COMLEX Level 2 PE Case Differentials

COMLEX Level 2 PE Cases 1- 48 yo f c/o abdominal pain Differenials 1! pepic "lcer disease 2! c#olecysiis $! %asriis 4! f"ncional dyspepsia &! perforaed "lcer  '! %asric cancer  2- 21 yo f a #e ED c/o abdominal pain Differenials 1! pelvic inflammaory disease 2! appendiciis $! r"p"red ecopic pre%nancy 4! r"p"red ovarian cys &! adne(al orsion '! %asroeneriis )! aborion 8! endomeriosis $- )4 yo m a #e ED c/o * arm pain Differenials 1! #"meral frac"re 2! oseoporosis $! s#o"lder dislocaion 4! elder ab"se &! roaor c"ff ear  4- 21 yo m c/o sore #roa Differenials 1! infecio"s monon"cleosis 2! ac"e +, infecion $! viral p#aryn%iis 4! bacerial p#aryn%iis &- && yo m c/o blood in #is sool Differenials 1! colorecal cancer  2! #emorr#oids $! diveric"losis 4! an%iodysplasia &! pse"domembrano"s coliis '! o#er infecio"s coliis )! "lceraive coliis

'- 4' yo m a #e ED c/o c#es pain Differenials 1! M, or isc#emia 2! cocaine ind"ced/dr"% ind"ced M, $! .E*D 4! aoric dissecion &! pericardiis '! pne"mo#ora( )! p"lmonary embolism 8! cosoc#ondriis )- ) mos old m c/o fever  Differenials 1! viral *, 2! pne"monia $! menin%iis 4! 0, &! oiis media '! %asroeneriis )! occ"l baceremia 8- 18 mos old f c/o fever  Differenials 1! oiis media 2! menin%ococcal menin%iis $! scarle fever  4! fif# disease or o#er viral e(an#em &! varicella - 2' yo m c/o co"%# Differenials 1! *, 2! ac"e bronc#iis $! pne"monia 4! ple"rodynia &! aspiraion 1- &4 yo f c/o persisen co"%# Differenials 1! p"lmonary "berc"losis 2! l"n% cancer  $! l"n% abscess 4! aypical pne"monia &! ypical pne"monia '! COPD e(acerbaion )! 3e%ners %ran"lomaosis

11- &2 yo f c/o yello5 s6in and eyes Differenials 1! e(ra#epaic biliary obsr"cion 2! viral #epaiis $! aceaminop#en liver o(iciy 4! alco#olic #epaiis &! primary biliary cirr#osis 12- '& yo f c/o for%ef"lness and conf"sion Differenials 1! 7l#eimers demenia 2! vasc"lar demenia $! depression 5i# pse"dodemenia 4! #ypo#yroidism &! viamin 912 deficiency '! s"bd"ral #emaoma 1$- &' yo m f/" for diabees Differenials 1! ins"lin ind"ced #ypo%lycemia 2! perip#eral ne"ropa#y $! m"liple myeloma 4! diabeic a"onomic ne"ropa#y &! vasc"lar disease: medicaion ind"ced erecile dysf"ncion 14- &$ yo m a #e ED c/o diiness Differenials 1! Menieres diseases 2! or#osaic #ypoension $! beni%n paro(ysmal posiional veri%o 4! labyrin#iis &! perilymp#aic fis"la '! aco"sic ne"roma 1&- 4' yo m c/o fai%"e Differenials 1! depression 2! ad;"smen disorder 5i# depressed mood $! #ypo#yroidism 4! obsr"cive sleep apnea &! pos-ra"maic sress disorder  '! +, infecion 1'- $2 yo f c/o fai%"e Differenials 1! domesic violence

2! depression $! diabees melli"s 4! diabees insipid"s &! anemia '! myas#enia %ravis )! #ypo#yroidism 1)- '1 yo m c/o fai%"e Differenials 1! depression 2! pancreaic cancer  $! c#ronic pancreaiis 4! pepic "lcer disease &! #ypo#yroidism 18- $& yo f a #e ED c/o #eadac#e Differenials 1! mi%raine 2! ension #eadac#e $! depression 4! pse"do"mor cerebri &! inracranial mass lesion '! cl"ser #eadac#e )! sin"siis 1- &) yo m a #e ED c/o bloody "rine Differenials 1! bladder cancer  2! "roli#iasis $! 9P+ 4! prosae cancer  &! renal cell carcinoma '! %lomer"lonep#riis )! 0, 2- &4 yo m f/" for +0< Differenials 1! dr"% ind"ced erecile dysf"ncion 2! #ypo%onadism $! erecile dysf"ncion ca"sed by vasc"lar disease 4! depression &! alco#ol relaed erecile dysf"ncion '! Peyronies disease 21- $$ yo f c/o 6nee pain Differenials

