Rounds illness scripts.
Patterns you can recognize.
Classic presentations, workup, mechanism, management, and clinical pivots—free to browse for Step 1 and clerkships.
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61 conditions, A–Z
61 scripts · search every field
A
13- Acute AppendicitisAcute inflammation of the vermiform appendix, most commonly from luminal obstruction, causing right lower quadrant pain and peritoneal signs.Read
- Acute CholecystitisAcute gallbladder wall inflammation, usually from cystic duct obstruction by a gallstone, causing RUQ pain, fever, and leukocytosis.Read
- Acute Compartment SyndromeElevated pressure within a closed fascial compartment compromises perfusion, causing ischemia and irreversible muscle/nerve damage if untreated.Read
- Acute Decompensated Heart FailureSudden worsening of HF symptoms causing fluid overload and/or low cardiac output requiring urgent hospitalization.Read
- Acute Kidney InjuryAbrupt decline in renal function (↑Cr ≥0.3 mg/dL in 48h or ≥1.5× baseline in 7d) causing azotemia and fluid/electrolyte dysregulation.Read
- Acute PancreatitisAcute inflammation of the pancreas due to premature activation of digestive enzymes, causing autodigestion and systemic inflammation.Read
- AdenomyosisEctopic endometrial glands/stroma within the myometrium, causing a diffusely enlarged, boggy, tender uterus.Read
- Adrenal (Addisonian) CrisisLife-threatening acute glucocorticoid (± mineralocorticoid) deficiency causing hemodynamic collapse, typically precipitated by physiologic stress.Read
- Alcohol WithdrawalCNS hyperexcitability syndrome following abrupt cessation or reduction of chronic heavy alcohol use, ranging from tremor to life-threatening seizures and delirium.Read
- AnaphylaxisLife-threatening systemic hypersensitivity reaction causing distributive shock via massive mast cell/basophil mediator release.Read
- Aortic DissectionTear in aortic intima allows blood to enter and split the media, creating a false lumen; classified Type A (ascending) vs Type B (descending).Read
- Asthma ExacerbationAcute worsening of reversible airflow obstruction from bronchospasm, mucosal edema, and mucus plugging in a known or new asthmatic.Read
- Atrial FibrillationChaotic, disorganized atrial electrical activity causing irregularly irregular rhythm and loss of coordinated atrial contraction.Read
B
2C
3- CellulitisAcute bacterial infection of the deep dermis and subcutaneous fat, most often caused by Streptococcus pyogenes or Staphylococcus aureus.Read
- Community-Acquired PneumoniaAcute lower respiratory tract infection acquired outside hospital, causing alveolar consolidation and impaired gas exchange.Read
- COPD ExacerbationAcute worsening of COPD symptoms beyond normal day-to-day variation, typically triggered by infection or environmental irritants.Read
D
2E
2- Ectopic PregnancyImplantation of a fertilized ovum outside the uterine cavity, most commonly in the fallopian tube (~95%).Read
- EpiglottitisAcute, life-threatening supraglottic inflammation causing rapid airway obstruction; classically Haemophilus influenzae type b in children, now more common in adults.Read
G
4- Giant Cell ArteritisLarge-vessel granulomatous vasculitis of the aorta and its branches, classically affecting the temporal artery in patients >50.Read
- GoutMonosodium urate crystal deposition in joints causing recurrent episodes of severe acute inflammatory arthritis, typically monoarticular.Read
- Greater Trochanteric Pain SyndromeLateral hip pain arising from gluteal tendinopathy and/or trochanteric bursitis at the greater trochanter, formerly called trochanteric bursitis.Read
- Guillain-Barré SyndromeAcute post-infectious autoimmune demyelinating polyradiculoneuropathy causing ascending flaccid paralysis, areflexia, and potential respiratory failure.Read
H
2- HyperkalemiaSerum potassium >5.5 mEq/L causing life-threatening cardiac and neuromuscular dysfunction via altered membrane potential.Read
- Hyperosmolar Hyperglycemic StateLife-threatening diabetic emergency with extreme hyperglycemia, profound dehydration, and hyperosmolality WITHOUT significant ketoacidosis.Read
I
4- Infective EndocarditisMicrobial infection of native or prosthetic heart valves producing vegetations, bacteremia, and systemic embolic phenomena.Read
- IntussusceptionTelescoping of a proximal bowel segment into a distal one, causing obstruction and ischemia; most common in infants 6–36 months.Read
- Iron Deficiency AnemiaMost common anemia worldwide; caused by depleted iron stores leading to impaired hemoglobin synthesis and microcytic, hypochromic RBCs.Read
- Ischemic StrokeSudden focal neurologic deficit from arterial occlusion causing cerebral infarction; accounts for ~87% of all strokes.Read
