Principles of Differential Diagnosis

39
0307,!73.50841#4:930 1107039,,3488 74,20/0,$$!

Transcript of Principles of Differential Diagnosis

Page 1: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 1/39

0307,!73.50841#4:930

1107039,,3488

74,20/0,$$!

Page 2: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 2/39

!73.508413;089,943,3/,3488

019890,7941:838.0391.340/094/039147,/8!74.08808

94/893:8430/8742,34907

,9,84:/-0.40.90/974: 89479,3

3.,0,2

,-3;089,943

Page 3: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 3/39

%0728.42243:80/39010/41/,3488

$:-0.9;08259428

4-0.9;013/38

90.3.,,/

9039,9;0/,3488

/1107039,/,3488

/0139;0/,3488

8549/,3488

5743488

Page 4: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 4/39

,808947

%700-,8.,8

.42570038;057390/6:089433,70

/70.93907;0

.42-3,9434190942094/8

Page 5: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 5/39

!7390/6:089433,70

/;,39,0

-74,/8.450

%208,;3

.43889039

8,/;,39,0

2507843,

,.33/059

310-0

Page 6: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 6/39

70.93907;0

/;,39,0

0-9

!07843,.439,.9

!49039,1476:0894333/059

8,/;,39,0

%20.438:23

349.43889039

Page 7: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 7/39

:9304189479,3

507843,.,808947

.01.425,39

894741.01.425,39

5,89,3/5708039/039,8947

!,89,3/570803920/.,8947

!07843,,-98,3/84.,8947

,28947

Page 8: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 8/39

!07843,.,808947

,20

0

03/07 

//7088

,79,89,9:8

795,.0

..:5,943

Page 9: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 9/39

01.425,39

,.94789,94;073908,534190.425,39415,9039

4 0

4 039,,999:/04 -9415,903994.422:3.,90

4 0700,3/950410/:.,943

40247

4 !70890

Page 10: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 10/39

42243.425,398 !,3

$4708

:7338038,943

44809009

02477,0

#0.0394..:8,574-02

0,0/944907:5943

724:90748942,

%442:.8,;,

,9488

,/9,890

!,708908,,3/,3,08908,

$03

&.07,943

%574-028

:3.943,/847/078

Page 11: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 11/39

!,3!,9039884:/-003.4:7,094/08.7-0902,3

.,7,.90789.841905,3983,9:7080;079/:7,9434.,943570/854831,.9478

80,8089,9574/:.047,,3/1,.,5,3W%009

W:.4:8202-7,30/80,80

W%43:0.43/943

W$,;,7,3/310.943

W33,50.9478W0:798

W',8.:98

W,,783:8/80,80

W%438,7/80,80

W$/80,80

Page 12: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 12/39

$4708

93/.,9090570803.0412:.48,31,22,943847:.078

Page 13: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 13/39

:7338038,943

&8:,1093 %43:0,:80/- 933347074843418:71,.00590:2

884.,90/9901443/80,80

3.70,80/3907,;04,785,.00307,80/$

:73324:983/7420

0:7488

'7,310.943

302,

'9,23/01.03.

