Ferris DIFFERENTIAL DIAGNOSIS
A Practical Guide to the Differential Diagnosis of Symptoms, Signs, and Clinical Disorders
Second Edition
Fred F. Ferri, MD, FACP
Clinical Professor, Alpert Medical School, Brown University, Providence, Rhode Island
Front Matter
Ferris DIFFERENTIAL DIAGNOSIS
A Practical Guide to the Differential Diagnosis of Symptoms, Signs, and Clinical Disorders
Edition 2
Fred F. Ferri, MD, FACP
Clinical Professor
Alpert Medical School
Brown University
Providence, Rhode Island
Copyright
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
FERRIS DIFFERENTIAL DIAGNOSIS
ISBN: 978-0-323-07699-9
Copyright 2011, 2006 by Mosby, Inc., an affiliate of Elsevier Inc.
.
Notice
Neither the Publisher nor the author assumes any responsibility for any loss or injury and/or damage to persons or property arising out of or related to any use of the material contained in this book. It is the responsibility of the treating practitioner, relying on independent expertise and knowledge of the patient, to determine the best treatment and method of application for the patient.
The Publisher
Library of Congress Cataloging-in-Publication Data
Ferri, Fred F.
Ferris differential diagnosis : a practical guide to the differential diagnosis of symptoms, signs, and clinical disorders / Fred F. Ferri.2nd ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-323-07699-9
1. Diagnosis, DifferentialHandbooks, manuals, etc. I. Title. II. Title: Differential diagnosis.
[DNLM: 1. Diagnosis, DifferentialHandbooks. WB 39 F388f 2011]
RC71.5.F47 2011
616.075dc22
2010011153
Acquisitions Editor: Jim Merritt
Developmental Editor: Lora Sickora
Publishing Services Manager: Linda Van Pelt
Design Direction: Lou Forgione
Printed in China
Last digit is the print number 9 8 7 6 5 4 3 2 1
Preface
The purpose of this handbook is to provide the clinician with a quick reference to the differential diagnosis, etiology, and classification of clinical disorders, signs, and symptoms. These various differential diagnoses are readily available in general medical texts, but the information is often scattered and difficult to find. The second edition of this manual has been significantly expanded and now contains the differential diagnosis of over 1500 signs, symptoms, and clinical disorders, yet its small size easily fits in a lab coat pocket. To facilitate its use, each condition is listed alphabetically. Differential diagnoses are listed in order of decreasing frequency.
This book differs from other differential diagnosis books because it lists not only the differential diagnosis of signs, symptoms, and laboratory abnormalities but also the differential diagnosis of more than 600 clinical disorders. For example, its user can rapidly locate the differential diagnosis of Calcifications on Chest X-ray and further identify the differential diagnosis of Silicosis, Tuberculosis, and other diseases that can cause calcifications on chest x-ray, thus narrowing down the correct diagnosis.
This book is intended for use by medical students, physicians, and allied health professionals in need of a practical rapid reference covering nearly every possible sign, symptom, and clinical disorder that will be encountered in the daily practice of both in-patient and out-patient medicine.
Fred F. Ferri, MD, FACP
Acknowledgments
The author wishes to acknowledge the following physicians for their contribution to the creation of this handbook: Ruben Alvero, Michael Benetar, Jeffrey Borkan, George Danakas, Michael Dobbs, Mitchell Feldman, Glen Fort, Joseph Masci, Lonnie Mercier, Dennis Mikolich, Peter Petropoulos, Iris Tong, and Wen-Chih Wu.
A
Abdominal Distention
NONMECHANICAL OBSTRUCTION
Excessive intraluminal gas
Intra-abdominal infection
Trauma
Retroperitoneal irritation (renal colic, neoplasms, infections, hemorrhage)
Vascular insufficiency (thrombosis, embolism)
Mechanical ventilation
Extra-abdominal infection (sepsis, pneumonia, empyema, osteomyelitis of spine)
Metabolic/toxic abnormalities (hypokalemia, uremia, lead poisoning)
Chemical irritation (perforated ulcer, bile, pancreatitis)
Peritoneal inflammation
Severe pain
Pain medications
MECHANICAL OBSTRUCTION
Neoplasm (intraluminal, extraluminal)
Adhesions, endometriosis
Infection (intra-abdominal abscess, diverticulitis)
Gallstones
Foreign body, bezoars
Pregnancy
Hernias
Volvulus
Stenosis at surgical anastomosis, radiation stenosis
Fecaliths
Inflammatory bowel disease (IBD)
Gastric outlet obstruction
Hematoma
Other: parasites, superior mesenteric artery (SMA) syndrome, pneumatosis intestinalis, annular pancreas, Hirschsprungs disease, intussusception, meconium
Irritable bowel syndrome
Acute gastroenteritis
Appendicitis
Inflammatory bowel disease (IBD)
Peptic ulcer disease
Cholecystitis
Neoplasm
Other: functional abdominal pain, pelvic inflammatory disease, pregnancy, pyelonephritis, renal stone, trauma, anxiety
Acute gastroenteritis
Appendicitis
Constipation
Anxiety
Cholecystitis, acute
Intestinal obstruction
Pancreatitis
Neoplasm
Inflammatory bowel disease (IBD)
Other: functional abdominal pain, pyelonephritis, pneumonia, diabetic ketoacidosis (DKA), heavy metal poisoning, sickle cell crisis, trauma
ORGANIC DISORDERS
Common
Gynecologic disease
Lactase deficiency
Diverticulitis
Crohns disease
Intestinal obstruction
Uncommon
Chronic intestinal pseudo-obstruction
Mesenteric ischemia
Malignant neoplasm (e.g., ovarian carcinoma)
Abdominal wall pain
Spinal disease
Testicular disease
Metabolic diseases (e.g., diabetes mellitus [DM], familial Mediterranean fever, C1 esterase deficiency [angioneurotic edema], porphyria, lead poisoning, tabes dorsalis, renal failure)
FUNCTIONAL DISORDERS
Common
Irritable bowel syndrome
Functional abdominal bloating
Uncommon
Functional abdominal pain
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