Viral Infection (e.g. Herpes Simplex, Hand, Foot and Mouth) 3839 Painful Tongue 4814
Median Rhomboid Glossitis (Superficial Midline Glossitis) 3841 Painful Tongue 4814
Burning Mouth Syndrome (Also Known as Glossodynia) 3843 Painful Tongue 4814
Fissured Tongue (Doesn’t Commonly Cause Pain) 3845 Painful Tongue 4814
Glossopharyngeal Neuralgia 3847 Painful Tongue 4814
Lichen Planus 2051 Painful Tongue 4814
Hand, Foot and Mouth 6504 Mouth Ulcers 4812
Inflammatory Bowel Disease 245 Mouth Ulcers 4812
Coeliac Disease 155 Mouth Ulcers 4812
Glandular Fever 1921 Mouth Ulcers 4812
Lichen Planus 2051 Mouth Ulcers 4812
Lichen Planus 2051 Mouth Lumps and Marks 4807
Trauma: Bitten Cheek 3775 Mouth Lumps and Marks 4807
Salivary Gland Disorders 6081 Mouth Lumps and Marks 4807
Torus: Benign Maxillary or Mandibular Outgrowth of Bone (Very Common but Usually Asymptomatic so not Commonly Seen) 3779 Mouth Lumps and Marks 4807
Premalignant Coloured Areas: Erythroplakia (Red), Leukoplakia (White), Speckled Leukoplakia (Red and White), or Verrucous Leukoplakia 3781 Mouth Lumps and Marks 4807
Geographical and Hairy Tongue 3783 Mouth Lumps and Marks 4807
Tonsil stones 6152 Mouth Lumps and Marks 4807
Other Forms of oral Ulceration (See ‘Mouth Ulcers’ Section) 3787 Mouth Lumps and Marks 4807
Aphthous Ulceration 3093 Bleeding or Painful Gums 4804
Gingivitis 6494 Bleeding or Painful Gums 4804
Autoimmune Disease: Lichen Planus, SLE and Others 3753 Bleeding or Painful Gums 4804
Oral Cancer 5999 Bleeding or Painful Gums 4804
Blood Dyscrasias (Especially Acute Myeloid Leukaemia) 3757 Bleeding or Painful Gums 4804
Ketohalitosis of Starvation: Especially in People Using High-Protein, High-Fat, Low-Carbohydrate Weight Reduction Diet Regimens (and Pre-Operatively Starved Patients) 3725 Bad Breath 4801
Drugs, e.g. Disulfiram 3727 Bad Breath 4801
Sinusitis 3043 Bad Breath 4801
Subjectively Perceived (Non-Existent) Halitosis (Sometimes a Form of somatisation) 3731 Bad Breath 4801
GORD in adults 6706 Bad Breath 4801
Polyps 3234 Runny/Discharging Nose 4799
Rhinitis 1190 Runny/Discharging Nose 4799
Cocaine Abuse 3238 Runny/Discharging Nose 4799
Cluster Headache 961 Runny/Discharging Nose 4799
Chemical Irritation (Smoke, Fumes) 3242 Runny/Discharging Nose 4799
Nasal Foreign Body (Usually Seen in toddlers or Children) 3705 Runny/Discharging Nose 4799
Drug Side Effects (e.g. Α-Blockers, Calcium Channel Blockers) 3707 Runny/Discharging Nose 4799
Nasal Sprays (e.g. Corticosteroids) 3205 Nosebleed 4797
Septal Granulomas and Perforations 3207 Nosebleed 4797
Chronic Liver Disease 6415 Nosebleed 4797
Nasopharyngeal Cancer 5981 Nosebleed 4797
Abnormal Anatomy: Septal Deviation 3213 Nosebleed 4797
Trauma: Nasal Fracture 3215 Nosebleed 4797
Rhinitis 1190 Blocked Nose 4793
Sinusitis 3043 Blocked Nose 4793
Papilloma 3178 Blocked Nose 4793
Trauma (Including Septal Haematoma) 3180 Blocked Nose 4793
Foreign Body (Especially Toddlers) 3182 Blocked Nose 4793
Laryngomalacia 3145 Stridor in Children 4786
Laryngeal Trauma 3147 Stridor in Children 4786
Bacterial Tracheitis 3149 Stridor in Children 4786
Croup 1220 Stridor in Children 4786
Upper Airway Burn 3153 Stridor in Children 4786
Tension/Stress (Common, but Usually Causes an Ache or Muscle Tenderness Rather than Stiffness) 3119 Stiff Neck 4781
Other Forms of Arthritis (e.g. Rheumatoid [RA] and Ankylosing Spondylitis) 3121 Stiff Neck 4781
Abscess in the Neck 3123 Stiff Neck 4781
Functional Neurological Disorder 1562 Stiff Neck 4781
Stroke and TIA 2115 Stiff Neck 4781
Brain Tumour 6367 Stiff Neck 4781
Eczema 6471 Itchy Scalp 4783
Other Fungal Infections 2762 Itchy Scalp 4783
Folliculitis 5815 Hair Loss 4778
Telogen effluvium 2732 Hair Loss 4778
Endocrine: Myxoedema, Hypopituitarism and Hypoparathyroidism 2734 Hair Loss 4778
Traction Alopecia 2737 Hair Loss 4778
Systemic Lupus Erythematosus 6123 Hair Loss 4778
Iatrogenic (e.g. Chemotherapy, Anticoagulants) 2741 Hair Loss 4778
GORD in adults 6706 Sore Throat 4776
Glossopharyngeal Neuralgia and Cervicogenic Nerve Root Pain 3087 Sore Throat 4776
Trauma: Foreign Body or Scratch from Badly Chewed Crispy Food 3089 Sore Throat 4776
Other Viral or Bacterial Infections (e.g. Vincent’s Angina, Herpangina, Herpes Simplex, Gonorrhoea, HIV Infection) 3091 Sore Throat 4776
Aphthous Ulceration 3093 Sore Throat 4776
Thyroiditis 6148 Sore Throat 4776
Congenital Adrenal Hyperplasia (1 in 5000) 2700 Excess Body Hair 4774
Anabolic Steroid Abuse 2281 Excess Body Hair 4774
Ovarian Tumours: Arrhenoblastoma, Hilus Cell Tumour, Luteoma 2702 Excess Body Hair 4774
Adrenal Tumours: Carcinoma and Adenoma 2704 Excess Body Hair 4774
Congenital (1 in 5000 Live Births) and Juvenile Hypothyroidism 2706 Excess Body Hair 4774
Thyroid Cancer 6144 Neck Lumps 4772
Branchial Cyst 3069 Neck Lumps 4772
Pharyngeal Pouch 3017 Neck Lumps 4772
Cervical Rib 2818 Neck Lumps 4772
Primary Lymphoma or Secondary Neoplastic Metastasis 3071 Neck Lumps 4772
Trophic Changes (Beau’s Lines): Appear 2–3 Months after Severe Illness 2663 Abnormal Nails 4770
Eczema 6471 Abnormal Nails 4770
Longitudinal Ridging (Onychorrhexis) 2668 Abnormal Nails 4770
Paronychia 6021 Abnormal Nails 4770
Clubbing (Various Causes) 2672 Abnormal Nails 4770
Autoimmune Disease (e.g. Alopecia Areata, Lichen Planus) 2674 Abnormal Nails 4770
Koilonychia (Spoon Nails): Iron Deficiency Anaemia and Plummer–Vinson Syndrome 2676 Abnormal Nails 4770
GORD in adults 6706 Hoarseness 4767
Benign Tumours: Singer’s Nodes, Polyps 3045 Hoarseness 4767
Crico-Arytenoid Rheumatoid Arthritis 3047 Hoarseness 4767
Functional (Hysterical) Aphonia 3049 Hoarseness 4767
Eczema 6471 Vulval Ulceration/ Sores 4766
Chancroid: H. Ducreyi (Tropical) 2640 Vulval Ulceration/ Sores 4766
Granuloma Inguinale: K. Granulomatis (Tropical) 2642 Vulval Ulceration/ Sores 4766
Lymphogranuloma Venereum: Chlamydia Trachomatis (Tropical) 2644 Vulval Ulceration/ Sores 4766
Other Malignancies (e.g. BCC, Melanoma, Adenocarcinoma, Sarcoma) 2646 Vulval Ulceration/ Sores 4766
Herpes Zoster 792 Vulval Ulceration/ Sores 4766
Varicose Veins 6211 Vulval Swelling 4764
Bartholin’s Cyst 2612 Vulval Swelling 4764
Fibroma, Lipoma, Hidradenoma 2620 Vulval Swelling 4764
Pelvic Organ Prolapse 6031 Vulval Swelling 4764
Urethral Caruncle 2399 Vulval Swelling 4764
Ammoniacal Vulvitis from Incontinence 2585 Vulval Irritation 4762
Skin Disorders (e.g. Eczema, Psoriasis, Lichen Planus) 2587 Vulval Irritation 4762
