Differential Diagnosis Common Complaints OF SEVENTH E0,ITION ELSEVIER Differential Diagnosis of Common Complaints SEVENTH EDITION Robert H. Seller, MD Andrew B. Symons, MD, MS Associate Professor and Vice Chair for Medical Student Education, Department of Family Medicine, Course Director, Clinical Practice of Medicine, Director, Family Medicine Clerkship, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York ELSEVIER Table of Contents Cover image Title page Copyright Dedication Preface Acknowledgments 1: Abdominal Pain in Adults Nature of patient Nature of pain Location of pain Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 2: Abdominal Pain in Children Nature of patient Nature of pain Location of pain Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 3: Backache Nature of patient Nature of symptoms and location of pain Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 4: Belching, Bloating, and Flatulence Belching Bloating and flatulence 5: Breast Lumps Nature of patient Nature of symptoms Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 6: Chest Pain Nature of patient Nature of pain Associated symptoms Precipitating and aggravating factors Physical findings Diagnostic studies Less common diagnostic considerations 7: Colds, Flu, and Stuffy Nose Nature of patient Nature of symptoms and associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 8: Constipation Nature of patient Nature of symptoms Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 9: Cough Nature of patient Nature of symptoms Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 10: Diarrhea Nature of patient Nature of symptoms Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations Chronic diarrhea in children 11: Dizziness/Lightheadedness and Vertigo True vertigo Lightheadedness/Dizziness and Giddiness 12: Earache Nature of patient Nature of symptoms Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings and diagnostic studies Less common diagnostic considerations 13: Facial Pain Nature of patient Nature of symptoms Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 14: Fatigue Nature of patient Nature of symptoms Associated symptoms Precipitating and exacerbating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 15: Fever Nature of patient Nature of symptoms Associated symptoms Precipitating and aggravating factors Physical findings Diagnostic studies Less common diagnostic considerations 16: Forgetfulness Nature of patient Nature of symptoms Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 17: Headache Nature of patient Nature of pain Headache patterns Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 18: Heartburn, Indigestion, and Dyspepsia Nature of patient Nature of symptoms Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 19: Insomnia Nature of patient Nature of symptoms Associated symptoms Precipitating and aggravating factors Ameliorating factors Physical findings Diagnostic studies Less common diagnostic considerations 20: Menstrual Irregularities Abnormal bleeding Nature of patient Nature of symptoms Amenorrhea 21: Menstrual Pain Nature of patient Nature of symptoms Associated symptoms Precipitating and aggravating factors Ameliorating factors