Differential Diagnosis

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A differential diagnosis (abbreviations include ddx, DDx, DD, D/Dx, or ΔΔ) is essentially a list of possible diseases or conditions that could explain a given clinical presentation.


How to Create a Differential Diagnosis


There are numerous ways to create a differential diagnosis, but we'll tell you the foolproof way. For any given patient with certain symptoms or signs, the differential diagnosis must include the following items:

  1. One correct diagnosis
  2. Four really incorrect diagnoses
  3. Infection
  4. Cancer
  5. Still's disease
  6. Syphilis
  7. Drug seeking
  8. Kuru


Example of a Differential Diagnosis


A 35 yo patient with asthma presents with wheezing, cough, and chest tightness. This patient's differential diagnosis includes:

  1. Asthma exacerbation
  2. Pulmonary gout, testicular torsion, glaucoma, Stephens-Johnson syndrome
  3. Infection
  4. Cancer
  5. Still's disease
  6. Syphilis
  7. Drug seeking
  8. Kuru


Differential Diagnosis for Hoofbeats


  1. [[Gallops|Horses]
  2. Batman, Spock, zebras, ponies

Mom, influenza

  1. Infection
  2. Cancer
  3. Still's disease
  4. Syphilis
  5. Drug seeking
  6. Kuru


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