Psychosexual Problems 2591 Vulval Irritation 4762
Other Infections (e.g. Genital Warts or Herpes) 2593 Vulval Irritation 4762
Lice 1466 Vulval Irritation 4762
Threadworms 565 Vulval Irritation 4762
Cervical Ectropion 2547 Vaginal Discharge 4757
Cervical Polyp 2550 Vaginal Discharge 4757
Lost Tampon, Ring Pessary or other Foreign Body 2552 Vaginal Discharge 4757
IUCD 2555 Vaginal Discharge 4757
Bartholin’s Cyst 2612 Vaginal Discharge 4757
Pelvic Inflammatory Disease 6581 Vaginal Discharge 4757
Pharyngeal Pouch 3017 Difficulty Swallowing 4759
Nasopharyngeal Cancer 5981 Difficulty Swallowing 4759
Compression by Mediastinal Tumours (e.g. Lymphoma, Bronchial Carcinoma) 3021 Difficulty Swallowing 4759
Oesophageal Achalasia 3023 Difficulty Swallowing 4759
Upper GI Cancer 6175 Difficulty Swallowing 4759
Xerostomia 6678 Difficulty Swallowing 4759
Foreign Body 2887 Difficulty Swallowing 4759
Drugs: Nsaid-Associated Oesophagitis, Failure to Take Bisphosphonate Tablets Correctly 3029 Difficulty Swallowing 4759
Ruptured Achilles Tendon 2863 Swollen Calf 4755
Varicose Eczema 2999 Swollen Calf 4755
Phlebitis 3001 Swollen Calf 4755
Idiopathic Chronic Testicular Pain 2513 Testicular Pain 4753
Varicocoele 2487 Testicular Pain 4753
Haematocoele 2484 Testicular Pain 4753
Hydrocoele 2474 Testicular Pain 4753
Trauma (Fractured Testis) 2515 Testicular Pain 4753
Undescended Testes 6171 Testicular Pain 4753
Testicular torsion 252 Testicular Pain 4753
Post-Vasectomy Pain 2523 Testicular Pain 4753
Chronic Liver Disease 6415 Swollen Ankles 4751
Pre-Menstrual Syndrome 6606 Swollen Ankles 4751
Anaemia 881 Swollen Ankles 4751
Renal: Acute or Chronic Nephritis, Nephrotic Syndrome 2980 Swollen Ankles 4751
Protein-Losing Enteropathy (e.g. Coeliac Disease, Inflammatory Bowel Disease) 2982 Swollen Ankles 4751
Torsion of the Testis 2480 Scrotal Swelling 4750
Iatrogenic Sepsis: Surgery and Catheterisation 2482 Scrotal Swelling 4750
Haematocoele 2484 Scrotal Swelling 4750
Varicocoele 2487 Scrotal Swelling 4750
Heart Failure 6509 Scrotal Swelling 4750
Post-Vasectomy Swelling (Aseptic), Including Haematoma, Inflammatory Reaction to Spilt Sperm 2491 Scrotal Swelling 4750
Trauma: Haematoma 2493 Scrotal Swelling 4750
Herpes Zoster 792 Penile Ulceration/ Sores 4747
Spondyloarthritis 6113 Penile Ulceration/ Sores 4747
Allergic Contact Eczema 2453 Penile Ulceration/ Sores 4747
Chancroid (Soft Sore: Haemophilus Ducreyi) 2455 Penile Ulceration/ Sores 4747
Granuloma Inguinale (Klebsiella Granulomatis: Tropical Infection) 2457 Penile Ulceration/ Sores 4747
Lymphogranuloma Venereum (Tropical Infection) 2460 Penile Ulceration/ Sores 4747
Trauma: Torn Frenulum, Zipper Injury, Urethral Injury or Foreign Body 2422 Penile Pain 4745
Acute Cystitis 2424 Penile Pain 4745
Peyronie’s Disease 2337 Penile Pain 4745
Balanitis 5646 Penile Pain 4745
Tight Frenulum 2431 Penile Pain 4745
Bladder Cancer 5660 Penile Pain 4745
Herpes Simplex 4053 Penile Pain 4745
Herpes Zoster 792 Penile Pain 4745
Prostate Cancer 6056 Penile Pain 4745
Post-Partum Perineal Repair 2379 Painful Intercourse 4743
Pelvic Congestion (Pelvic Pain Syndrome) 2381 Painful Intercourse 4743
Fibroids 3968 Painful Intercourse 4743
Pelvic Adhesions (Post-Surgical or PID) 2385 Painful Intercourse 4743
Psychogenic/Relationship Issues 2389 Painful Intercourse 4743
Urinary Tract Infection 231 Painful Intercourse 4743
Urethritis 3506 Painful Intercourse 4743
Blood Clotting Disorder or Anticoagulation 2358 Haemospermia 4741
Urological Stones 6188 Haemospermia 4741
Bladder Cancer 5660 Haemospermia 4741
Prostate Cancer 6056 Haemospermia 4741
Testicular Cancer 6136 Haemospermia 4741
Recurrent Monoarthritis (e.g. Gout, Pseudogout, Reiter’s) 3449 Recurrent Knee Pain 4739
As Part of Polyarthritis (e.g. Rheumatoid, Ankylosing Spondylitis, Psoriatic Arthritis) 2938 Recurrent Knee Pain 4739
Iliotibial Band Syndrome 3430 Recurrent Knee Pain 4739
Bursitis 2942 Recurrent Knee Pain 4739
Referred from Hip or Back 2944 Recurrent Knee Pain 4739
Ligament Rupture 2946 Recurrent Knee Pain 4739
Patellar Tendonitis 2948 Recurrent Knee Pain 4739
Baker’s Cyst 2950 Recurrent Knee Pain 4739
Loose Body 2952 Recurrent Knee Pain 4739
Bone Disease (e.g. Paget’s) 2954 Recurrent Knee Pain 4739
Recurrent patella dislocation 6626 Recurrent Knee Pain 4739
Medial Shelf Syndrome 2958 Recurrent Knee Pain 4739
Osteochondritis Dissecans 2960 Recurrent Knee Pain 4739
Inflammatory Arthritis 3424 Recurrent Hip Area Pain in an Adult 4736
Avascular Necrosis 2797 Recurrent Hip Area Pain in an Adult 4736
Hernia 3426 Recurrent Hip Area Pain in an Adult 4736
Complications of a Total Hip Replacement (e.g. Loosening, Infection) 3428 Recurrent Hip Area Pain in an Adult 4736
Back Pain 5642 Recurrent Hip Area Pain in an Adult 4736
Iliotibial Band Syndrome 3430 Recurrent Hip Area Pain in an Adult 4736
Acetabular Labral Tear 3432 Recurrent Hip Area Pain in an Adult 4736
Vitamin D Deficiency 3383 Painful Muscles 4728
Referred Joint Pain (e.g. from Hip to Thigh, Neck to Shoulder, Shoulder to Arm) 3385 Painful Muscles 4728
Fibromyalgia 3387 Painful Muscles 4728
Chronic fatigue syndrome 3389 Painful Muscles 4728
Connective Tissue Disease (e.g. RA, SLE, Polyarteritis Nodosa [PAN], Scleroderma) 3391 Painful Muscles 4728
Peripheral Vascular Disease 6587 Painful Muscles 4728
Neuropathy 5986 Painful Muscles 4728
Bornholm Disease (Epidemic Myalgia, Devil’s Grip) 3399 Painful Muscles 4728
Drugs other than Statins: Clofibrate, Street Drug Withdrawal, Chemotherapy, Lithium, Cimetidine 3401 Painful Muscles 4728
Urological Stones 6188 Retention 4733
'Holding on' (Leads to Prostatic Congestion) 3684 Retention 4733
Pelvic Mass: Retroverted, Gravid Uterus or Fibroid Uterus 3686 Retention 4733
Genital Herpes 5827 Retention 4733
Clot Retention (e.g. After Bleed from Tumour or Post-Turp Bleed) 3690 Retention 4733
Balanitis 5646 Retention 4733
Overactive Bladder Syndrome 3588 Nocturia 4731
Bladder Outflow Obstruction 5664 Nocturia 4731
Any other Cause of Urinary Frequency (See ‘Frequency’) 3665 Nocturia 4731
Diabetes Mellitus 462 Nocturia 4731
Any other Cause of Polyuria (See ‘Excessive Urination’) 3667 Nocturia 4731
Sleep Apnoea 1829 Nocturia 4731
Urinary Tract Infection 231 Incontinence 4727
Bladder Stone or Tumour 3633 Incontinence 4727
After Abdomino-Pelvic Surgery and Radiotherapy 3635 Incontinence 4727
