cyanosis workup

Welcome! MDHero is a software that generates questions to ask, makes a diagnosis, explains its clinical reasoning and generates a write up complete with assessment and plan.

Pertinent positives

Enter your symptom(s) below separated by commas, I will take the first one as the chief complaint.

Age: male female

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Differential diagnoses

Based on the symptoms so far, my differential includes: methemoglobinemia
There are also 20 diseases that can present with a chief complaint of cyanosis: drug effect, CHF, COPD, asthma, pneumonia, ILD, carbon monoxide poisoning, PE, foreign body, pneumothorax, raynaud phenomenon, arterial occlusion, cyanotic heart disease, tetralogy of fallot, PDA, acrocyanosis, upper airway obstruction, shock, croup, spasmodic croup

Clinical suspicians

Based on the symptoms so far, I suspect 1 conditions:

methemoglobinemia because of cyanosis

What to do next

- For me to arrive at a diagnosis, there are still 51 pieces of clinical information I need to know. See below. If you spent 2 seconds answering each one, it should take you 1 minutes. Click the 'Think' button afterward so I can process the information.

- When I have no more questions, click to Generate Write up / SOAP note / oral report

methemoglobinemia:

- get ABG
- dx with methemoglobin absorption spectra

HPI and Review of Systems

Default all to no: Check here to default everything to 'no' unless you explicitly select a symptom.

dyspneano : pertinent for asthma, carbon monoxide poisoning, CHF, COPD, foreign body, ILD, PE, pneumothorax, upper airway obstruction
coughno : pertinent for asthma, CHF, COPD, croup, ILD, pneumonia
childno : pertinent for cyanotic heart disease, foreign body, spasmodic croup, tetralogy of fallot
chest painno : pertinent for CHF, PE, pneumonia
acuteno : pertinent for foreign body, PE, upper airway obstruction
exertional dyspneano : pertinent for asthma, CHF, COPD
purulent sputumno : pertinent for COPD, pneumonia
chronicno : pertinent for COPD, ILD
elderlyno : pertinent for ILD, pneumonia
feverno : pertinent for croup, pneumonia
barking coughno : pertinent for croup, spasmodic croup
foamy sputumno fatigueno weight lossno : pertinent for CHF
raynaud phenomenonno : pertinent for raynaud phenomenon
stasisno recent surgeryno syncopeno : pertinent for PE
cyanosis alleviated by warmthno O2 sat normalno : pertinent for acrocyanosis
smokerno : pertinent for COPD
paresthesiano : pertinent for arterial occlusion
new medicationno illicit drugno symptoms associated with certain drugno changes in medicationno : pertinent for drug effect
droolingno : pertinent for foreign body
difficulty talkingno : pertinent for upper airway obstruction
worsening coughno asbestos exposureno sand blasting historyno middle agedno : pertinent for ILD
hoarsenessno : pertinent for croup
thick clear sputumno : pertinent for asthma
cool clammy skinno : pertinent for shock
CO exposureno : pertinent for carbon monoxide poisoning
nighttime symptomsno : pertinent for spasmodic croup

Physical Exam

murmurno : pertinent for cyanotic heart disease, tetralogy of fallot
stridorno : pertinent for foreign body, upper airway obstruction
AMSno : pertinent for carbon monoxide poisoning, shock
peripheral edemano : pertinent for CHF
decreased pulseno extremity cyanosisno extremity pallorno decreased sensationno : pertinent for arterial occlusion
unilateral decreased breath soundsno : pertinent for pneumothorax
respiratory distressno : pertinent for foreign body
cracklesno : pertinent for pneumonia
wheezingno : pertinent for asthma
hypotensionno : pertinent for shock
continuous murmurno : pertinent for PDA

Common Chief Complaints

The app currently support the following chief complaints. Click on one to begin.

General: fatigue | weight loss | fever | edema | pruritus
Neuro: AMS | headache | syncope | vertigo | dizziness
Skin: edema | pruritus | flushing | erythema | cyanosis | petechiae | purpura
- Rashes: erythema | urticaria | maculopapular rash | vesiculobullous rash | petechiae | purpura | rash
HEENT: headache | earache | vertigo | dizziness
Cardio:chest pain
Pulm: cough | hemoptysis | dyspnea
GI:
- upper GI: dysphagia | odynophagia | hematemesis
- lower GI: diarrhea | constipation | melena | blood in stool | BRBPR
- abdominal pains: epigastric pain | LUQ pain | RUQ pain | RLQ pain | LLQ pain | suprapubic pain | periumbilical pain | diffuse abdominal pain
Renal: dysuria | hematuria | suprapubic pain

Clear all and start over