88:70/943:0

047,5.943:0

Page 14: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 14/39

00/3

 884.,90//80,808 3;98!074/439,/80,80

%7,:2,

31,22,9475075,8, 07

00/3/847/078

Page 15: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 15/39

4480%009

,:80/-

488418:554793-430

#0847594341907449

 884.,90/9 !074/439,/80,80

%7,:2,

472,7084759434190/0./:4:89009

!:54507,5.,08438

!,5430107083/7420

$

Page 16: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 16/39

#0.0394..:8,574-02

988:850.90/03905,90398,;090.425,39841

#0.039909009/439-90794784209009,704:94130

3.,382:89.438/07901443 ;07.4394:70/708947,9438

!074/439,/80,80

%7,:2,9.3:7

898

-74:8/85,8,

Page 17: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 17/39

0,0/944907:5943

#0,90/94,341901443 ,5480/4725,.90/9009

$.07480/-430

,/0;0452039

/43942,8 %:2478

898

3.,80410307,80//0,.3.,384:/

.438/075488-90841 54974/82

34/439,

/4.7,3,/85,8,

Page 18: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 18/39

724:9

92,708:91742 310.94341908,;,7,3/8

4.,31,22,943

0/7,943

7:907,5

:9422:30/80,80,8$4703883/7420

024907,5

!4897,/,943.,308 .4482

!8.488

Page 19: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 19/39

%442:.$,;,

92,-070,90/94 38079434130/039:70

0.70,80/473.70,80/90;079.,/203843 !8.42,9.574-028

Page 20: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 20/39

$03

92,-0,884.,90/9 31,22,943

310.943

898

#09038435034203,

%:2478

Page 21: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 21/39

,/9,890

,708:981742 3

0,;82443

!44747,030

&8

!074/439,/80,80 ,-0908

507903843

,708

0.70,80/8,;,714

!8.488 0/.,943

0:744.,/847/078

397,47,2,3,3.08

&70,2,

Page 22: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 22/39

,9488

&8:,908,20.,:80841,/9,8903,//94394

&8

%7/24,74507.::2

,8,310.943

$3:8310.943

!,730,310.943

%43898

,897.574-02

Page 23: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 23/39

!,70908,3,08908,

,:80/-,341901443 3:794907043,307;08

,3,3.08

0/.,943880/,9;085349.8

,-0908

.:90310.9434190,-430

!703.4:8,302,

:9508.,074808

Page 24: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 24/39

894741.01.425,39 013943

3809,3/.4:7808

,881.,9431472,8808 ,88089,93.70,80380:89-014700,93

, $,;,7709039435034203,$47432,880824398940,78

,.743.310.943- 898. 0339:2478

4/07,907432,8808008949424398

,.743.310.943- 898. ,3,399:2478

#,5/7432,88084:7894/,8

, -8.088085,31:- 310.90/.8985,31:

.$,;,770903943503423,5,3088/ 02,942,85,3088

,8808,..425,30/910;07 

,310.943- 2542,8

Page 25: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 25/39

!,89/039,8947 443/09,884:/-03;089,90/

706:03.41/039,5745,8

!,89050703.0/:73,3/,19074.,

,308908,/039,097,.9431443/039,

907,5

!,895074/439,907,5

/039,,55,3.08947

10/-7/0

#449.,3,13

$:7.,574.0/:703,9:7041988:07024;0/

70.:7703.08

Page 26: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 26/39

#&'&'"%

98-099079489,799020/.,8947-,83905,90399014436:089438 

704:34/0,9

 704::3/0790.,7041,58.43

184,9890.43/943-03970,90/

44:8:11070/17428074:8/80,8034:7

./44/

,;04:,/,38074:83088474507,943

,;0,/70:2,9.10;0770:2,9.0,79

/80,8047,3'08438

704:9,3,3/7:8

Page 27: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 27/39

#&'&'"%

 704:,07.47,;04:70,.90/,/;078094,!03.3,7-9:7,908

,;04:,;0,-3472,-00/3,884.,90/9570;4:8097,.9438:7074797,:2,

44:,;0,3-44//847/078:.,8,3,02,

,;04:,30/474892:.0970.039

,;04:,38347;03070,/80,80

44:70.0;0/,3/480417,/,943 704:/,-09.

,;04:,3.089974:-08

704:5703,393102,08

Page 28: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 28/39

#&'&'"% 80,808..4397,3/.,90,33/41/039,970,92039

0:02,0.,:8041,9070//01038020.,382,,389310.9430.088;0,02477,0,1907097,.943/0,0/4:3/0,3