Fistula: Vesicovaginal/Uterine, Ureterovaginal (Surgery and Malignancy) 3637 Incontinence 4727
Polyuria (any Cause, e.g. Diabetes, Diuretics – Particularly If Compounded by Immobility in the Elderly) 3639 Incontinence 4727
Urological Stones 6188 Incontinence 4727
Bladder Cancer 5660 Incontinence 4727
Urinary Tract Infection 231 Frequency 4724
Prostatitis 654 Frequency 4724
Pregnancy 50 Frequency 4724
Urological Stones 6188 Frequency 4724
Iatrogenic (e.g. Diuretics) 3602 Frequency 4724
Bladder Outflow Obstruction 5664 Frequency 4724
'Habit Frequency' 3606 Frequency 4724
Urinary Tract Infection 231 Frequency 4724
Urethritis 3506 Frequency 4724
Spondyloarthritis 6113 Multiple Joint Pain 4722
Malignancy (Usually Secondary) 2795 Multiple Joint Pain 4722
Iatrogenic: Corticosteroid Therapy, Isoniazid, Hydralazine 3362 Multiple Joint Pain 4722
Hypertrophic Pulmonary Osteoarthropathy (Due to Lung Cancer) 3364 Multiple Joint Pain 4722
Sarcoidosis 1175 Multiple Joint Pain 4722
Potassium Depletion: Chronic Diarrhoea, Diuretics, Primary Hyperaldosteronism 3560 Excessive Urination 4720
Bladder Outflow Obstruction 5664 Excessive Urination 4720
Drugs: Lithium Carbonate, Demeclocycline, Amphotericin, Glibenclamide, Gentamicin 3564 Excessive Urination 4720
Diabetes Insipidus 2209 Excessive Urination 4720
Cushing’s Syndrome 1666 Excessive Urination 4720
Sickle-Cell Anaemia 3570 Excessive Urination 4720
Urinary Tract Infection 231 Excessive Urination 4720
Perthes' disease 6590 Limp in a Child 4718
Septic arthritis 3321 Limp in a Child 4718
Scoliosis 6089 Limp in a Child 4718
Congenital Dislocation of the Hip 3325 Limp in a Child 4718
Acute Lower Abdominal Pain: Especially Appendicitis 3327 Limp in a Child 4718
Unequal Leg Length 3329 Limp in a Child 4718
Neurological (e.g. Cerebral Palsy) 3331 Limp in a Child 4718
Urethritis 3506 Dysuria 4716
Urological Stones 6188 Dysuria 4716
Prostatitis 654 Dysuria 4716
Trauma (Including Child Abuse) 3542 Dysuria 4716
Urethral Stricture 3544 Dysuria 4716
Drug Misuse 3293 Leg Ulcers 4712
Herpes Zoster 792 Leg Ulcers 4712
Primary Malignancy: Squamous Cell Carcinoma, Melanoma, Malignant Change in an Existing Ulcer 3298 Leg Ulcers 4712
Secondary Malignancy: Metastases 3301 Leg Ulcers 4712
Jogging and Hard Exercise 3510 Blood in Urine 4714
Renal Cancer 6066 Blood in Urine 4714
Painful Bladder Syndrome 6575 Blood in Urine 4714
Anticoagulant Therapy 676 Blood in Urine 4714
Nephritis/Glomerulonephritis 3514 Blood in Urine 4714
Eczema 6471 Skinfold Rash 4710
Psoriasis 586 Skinfold Rash 4710
Eczema 6471 Skinfold Rash 4710
Hidradenitis Suppurativa 3495 Skinfold Rash 4710
Skin Tags 619 Skinfold Rash 4710
Folliculitis 5815 Skinfold Rash 4710
Impetigo 1606 Skinfold Rash 4710
Infection (e.g. Cellulitis, Pulp Infection, Septic Arthritis) 3256 Hand and Wrist Swellings 4708
Synovitis (Traumatic, Inflammatory) 3258 Hand and Wrist Swellings 4708
Gout 2865 Hand and Wrist Swellings 4708
Familial Hypercholesterolaemia 5808 Hand and Wrist Swellings 4708
Trauma/Fracture 3264 Hand and Wrist Swellings 4708
Insect Bite (May Cause Marked Swelling on the Dorsum of the Hand) 3266 Hand and Wrist Swellings 4708
Pyogenic granuloma 3268 Hand and Wrist Swellings 4708
Trigger finger 3270 Hand and Wrist Swellings 4708
Eczema 6471 Scales and Plaques 4706
Lichen Planus 2051 Scales and Plaques 4706
Solar keratosis 3459 Scales and Plaques 4706
Juvenile plantar dermatosis 3463 Scales and Plaques 4706
Psoriasis 586 Scales and Plaques 4706
Pityriasis Rosea 2039 Scales and Plaques 4706
Pityriasis Versicolor 6049 Scales and Plaques 4706
Ganglion 2912 Hand and Wrist Pain 4701
Gout 2865 Hand and Wrist Pain 4701
Raynaud’s 6622 Hand and Wrist Pain 4701
Infection (e.g. Paronychia, Pulp Space) 2916 Hand and Wrist Pain 4701
Work-Related Upper Limb Disorder (WRULD) 2918 Hand and Wrist Pain 4701
Trigger finger 3270 Hand and Wrist Pain 4701
Other Nerve Entrapment, e.g. Ulnar Nerve, Cervical Root Pain 2923 Hand and Wrist Pain 4701
Complex Regional Pain Syndrome 2925 Hand and Wrist Pain 4701
Perioral Dermatitis 1608 Pustules 4704
Hidradenitis Suppurativa 3495 Pustules 4704
Candidiasis (Satellite Vesicopustules Around Moist Eroded Patch) 4182 Pustules 4704
Psoriasis 586 Pustules 4704
Vasculitis (e.g. Henoch–Schönlein Purpura, Connective Tissue Disorders) 4141 Purpura and Petechiae 4699
Thrombocytopenia (e.g. Idiopathic Thrombocytopenia Purpura [ITP]), Bone Marrow Damage (e.g. Lymphoma, Leukaemia, Cytotoxics), Aplastic Anaemia 4145 Purpura and Petechiae 4699
Chronic Kidney Disease 6411 Purpura and Petechiae 4699
Endocarditis 5765 Purpura and Petechiae 4699
Morton’s Neuroma 2876 Foot Pain 4676
Metatarsalgia 2878 Foot Pain 4676
Tendonitis 6131 Foot Pain 4676
Oedema 2885 Foot Pain 4676
Foreign Body 2887 Foot Pain 4676
Osteoarthritis 3416 Foot Pain 4676
Rheumatoid Arthritis 2178 Foot Pain 4676
Viral Illness 865 Papules 4697
Milia 4097 Papules 4697
Insect Bites 4101 Papules 4697
Seborrhoeic keratosis 3455 Papules 4697
Familial Hypercholesterolaemia 5808 Papules 4697
Psoriasis 586 Papules 4697
Pityriasis Lichenoides Chronica, Lichen Planus 4112 Papules 4697
Prickly heat 2053 Papules 4697
Keratosis Pilaris 4115 Papules 4697
Dermatofibroma 6453 Nodules 4695
Squamous Cell Carcinoma 4039 Nodules 4695
Acne 1599 Nodules 4695
Keratoacanthoma 1674 Nodules 4695
Gout 2865 Nodules 4695
Chondrodermatitis Nodularis Chronica Helicis 4055 Nodules 4695
Pyogenic granuloma 3268 Nodules 4695
Osteoarthritis 3416 Nodules 4695
Rheumatoid Arthritis 2178 Nodules 4695
Post-inflammatory Hypo- or Hyperpigmentation 4205 Macules 4693
Café Au Lait Spot (Creamy Brown) and Mongolian Spot (Brown or Slate-Grey) 4207 Macules 4693
Berloque Dermatitis (Brown: Chemical Photosensitisation, e.g. Bergamot Oil) 4209 Macules 4693
Measles 6545 Macules 4693
Eczema 6471 Macules 4693
Pityriasis Versicolor 6049 Macules 4693
Rubella 6631 Macules 4693
Vitiligo 6223 Macules 4693
Palmar Erythema (e.g. Pregnancy, Liver Disease, Thyrotoxicosis) 4133 Erythema (for Flushing - see Flushing) 4690
Phototoxic Reaction to Drugs (e.g. Phenothiazines, Tetracyclines, Diuretics) 4137 Erythema (for Flushing - see Flushing) 4690
'Deck-Chair Legs' (Prolonged Immobility) 4142 Erythema (for Flushing - see Flushing) 4690
Erythema Multiforme 4082 Erythema (for Flushing - see Flushing) 4690
Systemic Lupus Erythematosus 6123 Erythema (for Flushing - see Flushing) 4690
