ascites -> spontaneous bacterial peritonitis
• Ascites -> portal hypertension
• 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
• Blunt trauma -> hemoperitoneum
• Bowel symptoms -> organic disease (not IBS)
• Breast CA -> bony metastases
• Breast CA -> liver metastasis
• Breast CA suspected -> breast CA
• Breast lump -> breast CA
• Breast mass or enlargement (men) -> breast cancer
• Breast mass or enlargement (men) -> gynecomastia
• Chest pain (all) -> acute MI
• Chest pain (all) -> acute MI or unstable angina
• Chest pain (all) -> coronary artery disease
• Chest pain (all) -> coronary artery spasm
• Chest pain (htn and abnl stress test) -> coronary artery disease
• Chest pain (LBBB) -> acute MI
• Chest pain (non-cardiac) -> GERD
• 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
• Chlamydia suspected (men) -> chlamydia GU infection
• Cirrhosis -> ascites
• Collagen vascular disease suspected (any) -> Reiters Syndrome (asympt controls)
• Colon CA suspected -> colon CA
• Diarrhea (acute) -> cholera
• Diarrhea (acute) -> salmonella or shigella
• Diarrhea (chronic) -> steatorrhea
• Diarrhea (chronic) -> UC or Crohns
• Diarrhea (non-bloody) -> invasive diarrhea
• DVT suspected (symptomatic) -> DVT (all)
• Dyspepsia (child) -> H. pylori infection
• Dyspepsia -> GERD
• Dyspepsia -> H. pylori infection
• Dyspepsia -> ulcer or cancer
• Elevated aminotransferases -> hepatic steatosis
• Febrile illness -> leptospirosis
• Fever (< 3 months old) -> pneumonia
• Fever (>= 39 C) and no obvious source (3-36 months) -> bacteremia
• Gastrointestinal symptoms -> Barretts esophagus
• GI bleed (rectal) -> GI bleeding source
• GI bleed -> GI bleeding source
• GI bleed -> upper GI bleed
• Headache -> sub-arachnoid hemorrhage
• Headache -> CNS malignancy
• Heart murmur (child) -> structural heart disease
• Hemolysis suspected -> hemolysis
• Hepatitis C -> cirrhosis
• Hepatobiliary disease suspected -> hepatobiliary disease
• HF suspected -> heart failure
• Hypertension -> high mean ambulatory diast BP
• Hypertension suspected -> hypertension (> 140/90)
• IBD suspected (adult) -> UC or Crohns disease
• Joint pain -> gout
• Knee pain (child) -> internal derangement
• Knee pain -> internal derangement
• Liver disease suspected -> subacute hepatic necrosis
• Lung CA -> hilar adenopathy
• Lung CA -> mediastinal adenopathy
• Lung CA suspected (any lesion) -> lung CA
• Lyme disease suspected (erythema migrans present) -> Lyme disease
• Lyme disease suspected (late, after 1st wks of infection) -> Lyme disease
• Meningitis suspected (any age) -> bacterial meningitis
• Meningitis suspected (child) -> bacterial meningitis
• Pancreatic CA suspected -> pancreatic CA
• Pancreatitis suspected -> pancreatitis
• PE suspected -> pulmonary embolism
• Pelvic mass -> ovarian CA
• PID suspected -> PID
• PID suspected -> PID (chlamydial)
• Pleural effusion -> lung CA
• Pleural effusion -> tuberculosis
• Pneumonia suspected -> pneumonia
• Positive hemoccult -> colon CA
• Positive hemoccult -> polyps
• Pre-eclampsia suspected (pregnant) -> proteinuria (> 300 mg/24 h)
• Renal lithiasis suspected -> renal lithiasis
• Screening (any) -> serious infection
• Screening (men) -> chlamydia GU infection
• Screening (women) -> ovarian CA
• Screening -> atrial fibrillation
• Septic arthritis suspected -> septic arthritis
• Septicemia suspected (adult) -> septicemia
• Shoulder pain -> rotator cuff tear (any thickness)
• Shoulder pain -> rotator cuff tear (full thickness)
• Shoulder pain -> rotator cuff tear (partial thickness)
• Sore throat (high risk for strep) -> GABHS pharyngitis
• Sore throat -> GABHS pharyngitis
• Staging Hodgkins -> liver involved
• UTI suspected (adult) -> UTI