1! %o" 2! pse"do%o" $! sysemic l"p"s ery#emaos"s 4! r#e"maoid ar#riis &! %onococcal sepic ar#riis '! non%onococcal sepic ar#riis )! oseoar#riis 22- '' yo m c/o remor  Differenials 1! Par6insons disease 2! essenial remor  $! p#ysiolo%ic remor  4! midbrain lesion &! dr"% ind"ced remor  '! psyc#o%enic remor  )! 3ilsons disease 8! #yper#yroidism 2$- 4 yo m a #e ED c/o passin% o" a fe5 #o"rs earlier  Differenials 1! conv"lsive syncope 2! vasova%al syncope $! cardiac arr#y#mia 4! dr"% ind"ced or#osaic #ypoension &! sei"re '! aoric senosis 24- $ yo f c/o 5ei%# %ain Differenials 1! smo6in% cessaion 2! #ypo#yroidism $! li#i"m relaed obesiy 4! familial obesiy &! pre%nancy '! C"s#in%s syndrome 2&- $' yo f c/o irre%"lar mensr"al period Differenials 1! pre%nancy 2! #yperprolacinemia $! polycysic ovary syndrome 4! #yroid disease &! prema"re ovarian fail"re '! 7s#ermans syndrome

2'- 28 yo f c/o pain d"rin% se( Differenials 1! v"lvova%iniis 2! cerviciis $! endomeriosis 4! v"lvodynia &! domesic violence '! pelvic "mor  )! va%inism"s 2)- &1 yo m c/o bac6 pain Differenials 1! disc #erniaion 2! l"mbar m"scle srain $! de%eneraive ar#riis 4! l"mbar spinal senosis &! measaic prosae cancer  '! m"liple myeloma )! malin%erin% 28- ' mos old f c/o diarr#ea Differenials 1! roavir"s 2! bacerial diarr#ea $! malabsorpion 4! 0, &! in"ss"scepion '! baceremia 2- )& yo m c/o #earin% loss Differenials 1! presbyc"sis 2! coc#lear nerve dama%e d"e o lo"d noise $! oosclerosis 4! Menieres disease &! ooo(iciy '! aco"sic ne"roma $- 8 yo m c/o bed5ein% Differenials 1! primary noc"rnal en"resis 2! secondary en"resis $! 0, 4! consipaion &! sleep apnea '! f"ncional bladder disorder 

$1- 2& yo m a #e ED follo5in% M7 Differenials 1! pne"mo#ora( 2! #emo#ora( $! pne"monia 4! rib frac"re &! splenic r"p"re '! ple"riis $2- 2& yo f a #e ED afer bein% assa"led Differenials 1! rib/bone frac"re 2! pne"mo#ora(/#emo#ora( $! =0Ds 4! pre%nancy $$- 28 yo f c/o posiive pre%nancy es Differenials 1! normal pre%nancy 2! ecopic pre%nancy $! molar pre%nancy $4- 2 yo f c/o sleepin% problems Differenials 1! an(iey 2! caffeine ind"ced insomnia $! #yper#yroidism 4! insomnia relaed o depression &! ad;"smen insomnia '! illici dr"% ab"se )! obsr"cive sleep apnea $&- 2) yo m a #e ED c/o seein% sran%e 5riin% on #e 5all Differenials 1! s"bsance ind"ced psyc#osis 2! brief psyc#oic disorder  $! psyc#osis secondary o a medical condiion 4! narcolepsy &! sei"re $'- 1 yo f recenly dia%nosed 5i# diabees Differenials 1! 0ype 1 diabees melli"s 2! 0ype 2 diabees melli"s $! secondary ca"ses of diabees melli"s

$)- $& yo f c/o pain in #er * calf  Differenials 1! deep vein #rombosis 2! cell"liis $! myosiis 4! #emaoma &! r"p"red 9a6ers cys '! r"p"re of %asrocnemi"s )! lo5er e(remiy m"scle spasm d"e o in;"ry or sprain $8- $1 yo m c/o #eel pain Differenials 1! planar fasciiis 2! calcaneal sress frac"re $! 7c#illes endiniis 4! rerocalcaneal b"rsiis &! arsal "nnel syndrome '! forei%n body )! an6le sprain $- & day old m c/o yello5 s6in and eyes Differenials 1! p#ysiolo%ic ;a"ndice 2! 79O or *# incompaibiliy $! neonaal sepsis 4! cep#alo#emaoma &! breas feedin% ;a"ndice '! polycy#emia )! familial neonaal #yperbilir"binemia 4- 2 yo f c/o noisy and sran%e brea#in% Differenials 1! forei%n body aspiraion 2! cro"p $! laryn%iis 4! epi%loiis &! rerop#aryn%eal abscess '! an%ioedema )! perionsillar abscess 8! laryn%eal papilloma