Erythema Ab Igne (Reticulate Pattern) 4156 Erythema (for Flushing - see Flushing) 4690
Testosterone Deficiency 6650 Erectile Dysfunction 4687
Neuropathy 5986 Erectile Dysfunction 4687
Trauma: Pelvic or Spinal Fracture, Trauma to Penis, Post-TURP 4618 Erectile Dysfunction 4687
Anatomical: Phimosis, Tight Frenulum 2333 Erectile Dysfunction 4687
Smoking 2200 Erectile Dysfunction 4687
Peyronie’s Disease 2337 Erectile Dysfunction 4687
Drug Abuse (e.g. Heroin, Amphetamines) 2339 Erectile Dysfunction 4687
Pemphigus and Pemphigoid 4067 Blisters (Vesicles and Bullae) 4685
Coeliac Disease 155 Blisters (Vesicles and Bullae) 4685
Secondary to Leg Oedema (Various Causes) 4070 Blisters (Vesicles and Bullae) 4685
Impetigo 1606 Blisters (Vesicles and Bullae) 4685
Drug Reactions (e.g. Ace inhibitors, Penicillamine, Barbiturates) 4078 Blisters (Vesicles and Bullae) 4685
Erythema Multiforme 4082 Blisters (Vesicles and Bullae) 4685
Anxiety (of whatever Cause) 2299 Weight Loss 4684
Any Terminal Illness (e.g. Malignancy, Motor Neurone Disease) 2301 Weight Loss 4684
Substance Misuse: Alcohol, Opiates, Amphetamines, Laxatives 2303 Weight Loss 4684
Diabetes Mellitus 462 Weight Loss 4684
Chronic Inflammatory Conditions (e.g. RA, SLE) 2309 Weight Loss 4684
Gastrointestinal Disease (e.g. Peptic Ulcer, Inflammatory Bowel Disease, Coeliac Disease, Parasites) 2311 Weight Loss 4684
Chronic Kidney Disease 6411 Weight Loss 4684
Chronic Liver Disease 6415 Weight Loss 4684
Heart Failure 6509 Weight Loss 4684
Menopause and Perimenopause 1838 Weight Gain 4682
Iatrogenic (e.g. Steroids, Insulin, Sulphonylureas, Oestrogen, Pizotifen) 2273 Weight Gain 4682
Polycystic Ovary Syndrome 2275 Weight Gain 4682
Ovarian Cyst 6570 Weight Gain 4682
Physical or Mental Disability Restricting Activity (e.g. CVA, Down’s Syndrome) 2279 Weight Gain 4682
Adverse Drug Reaction (e.g. Phenothiazines, β-Agonists) 2250 Tremor 4680
Carbon Dioxide Retention (e.g. COPD) 2252 Tremor 4680
Multiple Sclerosis 1586 Tremor 4680
Cerebellar Ataxia: Many Causes, Including Tumour, Acoustic Neuroma, Friedreich’s Ataxia, CVA, Abscess 2256 Tremor 4680
Diabetes Mellitus 462 Tiredness 4678
Sleep Apnoea 1829 Tiredness 4678
Iron Deficiency (in the Absence of Anaemia) 2225 Tiredness 4678
Coeliac Disease 155 Tiredness 4678
Insomnia 5913 Tiredness 4678
Chronic Post-Viral Fatigue Syndrome 6423 Tiredness 4678
Hyperthyroidism 712 Tiredness 4678
Substance Misuse 2234 Tiredness 4678
Drug Therapy (Β-Blockers, Diuretics) 2236 Tiredness 4678
Chronic Kidney Disease 6411 Tiredness 4678
Chronic Liver Disease 6415 Tiredness 4678
Heart Failure 6509 Tiredness 4678
Normality (Children sometimes Presented because ‘they are Always Thirsty’) 2198 Thirst or Dry Mouth 4674
Smoking 2200 Thirst or Dry Mouth 4674
Alcohol Misuse 5621 Thirst or Dry Mouth 4674
Sjögren’s syndrome 2202 Thirst or Dry Mouth 4674
Hypercalcaemia 4408 Thirst or Dry Mouth 4674
Chronic Kidney Disease (CKD) 2207 Thirst or Dry Mouth 4674
Back Pain 5642 Calf Pain 4672
Referred Knee Pain (Arthropathy, Infection) 2843 Calf Pain 4672
Neuropathy 5986 Calf Pain 4672
Cramps Caused by Underlying Hypocalcaemia or Electrolyte Imbalance 2847 Calf Pain 4672
Ruptured Baker’s Cyst 2849 Calf Pain 4672
Deep vein thrombosis 6449 Calf Pain 4672
Phlebitis 3001 Calf Pain 4672
Growing Pains in Children 2855 Calf Pain 4672
Sarcoidosis 1175 Swollen Glands 4670
Cat Scratch Fever 6378 Swollen Glands 4670
Systemic Lupus Erythematosus 6123 Swollen Glands 4670
Rheumatoid Arthritis 2178 Swollen Glands 4670
Tropical/Subtropical Sexually Transmitted Infection: Lymphogranuloma Venereum (LGV), Granuloma Inguinale (GI) 2180 Swollen Glands 4670
Measles 6545 Swollen Glands 4670
Rubella 6631 Swollen Glands 4670
Tendonitis 6131 Arm and Shoulder Pain 4658
Acromioclavicular and Sternoclavicular Joint Pain 2811 Arm and Shoulder Pain 4658
Tendonitis 6131 Arm and Shoulder Pain 4658
De Quervain’s Tenosynovitis 2816 Arm and Shoulder Pain 4658
Carpal Tunnel (CT) Syndrome 2104 Arm and Shoulder Pain 4658
Cervical Rib 2818 Arm and Shoulder Pain 4658
Brachial and Ulnar Neuritis (Including Post-Herpetic Pain) 2820 Arm and Shoulder Pain 4658
Cervical and Thoracic Disc Prolapse 2822 Arm and Shoulder Pain 4658
Retroverted Uterus 4016 Painful Periods 4667
Cervicitis 4018 Painful Periods 4667
Ovarian Cyst 6570 Painful Periods 4667
Endometrial Polyp 4023 Painful Periods 4667
Inflammatory Bowel Disease 245 Prolonged Fever 4665
Drug Idiosyncrasies 2147 Prolonged Fever 4665
Leukaemia 3217 Prolonged Fever 4665
Lymphoma 765 Prolonged Fever 4665
Polyarteritis Nodosa 1245 Prolonged Fever 4665
Polymyositis 3403 Prolonged Fever 4665
Systemic Lupus Erythematosus 6123 Prolonged Fever 4665
Endometrial Polyps 3998 Irregular Vaginal Bleeding 4663
Ovulatory Bleeding (Associated with Mittelschmerz) 4000 Irregular Vaginal Bleeding 4663
Perimenopause 1013 Irregular Vaginal Bleeding 4663
Ectopic Pregnancy 3865 Irregular Vaginal Bleeding 4663
Miscarriage 3863 Irregular Vaginal Bleeding 4663
Hyperthyroidism 712 Irregular Vaginal Bleeding 4663
Hypothyroidism 714 Irregular Vaginal Bleeding 4663
Miscarriage 3863 Irregular Vaginal Bleeding 4663
Multiple Sclerosis 1586 Numbness and Paraesthesiae 4648
Neuropathy 5986 Numbness and Paraesthesiae 4648
Stroke and TIA 2115 Numbness and Paraesthesiae 4648
Trauma/Compression Involving a Peripheral Nerve or Spinal Cord 2117 Numbness and Paraesthesiae 4648
Migraine 490 Numbness and Paraesthesiae 4648
IUCD 2555 Heavy Periods 4661
Iatrogenic (Contraceptives, Hrt) 3974 Heavy Periods 4661
Cystic Glandular Hyperplasia (Metropathia Haemorrhagica) 3976 Heavy Periods 4661
Chronic PID 3978 Heavy Periods 4661
Hyperthyroidism 712 Heavy Periods 4661
Hypothyroidism 714 Heavy Periods 4661
Anorexia Nervosa 2696 Absent Periods 4659
Excessive Exercise/Training 3946 Absent Periods 4659
Severe Systemic Illness of any Kind 3948 Absent Periods 4659
Contraception (Progestogen-only Pill, Long-Acting Reversible Contraception – Common Cause but Rarely Presented as a Symptom) 3950 Absent Periods 4659
Hyperthyroidism 712 Absent Periods 4659
Hypothyroidism 714 Absent Periods 4659
Fracture 2779 Acute Single Joint Pain 4641
Reactive arthritis 2781 Acute Single Joint Pain 4641
Psoriasis 586 Acute Single Joint Pain 4641
Rheumatoid Arthritis (RA) 2138 Acute Single Joint Pain 4641
Patellar Tendinitis, Osgood–Schlatter’s Disease 2786 Acute Single Joint Pain 4641