  0245, /0.70,80/1,.947

0,/9480;07,3/1,9,-00/3

//8438/80,80

84:/-0.439740/989074/894,;4/1,9,,/703,.788 507974/8294.950

84:/-01789.439740/94,;4/1,9,,99,.41974/.788

43089;00,791,:70,/;,3.0/950

Page 29: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 29/39

#&'&'"%

80,808.706:70850.,570.,:94384757020/.,943574794/039,970,92039

,7/4;,8.:,788902, 85,90398,978418:-,.:90-,.907,03/4.,7/98.43

70:2,9.0,79/8

- 4743,70,79/80,80

 33,50.9478

 #03,/80,808,83/301,:70

22:344./847/078,83572,780.43/,722:34/110.03./80,808

089;0,3/03/4.73,/80,808

,83;07/80,80!059.:.07

Page 30: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 30/39

#&'&'"% 80,80:3/07970,92039-,58.,39/7:89,9.4397,3/.,9047300/.079,3

,/:892039-0147090:8041,//943,

/7:847.079,3/039,574.0/:708

39.4,:,398 05,73.:2,74

  $8902..4798430907,5 

%7,36:078

Page 31: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 31/39

#&'&'"% 80,8089,9;02,31089,9438390

47,.,;9 44//80,808

,80:02, 302,

 $3/80,808

,8.035,3:87902,2:914725,25:8;,,78

3/4.73,/80,808

,854,/703,82545,7,94/82:97943,/80,808

,8;9,23/1.03.08

430/80,808

,8!,09/80,80

Page 32: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 32/39

#&'&'"%

8,0808.03/,30790/03989

.9;0%:-07.:488

570.,:94388:.,81,.02,8,/06:,908907,,943

:8041.43;039,8500/

  '7,05,998

/0398984:/-0.,:94383.439,.935,90398,;,,3/-44//70.9,3/84:/,/06:,98907,090

3897:20398

Page 33: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 33/39

#&'&'"%

07.474907:3,390/70,.943894/7:8

01470/08.7-3,3/7:4:84:/341985,9039,89,0390/7:570;4:8,3/1

844070,.90/949

 /;,39,08 0594570;0398074:8471,9,

.425.,94389,92,,110.9905,90398

Page 34: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 34/39

#&'&'"%

&96:69:50.5;335::: 6:7;.3.;65:

3661'9.5::65:

339:

10.;65: #95.50

Page 35: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 35/39

%6&:;4:

"9.569&:;4 &47;64:

59.3 ;0.5:4.3.:.;5;:.;:

.1 .1.0:;5195:::5:796/34:

: .5:5:6576;676/./399517367.:76;:1:0.9:

.9: .950.5:;55;:7.51:0.99;6

!6: 7:;.:6/:;90;65:'96.; 6.9:5:::695::

%:79.;69 :;7.551:75.06467;::

.916.:03.9 :;7.51:75.69;675.54/96

7336:511;6:37 06469;./314.03.10.;65

94.;6360 %.::799;:3:65::250.5097194610.90564.43.564.

Page 36: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 36/39

.:;965;:;5.3 .5:5.77;;1:7..5.:.64;54.;4::51:;657.51.99.065:;7.;65435.4.;60./36.;5469961:.510

5;695.9 .5:598509501:9.4.;9.560;9.5065;5501:0.9476;50

506360 5:;9.30.5:985019.;65363.:;45:;9.3

7961:45699.4567.:516095 #639.7317:.7637..;49.;9

5;639.50745;.;65::036:23;.3 :03.5165;7.51694;:65;

:335::7.:4:0.5:59.5646;654.;6360347.;0 .:/9:57:;.::765;.56:5.3

/315509.:1/315.;9;9.4.:63356953.91347561:!967:0.;90 &5067:9:.25::53.;9.3.51

/3.;9.30.5:5066915.;65:5:.;65:4469466169:377.;;9546;65.31:;9/.50::;6967:0.;90;9.7

Page 37: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 37/39

66..:;696.56;6336573.:002:6956

  :!6  :!6/366179::979;5:65 54.

.9;4949 3151:6919

%4.;09 151:.:

;9.3.37963.7: %5.31.3::

  55.70;69::;7.5 "9.5;9.5:73.5;  

.9;.;;.02 .509#96:;;0.9;0.3.9;.3%.1.;65;9.7

993.99.71.9;/.; 46;9.7

#.04.29473.5;11/933.;69 737:&9

.9;1:.: &;64.0309

.9;69/7.:::99 63;:5;:;5.3796/34:

&;962 9;9;:

47:4. 9;0.365;:

 :;4. &.33;9.5:4;;11:.:

./;: &

'9611:.: '/9036::'

91:.: #:0.;90;9.;45;  

7.;;:.510 339;63.;

Page 38: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 38/39

,28947

!,79.:,7:801:03,5488-941,070/9,7/80,8085708039

93.:/08

.43/94389,9,;0903/03.94-030790/ 5488-941310.9;0.439,.9,83%

,-0908209:8.079,3-44//80,80,80245,

,3/,072039,/847/07884:/-070.47/0//:0949071,2,903/03.

070/9,7039,574-0289,91,.390/039890 2040388,3/039340388250710.9,.43039,,-803.04190098:5073:20790092,4..:843

Page 39: Principles of Differential Diagnosis

8/3/2019 Principles of Differential Diagnosis

http://slidepdf.com/reader/full/principles-of-differential-diagnosis 39/39

$4.,8947

98/;/0/394

,-9870,90/9447,030

,-98.,;09031:03.04347,

2:.48,3;,,3/9009

0.088;0:8041,.44

09,7894700.088;08:,7

39,0