K
1M
2- Major Depressive DisorderMood disorder characterized by ≥2 weeks of depressed mood and/or anhedonia plus ≥4 additional neurovegetative symptoms causing functional impairment.Read
- Myocardial InfarctionIrreversible myocardial ischemia causing cardiomyocyte necrosis, most often from acute coronary artery occlusion by thrombus on ruptured atherosclerotic plaque.Read
N
4- Necrotizing FasciitisRapidly spreading bacterial infection of the deep fascia causing tissue necrosis, systemic toxicity, and high mortality if not surgically debrided emergently.Read
- NephrolithiasisCrystalline stone formation in the urinary tract causing obstruction, colicky flank pain, and hematuria.Read
- Nephrotic SyndromeGlomerular disease causing massive proteinuria (>3.5 g/day) with hypoalbuminemia, edema, and hyperlipidemia/lipiduria.Read
- Neuroleptic malignant syndromeLife-threatening hyperdopaminergic blockade reaction to antipsychotics causing hyperthermia, rigidity, autonomic instability, and altered mental status.Read
O
2- OsteomyelitisInfection of bone, most commonly bacterial, causing bone destruction and marrow inflammation; classified as hematogenous, contiguous, or vascular insufficiency.Read
- Ovarian TorsionTwisting of the ovary (and often fallopian tube) on its ligamentous supports, compromising blood flow and causing ischemia.Read
P
5- Pelvic Inflammatory DiseaseAscending polymicrobial infection of the upper female genital tract (uterus, tubes, ovaries), most often sexually transmitted.Read
- Placental AbruptionPremature separation of a normally implanted placenta from the uterine wall before delivery, causing hemorrhage and fetal compromise.Read
- Preeclampsia with Severe FeaturesHypertensive disorder of pregnancy ≥20 weeks with end-organ damage (BP ≥160/110, proteinuria ± severe features).Read
- Pulmonary EmbolismAcute obstruction of pulmonary arterial circulation, most often by thrombus from deep veins, causing hypoxia and right heart strain.Read
- Pyloric StenosisHypertrophy of the pyloric muscle causing progressive gastric outlet obstruction in infants, typically 2–8 weeks of age.Read
S
11- Seborrheic DermatitisChronic, relapsing inflammatory skin condition causing greasy, yellowish scales and erythema in sebaceous gland-rich areas.Read
- SepsisLife-threatening organ dysfunction caused by a dysregulated host response to infection (SOFA ≥2 change from baseline).Read
- Septic ArthritisBacterial infection of a synovial joint causing acute inflammation; a surgical emergency requiring urgent drainage to prevent joint destruction.Read
- Serotonin SyndromeLife-threatening excess serotonergic activity at CNS/PNS receptors, classically from drug combination, causing neuromuscular, autonomic, and mental status changes.Read
- Sickle Cell Vaso-Occlusive CrisisAcute pain crisis in sickle cell disease caused by sickling of RBCs occluding microvasculature, causing ischemia and infarction.Read
- Small Bowel ObstructionMechanical blockage of small intestinal lumen causing failure of distal passage of contents, most commonly from adhesions.Read
- Status EpilepticusSeizure lasting ≥5 minutes OR ≥2 seizures without return to baseline consciousness between them.Read
- Stevens-Johnson SyndromeSevere mucocutaneous hypersensitivity reaction with epidermal detachment involving <10% BSA, caused by drugs or infections.Read
- Subarachnoid HemorrhageBleeding into the subarachnoid space, most often from a ruptured intracranial aneurysm, causing sudden severe headache.Read
- Systemic Lupus ErythematosusSystemic autoimmune disease causing multi-organ inflammation via autoantibodies and immune complex deposition, with relapsing-remitting course.Read
- Systemic Lupus Erythematosus (SLE)Chronic autoimmune disease with multi-organ involvement driven by loss of tolerance to nuclear antigens and immune complex deposition.Read
T
3- Tension PneumothoraxAir trapped under pressure in the pleural space causing mediastinal shift, obstructive shock, and cardiorespiratory collapse.Read
- Thyroid StormLife-threatening hypermetabolic crisis from extreme thyroid hormone excess, typically precipitated by physiologic stress in undertreated hyperthyroidism.Read
- Tumor Lysis SyndromeMetabolic emergency from massive tumor cell lysis releasing intracellular contents, causing hyperuricemia, hyperkalemia, hyperphosphatemia, and hypocalcemia.Read
U
1Built for Step 1 and the wards
Use these scripts to lock the pattern between cases, then practice the same conditions inside Rounds. New scripts land here automatically as they're added in the app.
Educational use only. Study frameworks for medical students—not medical advice. Follow your institution's protocols and current guidelines at the bedside.