Osgood–Schlatter’s Disease 3447 Acute Single Joint Pain 4641
Patellar Tendonitis 2948 Acute Single Joint Pain 4641
Retractile Testicle 3918 Groin Swellings 4655
Abscess (Local) 3920 Groin Swellings 4655
Metastatic Tumour (Usually as Skin-Fixed Lymphadenopathy) 3922 Groin Swellings 4655
Hydrocele 3924 Groin Swellings 4655
Low Appendix Mass, Pelvic/Inguinal Tumour 3926 Groin Swellings 4655
Lipoma 749 Groin Swellings 4655
Recurrent UTI 296 Chronic Pelvic Pain 4651
Musculoskeletal Pain (Back Pain, Pubic Symphysis Pain) 3895 Chronic Pelvic Pain 4651
Uterovaginal Prolapse 3897 Chronic Pelvic Pain 4651
Chronic Interstitial Cystitis 3901 Chronic Pelvic Pain 4651
IUCD 2555 Chronic Pelvic Pain 4651
Adhesions (from Previous Surgery) 3903 Chronic Pelvic Pain 4651
Fibroids 3968 Chronic Pelvic Pain 4651
Ovarian Cyst 6570 Chronic Pelvic Pain 4651
Pelvic Inflammatory Disease 6581 Acute Pelvic Pain 4649
Endometriosis 664 Acute Pelvic Pain 4649
Pelvic Congestion Syndrome 8293 Acute Pelvic Pain 4649
Prostatitis 654 Acute Pelvic Pain 4649
Functional (Psychosexual origin) 3875 Acute Pelvic Pain 4649
Acute Liver Disease 5618 Jaundice in Adults 4645
Chronic Liver Disease 6415 Jaundice in Adults 4645
Drugs: Chlorpromazine, Isoniazid, Anabolic Steroids, Methyldopa, Paracetamol Overdose 2082 Jaundice in Adults 4645
Haemolytic Anaemia (Many Causes, Such as Autoimmune, Malaria, Drugs) 2084 Jaundice in Adults 4645
Venous Congestion: Cardiac Failure, Constrictive Pericarditis 2086 Jaundice in Adults 4645
Gallstones 302 Jaundice in Adults 4645
Pancreatitis 213 Jaundice in Adults 4645
Oral Contraceptives 802 Nipple Discharge 4643
Breast Cancer 5676 Nipple Discharge 4643
Neonatal and Peripubertal Galactorrhoea (Also Post-Lactation) 806 Nipple Discharge 4643
Hyperprolactinaemia (Drugs, Prolactinoma, Hypothyroidism) 808 Nipple Discharge 4643
Duct Epithelial Proliferation 810 Nipple Discharge 4643
Galactocoele 753 Nipple Discharge 4643
Urticaria 6191 Itching 4634
Chronic Liver Disease 6415 Itching 4634
Iron Deficiency, with or without Anaemia 2045 Itching 4634
Chronic Kidney Disease 6411 Itching 4634
Lichen Planus 2051 Itching 4634
Prickly heat 2053 Itching 4634
Drug Side Effect (with or without Rash) 2055 Itching 4634
Simple Pruritus: no Cause Found (Especially in Elderly Where it May Simply be Caused by Dry Skin) 2057 Itching 4634
Diabetes Mellitus 462 Itching 4634
Hyperthyroidism 712 Itching 4634
Hypothyroidism 714 Itching 4634
Carcinoma 637 Breast Pain 4640
Onset of Puberty 780 Breast Pain 4640
Lactation and/or Galactocoele 782 Breast Pain 4640
Simple Cyst 784 Breast Pain 4640
Trauma 666 Breast Pain 4640
Duct Ectasia 745 Breast Lumps in Women 4638
Fat Necrosis 747 Breast Lumps in Women 4638
Lipoma 749 Breast Lumps in Women 4638
Paget’s Disease of the Nipple 751 Breast Lumps in Women 4638
Galactocoele 753 Breast Lumps in Women 4638
Multiple Cysts 756 Breast Lumps in Women 4638
Spurious Lump (e.g. Palpable Underlying Rib) 758 Breast Lumps in Women 4638
Hyperprolactinaemia 716 Breast Enlargement in Men 4631
Haemodialysis and Chronic Renal Failure 718 Breast Enlargement in Men 4631
Testicular Cancer 6136 Breast Enlargement in Men 4631
Adrenal Carcinoma 722 Breast Enlargement in Men 4631
Cryptorchidism and other Causes of Hypogonadism 724 Breast Enlargement in Men 4631
Hostile Cervical Mucus 2010 Infertility 4625
Polycystic Ovary Syndrome 2275 Infertility 4625
Other Causes of Amenorrhoea or Hypomenorrhoea (see Absent Periods) 2014 Infertility 4625
Uterine Fibroids, Polyp 2016 Infertility 4625
Cervical Problems: Inflammation, Polyps, Stenosis 2018 Infertility 4625
Systemic Illness, e.g. Anaemia, Thyroid Disorders 2020 Infertility 4625
Polycythaemia Rubra Vera 1980 Flushing 4616
Hyperthyroidism 712 Flushing 4616
Alcohol Misuse 5621 Flushing 4616
Mitral Stenosis 1243 Flushing 4616
Hyperglycaemia and Hypoglycaemia 1986 Flushing 4616
Epilepsy 1088 Flushing 4616
Dumping Syndrome 6459 Flushing 4616
Obsessive–Compulsive Disorder 1958 Feeling Tense and Anxious 4612
Phobias 1961 Feeling Tense and Anxious 4612
Drug Side Effect (e.g. in the Early Stages of SSRI Treatment) 1963 Feeling Tense and Anxious 4612
Hyperthyroidism 712 Feeling Tense and Anxious 4612
Drug/Alcohol Use or Withdrawal 1965 Feeling Tense and Anxious 4612
Somatic symptom disorders 6109 Feeling Tense and Anxious 4612
Post-Traumatic Stress Disorder 1003 Feeling Tense and Anxious 4612
Urinary Tract Infection 231 The Febrile Child 4608
Bronchiolitis 1914 The Febrile Child 4608
Croup 1220 The Febrile Child 4608
Common Viral Exanthems (e.g. Chickenpox, Roseola, Hand, Foot and Mouth, Fifth Disease) 1916 The Febrile Child 4608
Appendicitis 197 The Febrile Child 4608
Orbital Cellulitis 1422 The Febrile Child 4608
Glandular Fever 1921 The Febrile Child 4608
Post-Immunisation 1923 The Febrile Child 4608
Gastroenteritis 199 The Febrile Child 4608
Structural Heart Disease (e.g. Valvular Problem, Cardiomyopathy) 1269 Palpitations 4592
Hyperthyroidism 712 Palpitations 4592
Menopause and Perimenopause 1838 Palpitations 4592
Atrial Fibrillation 5639 Palpitations 4592
Iatrogenic (e.g. Digoxin, Nifedipine) 1277 Palpitations 4592
Atrial Flutter 1279 Palpitations 4592
Postural Tachycardia Syndrome 6602 Palpitations 4592
Bronchiectasis 1157 Coughing up Blood 4580
Mitral Stenosis 1243 Coughing up Blood 4580
Polyarteritis Nodosa 1245 Coughing up Blood 4580
Tuberculosis 760 Coughing up Blood 4580
Laryngeal Cancer 5931 Coughing up Blood 4580
Neuropathy 5986 Falls with No Loss of Consciousness 4586
Lack of Concentration (Tripping over Mats, etc.) 1882 Falls with No Loss of Consciousness 4586
Visual Disturbance 1884 Falls with No Loss of Consciousness 4586
Alcohol Misuse 5621 Falls with No Loss of Consciousness 4586
Cardiac Arrhythmias 1888 Falls with No Loss of Consciousness 4586
Any Cause of Vertigo (e.g. Vestibular Neuritis, Ménière’s Disease) or Non-specific Dizziness (e.g. Anaemia) 4574 Falls with No Loss of Consciousness 4586
Hypoglycaemic Episodes 1893 Falls with No Loss of Consciousness 4586
Dementia 1895 Falls with No Loss of Consciousness 4586
Drugs: Alcohol, Tricyclic Antidepressants, Pilocarpine 1846 Excessive Sweating 4584
Alcohol and Drug Withdrawal 1848 Excessive Sweating 4584
Shock/Syncope 1850 Excessive Sweating 4584
Intense Pain 1852 Excessive Sweating 4584
Hyperhidrosis 1854 Excessive Sweating 4584
Other Infections (e.g. TB, HIV, Endocarditis, Brucellosis, Lyme Disease) 1856 Excessive Sweating 4584
Cardiac Structural Lesion (e.g. Aortic Stenosis, Hypertrophic Obstructive Cardiomyopathy, Pulmonary Stenosis) 1825 Episodic Loss of Consciousness 4582
Micturition and Cough Syncope 1827 Episodic Loss of Consciousness 4582
Sleep Apnoea 1829 Episodic Loss of Consciousness 4582
Valsalva-Induced Syncope (e.g. Weightlifting) 1831 Episodic Loss of Consciousness 4582
Non Epileptic Seizures 5990 Episodic Loss of Consciousness 4582
Nappy Rash 6549 Crying Baby 4577
Gastroenteritis 199 Crying Baby 4577
UTI 1799 Crying Baby 4577
After Immunisation 1801 Crying Baby 4577
GORD in children 6708 Crying Baby 4577
Lower Respiratory Tract Infection 5947 Crying Baby 4577
Croup 1220 Crying Baby 4577
Otitis Externa 6565 Crying Baby 4577
Otitis Media 1909 Crying Baby 4577
Bronchiolitis 1914 Crying Baby 4577
Pertussis 1214 Cough in Children 4563
Recurrent Viral Wheeze 1216 Cough in Children 4563
Multi-Trigger Wheeze 1218 Cough in Children 4563
Croup 1220 Cough in Children 4563
Inhaled Foreign Body 1206 Cough in Children 4563
GORD in children 6708 Cough in Children 4563
Psychogenic 1202 Cough in Children 4563
Spondyloarthritis 6113 Back Pain 4573
Neoplastic Disease of the Spine (Usually Secondaries), Myeloma 1770 Back Pain 4573
Depression 1009 Back Pain 4573
Vertebral Fracture (Often Compression Fracture associated with Osteoporosis) 1777 Back Pain 4573
Peptic Ulcer 179 Back Pain 4573
Pancreatitis 213 Back Pain 4573
Anxiety/Nervous TIC (Common, but Rarely Presented to the GP) 1733 Abnormal Movements 4565
Muscle Fasciculation (e.g. Benign Fasciculation, Motor Neurone Disease) 1735 Abnormal Movements 4565
Simple Childhood Tics (Common, but Infrequently Presented) 1737 Abnormal Movements 4565
Dystonias 1739 Abnormal Movements 4565
Periodic Leg Movements During Sleep 1741 Abnormal Movements 4565
Foot Drop (Peroneal Nerve Atrophy) 1706 Abnormal Gait in Adults 4561
Multiple Sclerosis 1586 Abnormal Gait in Adults 4561
Back Pain 5642 Abnormal Gait in Adults 4561
Cauda Equina Syndrome 1710 Abnormal Gait in Adults 4561
Myasthenia Gravis 1712 Abnormal Gait in Adults 4561
Smoking 2200 Cough in Adults 4557
Lung Cancer 5951 Cough in Adults 4557
Rhinitis 1190 Cough in Adults 4557
GORD in adults 6706 Cough in Adults 4557
Heart Failure 6509 Cough in Adults 4557
Bronchiectasis 1157 Cough in Adults 4557
Aspiration (e.g. Post Stroke) 1194 Cough in Adults 4557
Squamous Cell Carcinoma 4039 Facial Ulcers and Blisters 4555
Malignant Melanoma 6541 Facial Ulcers and Blisters 4555
Drugs (e.g. Barbiturates) 1680 Facial Ulcers and Blisters 4555
Acne 1599 Facial Ulcers and Blisters 4555
Ulcerating Dental Sinus 1682 Facial Ulcers and Blisters 4555
Bronchiectasis 1157 Chronic Shortness of Breath 4551
Pulmonary Embolism 1110 Chronic Shortness of Breath 4551
Lung Cancer 5951 Chronic Shortness of Breath 4551
Pleural Effusion 1112 Chronic Shortness of Breath 4551
Aortic Stenosis 888 Chronic Shortness of Breath 4551
Chronic Hyperventilation 1163 Chronic Shortness of Breath 4551
Parotitis 6025 Facial Swelling 4553
Orbital Cellulitis 1422 Facial Swelling 4553
Masseteric Hypertrophy (Caused by Bruxism) 1655 Facial Swelling 4553
Dental Cyst 1658 Facial Swelling 4553
Myxoedema 848 Facial Swelling 4553
Herpes Zoster 792 Facial Swelling 4553
Chloasma 1610 Facial Rash 4549
Sycosis Barbae 1612 Facial Rash 4549
Drug Side Effect: Especially Phototoxicity 1614 Facial Rash 4549
Infection (e.g. Herpes Zoster and Simplex, Cellulitis, Chickenpox, Slapped Cheek) 1616 Facial Rash 4549
Eczema 6471 Facial Rash 4549
Acne 1599 Facial Rash 4549
Post Inflammatory Hypo- or Hyperpigmentation 1622 Facial Rash 4549
Eczema 6471 Facial Rash 4549
Petechiae from Coughing/Vomiting/Straining 1627 Facial Rash 4549
Other Generalised Skin Diseases (e.g. Psoriasis, Vitiligo) 1629 Facial Rash 4549
Pleurisy (e.g. From Pneumonia or Pulmonary Embolus) 1135 Chest Pain 4545
Peptic Ulcer 179 Chest Pain 4545
Biliary Colic 195 Chest Pain 4545
Shingles 422 Chest Pain 4545
Mastitis 778 Chest Pain 4545
Bornholm Disease 1137 Chest Pain 4545
Cluster Headache 961 Facial Pain 4547
Temporal Arteritis 949 Facial Pain 4547
Cervical Spondylosis 790 Facial Pain 4547
Mandibular or Maxillary Osteitis or Cyst 1582 Facial Pain 4547
Cellulitis 1584 Facial Pain 4547
Parotitis 6025 Facial Pain 4547
Salivary Gland Disorders 6081 Facial Pain 4547
Mumps 1936 Facial Pain 4547
Central Retinal Vein Occlusion 1558 Sudden Loss of Vision 4543
Optic Neuritis 1487 Sudden Loss of Vision 4543
Retinal detachment 1474 Sudden Loss of Vision 4543
Temporal Arteritis 949 Sudden Loss of Vision 4543
Uveitis 6198 Sudden Loss of Vision 4543
Pneumothorax 1108 Acute Shortness of Breath 4541
Pulmonary Embolism 1110 Acute Shortness of Breath 4541
Pleural Effusion 1112 Acute Shortness of Breath 4541
Diabetic Ketoacidosis (DKA) 838 Acute Shortness of Breath 4541
Lung Cancer 5951 Acute Shortness of Breath 4541
Ectropion 1446 Itchy or Irritating Eyes or Eyelids 4535
Entropion 1532 Itchy or Irritating Eyes or Eyelids 4535
Eczema 6471 Itchy or Irritating Eyes or Eyelids 4535
Effect of Contact Lenses or Solutions 1536 Itchy or Irritating Eyes or Eyelids 4535
Iatrogenic (Oral or Local Medication) 4539 Itchy or Irritating Eyes or Eyelids 4535
Foreign Body (Though Usually Presents with Pain and Redness) 1540 Itchy or Irritating Eyes or Eyelids 4535
Otitis Media 1909 Vertigo 4532
Drugs: Salicylates, Quinine, Aminoglycosides 1081 Vertigo 4532
Alcohol Misuse 5621 Vertigo 4532
Neurological Conditions (e.g. CVA, Multiple Sclerosis [MS], Syringobulbia, Cerebellar, Tumours) 1085 Vertigo 4532
Epilepsy 1088 Vertigo 4532
Choroidoretinitis 1508 Gradual Loss of Vision 4533
Multiple Sclerosis 1586 Gradual Loss of Vision 4533
Paget’s Disease 1322 Gradual Loss of Vision 4533
Retinitis pigmentosa 1514 Gradual Loss of Vision 4533
Intraorbital or Intracranial Tumours 1516 Gradual Loss of Vision 4533
Temporal Arteritis 949 Flashes, Floaters and Transient Visual Disturbance 4529
Vasovagal Syncope 6661 Flashes, Floaters and Transient Visual Disturbance 4529
Vitreous Haemorrhage 1479 Flashes, Floaters and Transient Visual Disturbance 4529
Medication (e.g. Transient Blurred Vision with Anticholinergics, Blue Tinge to Vision with Sildenafil) 1481 Flashes, Floaters and Transient Visual Disturbance 4529
Diabetes Mellitus 462 Flashes, Floaters and Transient Visual Disturbance 4529
Stroke and TIA 2115 Flashes, Floaters and Transient Visual Disturbance 4529
Optic Neuritis 1487 Flashes, Floaters and Transient Visual Disturbance 4529
Alcohol Misuse 5621 Memory Loss 4527
Subarachnoid haemorrhage 1049 Memory Loss 4527
Other Thiamine Deficiency: Malabsorption, Carcinoma Stomach, Hyperemesis Gravidarum 1051 Memory Loss 4527
Transient global amnesia 1054 Memory Loss 4527
Fugue States and Psychogenic Amnesia 1056 Memory Loss 4527
Brain Tumour 6367 Memory Loss 4527
Periorbital Oedema (e.g. Orbital Cellulitis, Herpes Zoster, Angio-oedema, Nephrotic Syndrome, Insect Bite) 4522 Eyelid Problems 4521
Ectropion 1446 Eyelid Problems 4521
Entropion (May be Secondary Trichiasis) 1448 Eyelid Problems 4521
Eczema 6471 Eyelid Problems 4521
Ptosis (Congenital, Oculomotor Nerve Palsy, Horner’s Syndrome, Myasthenia Gravis, Senile, Myotonic Dystrophy) 4524 Eyelid Problems 4521
Muscular Problems (Myokymia, Blepharospasm) 1454 Eyelid Problems 4521
Testosterone Deficiency 6650 Loss of Sex-Drive 4488
Antihypertensive Treatment in Men 1021 Loss of Sex-Drive 4488
Hyperprolactinaemic Drugs in Men (e.g. Phenothiazines, Haloperidol) 1023 Loss of Sex-Drive 4488
Anti-Androgenic Drugs in Men (e.g. Cimetidine, Finasteride) 1025 Loss of Sex-Drive 4488
Anti-Androgenic Drugs in Women (e.g. Cyproterone) 1027 Loss of Sex-Drive 4488
Neuropathy 5986 Double Vision 4490
Orbital Disease (Usually Associated with Pain and Proptosis) and after Surgery (Scarring Limiting Globe Movement) 4504 Double Vision 4490
Guillain–Barré Syndrome 6500 Double Vision 4490
Palsy of Third, Fourth or Sixth Cranial Nerves due to Intracranial Space-occupying Lesion (Haemorrhage, Tumour, Aneurysm, Abscess, Cavernous Sinus Thrombosis) 4506 Double Vision 4490
Myasthenia Gravis 1712 Double Vision 4490
Monocular Diplopia: Early Cataract, Irregularity of Corneal Surface (e.g. Post Trauma or Inflammation) 4508 Double Vision 4490
Episcleritis 1414 Acutely Red And Painful Eye 4486
Scleritis 1416 Acutely Red And Painful Eye 4486
Keratoconjunctivitis sicca 1418 Acutely Red And Painful Eye 4486
Trauma: Contusion and Penetrating Wound, Burns (Arc Eye and Chemical) 1420 Acutely Red And Painful Eye 4486
Orbital Cellulitis 1422 Acutely Red And Painful Eye 4486
Menopause and Perimenopause 1838 Insomnia 4482
Nocturia 989 Insomnia 4482
External Problems (e.g. Snoring Partner, Children who Disturb Parental Sleep) 991 Insomnia 4482
Biorhythm Disruption: Jet Lag and Shift Work 993 Insomnia 4482
Respiratory Problems: Asthma, Chronic Obstructive Pulmonary Disease (COPD), Left Ventricular Failure (LVF) Commonest 995 Insomnia 4482
Benzodiazepine Withdrawal 997 Insomnia 4482
Other Medical Problem, e.g. Restless Legs Syndrome or Gord 999 Insomnia 4482
After a Sudden Loud Noise (e.g. Gunfire) 1388 Tinnitus 4483
Head Injury (Especially Basal Skull Fracture) 1390 Tinnitus 4483
Drugs: Aspirin Overdose, Loop Diuretics, Aminoglycosides, Quinine 1394 Tinnitus 4483
Hypertension 6519 Tinnitus 4483
Temporomandibular Joint Dysfunction 6641 Tinnitus 4483
Any Acute Febrile Illness (Common Cause of Headache but Usually Presents with Other Symptoms) 939 Headache 4476
Iatrogenic (e.g. Analgesic Abuse, Calcium Antagonists, Nitrates) 941 Headache 4476
Tension headache 6645 Headache 4476
Fatigue/Sleep Deprivation (Especially in Parents) 945 Headache 4476
Trigeminal, Sphenopalatine and Occipital Neuralgias 947 Headache 4476
Temporal Arteritis 949 Headache 4476
Post-Concussional Syndrome 951 Headache 4476
Migraine 490 Headache 4476
Sleep Apnoea 1829 Headache 4476
Orgasm Headache 957 Headache 4476
Other Specific Headache Syndromes (e.g. Hemicrania Continua, Ice-Pick Headache) 959 Headache 4476
Otitis Media 1909 Ear Discharge 4478
Trauma: Often a Result of Over-Vigorous Attempts to Clean the Ear 1366 Ear Discharge 4478
Otitis Externa 6565 Ear Discharge 4478
Infection with Foreign Body (Insects, Beads in Toddlers) 1370 Ear Discharge 4478
Liquefying Excess Earwax 1373 Ear Discharge 4478
Temporomandibular Joint (TMJ) Dysfunction 1336 Earache 4473
Dental Abscess 1338 Earache 4473
Impacted Molar 1340 Earache 4473
Trigeminal neuralgia 1343 Earache 4473
Chondrodermatitis Nodularis Chronica Helicis 4055 Earache 4473
Eczema 6471 Earache 4473
Seborrheic Dermatitis 3479 Earache 4473
Severe Metabolic Disturbance of any Cause 910 Hallucinations 4469
Epilepsy 1088 Hallucinations 4469
Brain Tumour 6367 Hallucinations 4469
Depression 1009 Hallucinations 4469
Bereavement 5656 Hallucinations 4469
Hypoxia 919 Hallucinations 4469
Ménière’s Disease 1073 Deafness 4467
Otosclerosis 1301 Deafness 4467
Noise Damage to Cochlea 1304 Deafness 4467
Barotrauma 1306 Deafness 4467
Viral Acoustic Neuritis 1308 Deafness 4467
Large Nasal Polyps or Nasopharyngeal Tumour 1310 Deafness 4467
Drugs: Streptomycin, Gentamicin, Aspirin Overdose 1312 Deafness 4467
Acute Intoxication: Drugs/Alcohol 873 Dizziness (for Vertigo - see Vertigo) 4465
Alcohol Misuse 5621 Dizziness (for Vertigo - see Vertigo) 4465
Cardiac Arrhythmias 1888 Dizziness (for Vertigo - see Vertigo) 4465
Any Severe Systemic Disease 879 Dizziness (for Vertigo - see Vertigo) 4465
Anaemia 881 Dizziness (for Vertigo - see Vertigo) 4465
Postural tachycardia syndrome (PoTS) 5280 Dizziness (for Vertigo - see Vertigo) 4465
Alcohol Misuse 5621 Acute Confusion 4463
Cerebral Infection 842 Acute Confusion 4463
Electrolyte Imbalance and Uraemia 844 Acute Confusion 4463
Iatrogenic (e.g. Digoxin, Diuretics, Steroids and Opiates) 846 Acute Confusion 4463
Myxoedema 848 Acute Confusion 4463
Drug Abuse 851 Acute Confusion 4463
Trauma (Including Non-Accidental Injury) 691 Rectal Bleeding in Children 4449
Inflammatory Bowel Disease 245 Rectal Bleeding in Children 4449
Meckel’s Diverticulum 215 Rectal Bleeding in Children 4449
Intussusception 250 Rectal Bleeding in Children 4449
Haemorrhoids 567 Rectal Bleeding in Children 4449
Villous Adenoma 673 Rectal Bleeding in Adults 4447
Trauma 666 Rectal Bleeding in Adults 4447
Anticoagulant Therapy 676 Rectal Bleeding in Adults 4447
Inflammatory Bowel Disease 245 Rectal Bleeding in Adults 4447
Colorectal Cancer 6428 Rectal Bleeding in Adults 4447
Levator Ani Syndrome 646 Anorectal Pain 4445
Inflammatory Bowel Disease 245 Anorectal Pain 4445
Coccydynia 650 Anorectal Pain 4445
Descending Perineum Syndrome 652 Anorectal Pain 4445
Prostatitis 654 Anorectal Pain 4445
Solitary Rectal Ulcer Syndrome 658 Anorectal Pain 4445
Ovarian Cancer 355 Anorectal Pain 4445
Ovarian Cyst 6570 Anorectal Pain 4445
Warts 624 Anal Swelling 4443
Sebaceous Cyst 626 Anal Swelling 4443
Perianal Lesions 6037 Anal Swelling 4443
Pilonidal sinus 6044 Anal Swelling 4443
Poor Hygiene 574 Anal Itching 4440
Recurrent or Chronic Diarrhoea 576 Anal Itching 4440
Ano-Genital Warts 6347 Anal Itching 4440
Streptococcal Perianal Infection in Children 580 Anal Itching 4440
Trauma from Sexual Practices: Anal Intercourse and Foreign Body Insertion 582 Anal Itching 4440
Faecal Incontinence, Including Liquid Faecal Seepage Round Impacted Stool 584 Anal Itching 4440
Psoriasis 586 Anal Itching 4440
Diabetes Mellitus 462 Anal Itching 4440
Anorectal Cancer 5628 Anal Itching 4440
Chemical Irritation: Defaecation after a Very Spicy Meal (Commonly Experienced, Rarely Presented in Practice), Bubble Baths, Soaps, Sexual Lubricants 594 Anal Itching 4440
Feeding Mismanagement (Overfeeding) 549 Vomiting in Infants 4438
Pyloric Stenosis 551 Vomiting in Infants 4438
Intussusception 250 Vomiting in Infants 4438
Other Causes of Bowel Obstruction 553 Vomiting in Infants 4438
Swallowed Blood (Nose Bleeds Obvious, Haemoptysis Less So) 520 Vomiting Blood 4434
Foreign Body or Mediastinal Tumour Perforating Oesophagus and Aorta (Including Aneurysm) 522 Vomiting Blood 4434
Haemobilia (Blood in Bile) 524 Vomiting Blood 4434
Ingested Poisons: Corrosive Acid and Alkali, Arsenic 527 Vomiting Blood 4434
Blood Dyscrasias (e.g. Thrombocytopenia, Leukaemia, Haemophilia, Aplastic Anaemia) 529 Vomiting Blood 4434
Hyper- and Hypoglycaemia 486 Vomiting 4432
Intestinal Obstruction 160 Vomiting 4432
Urinary Tract Infection 231 Vomiting 4432
Urological Stones 6188 Vomiting 4432
Migraine 490 Vomiting 4432
Medication (e.g. Antibiotics and Cytotoxics) 492 Vomiting 4432
Infant Colic 229 Recurrent Childhood Abdominal Pain 4428
Cow's milk protein allergy 5762 Recurrent Childhood Abdominal Pain 4428
Peptic Ulcer 179 Recurrent Childhood Abdominal Pain 4428
Irritable Bowel Syndrome 370 Recurrent Childhood Abdominal Pain 4428
Diabetes Mellitus 462 Recurrent Childhood Abdominal Pain 4428
Henoch-Schönlein Purpura 254 Recurrent Childhood Abdominal Pain 4428
Meckel’s Diverticulum 215 Recurrent Childhood Abdominal Pain 4428
Coeliac Disease 155 Recurrent Childhood Abdominal Pain 4428
Inflammatory Bowel Disease 245 Recurrent Childhood Abdominal Pain 4428
Hydronephrosis 304 Recurrent Childhood Abdominal Pain 4428
Vesicoureteric reflux 6179 Recurrent Childhood Abdominal Pain 4428
Urological Stones 6188 Recurrent Childhood Abdominal Pain 4428
Cow's milk protein allergy 5762 Recurrent Childhood Abdominal Pain 4428
Gynaecological Causes (e.g. Ectopic Pregnancy, PID, Ruptured or Torted Ovarian Cyst) 424 Loin Pain 4424
Gastrointestinal Causes (e.g. Appendicitis, Biliary Colic) 426 Loin Pain 4424
Other Urological Causes in Men (e.g. Epididymitis, Prostatitis) 428 Loin Pain 4424
Pelvi-Ureteric Obstruction 430 Loin Pain 4424
Radicular Pain (e.g. from Osteoarthritis or Disc Prolapse) 432 Loin Pain 4424
Drug Related, e.g. Antibiotics, Nsaids, Bisphosphonates 386 Epigastric Pain 4422
Pancreatitis 213 Epigastric Pain 4422
Muscular 390 Epigastric Pain 4422
Peritonitis (Perforated Du or Carcinoma) 392 Epigastric Pain 4422
Upper GI Cancer 6175 Epigastric Pain 4422
Peptic Ulcer 179 Epigastric Pain 4422
Oesophageal Spasm 398 Epigastric Pain 4422
Aerophagy 400 Epigastric Pain 4422
Lactose Intolerance 333 Diarrhoea in Children 4419
Faecal Impaction (Causing Overflow Diarrhoea) 368 Diarrhoea in Children 4419
Irritable Bowel Syndrome 370 Diarrhoea in Children 4419
Coeliac Disease 155 Diarrhoea in Children 4419
Other Gastrointestinal Infections, e.g. Giardia 372 Diarrhoea in Children 4419
Lactose Intolerance 333 Diarrhoea in Adults 4415
Chronic Infection: Amoebiasis, Giardiasis, Hookworm 335 Diarrhoea in Adults 4415
Colorectal Cancer 6428 Diarrhoea in Adults 4415
Inflammatory Bowel Disease 245 Diarrhoea in Adults 4415
Excess Alcohol 341 Diarrhoea in Adults 4415
Toddler Diarrhoea 343 Diarrhoea in Adults 4415
Coeliac Disease 155 Diarrhoea in Adults 4415
Poor Fluid Intake 4394 Constipation 4385
Acquired Megacolon, e.g. Chronic Laxative Abuse, Neurological Problems, Scleroderma 4396 Constipation 4385
Diverticular Disease 300 Constipation 4385
Colorectal Cancer 6428 Constipation 4385
Gallstones 302 Chronic/Recurrent Abdominal Pain in Adults 4377
Hydronephrosis 304 Chronic/Recurrent Abdominal Pain in Adults 4377
Herpes Zoster 792 Chronic/Recurrent Abdominal Pain in Adults 4377
Inflammatory Bowel Disease 245 Chronic/Recurrent Abdominal Pain in Adults 4377
Urological Stones 6188 Chronic/Recurrent Abdominal Pain in Adults 4377
Back Pain 5642 Chronic/Recurrent Abdominal Pain in Adults 4377
Coeliac Disease 155 Chronic/Recurrent Abdominal Pain in Adults 4377
Constipation (Common Cause but Only Occasionally Presents) 274 Acute Abdominal Pain in Pregnancy 4373
Ectopic Pregnancy 3865 Acute Abdominal Pain in Pregnancy 4373
Appendicitis (1/1000 Pregnancies) 278 Acute Abdominal Pain in Pregnancy 4373
Fibroids 3968 Acute Abdominal Pain in Pregnancy 4373
Ovarian Cyst 6570 Acute Abdominal Pain in Pregnancy 4373
Functional/IBS 233 Acute Abdominal Pain in Children 4357
Stress/Malingering (e.g. School Problems, Bullying) 235 Acute Abdominal Pain in Children 4357
GORD in children 6708 Acute Abdominal Pain in Children 4357
Mesenteric Adenitis 239 Acute Abdominal Pain in Children 4357
Cow’s Milk Protein Allergy (CMPA) 363 Acute Abdominal Pain in Children 4357
Muscular Strain 243 Acute Abdominal Pain in Children 4357
Peptic Ulcer 179 Acute Abdominal Pain in Children 4357
Gallstones 302 Acute Abdominal Pain in Adults 152
Diverticulitis 205 Acute Abdominal Pain in Adults 152
Acute or Subacute Bowel Obstruction (Adhesions, Carcinoma, Strangulated Hernia, Volvulus) 207 Acute Abdominal Pain in Adults 152
Pyelonephritis 209 Acute Abdominal Pain in Adults 152
Muscular Wall Pain 211 Acute Abdominal Pain in Adults 152
Pancreatitis 213 Acute Abdominal Pain in Adults 152
Meckel’s Diverticulum 215 Acute Abdominal Pain in Adults 152
Coeliac Disease 155 Abdominal Swelling 10
Ascites (Itself has many causes) 157 Abdominal Swelling 10
Intestinal Obstruction 160 Abdominal Swelling 10
Ovarian Mass (Cyst or Malignant Tumour) 162 Abdominal Swelling 10
Hepatomegaly (Various Causes) 166 Abdominal Swelling 10
Colorectal Cancer 6428 Abdominal Swelling 10
Upper GI Cancer 6175 Abdominal Swelling 10