Every Clinical Approach, From Presenting Complaint to Plan
Clinical approaches are structured, symptom-first diagnostic frameworks. Start from the complaint in front of you and work through the differential, the focused history and exam, the investigations, and the disposition — curated for clinicians and distilled from primary sources.
A Consistent Framework for Every Presentation
Each of these clinical approaches links to a full Medaptly monograph built to the same evidence-based template — designed to complement formal guidance such as NICE clinical guidelines — so you always know where to look, whether you are narrowing a differential at the bedside or reviewing a presentation before a shift. Because every approach shares the same structure, the clinical approaches read consistently from one presentation to the next.
Differential diagnoses organised by likelihood and urgency — from can’t-miss emergencies to the common, benign causes you’ll see most.
The targeted questions and examination manoeuvres that actually move the differential, with the findings that change your next step.
The alarm features that mandate urgent action, and the dangerous diagnoses you cannot afford to overlook in this presentation.
First-line and confirmatory tests in the order to request them, with what each result rules in or out.
Initial management, when to admit, refer, or safely discharge, and the safety-netting to give before the patient leaves.
Grounded in current guidelines and primary literature, with a reference list you can follow straight to the source.
Search Clinical Approaches by Symptom or Specialty
260 approaches total
Browse Clinical Approaches by Specialty
The 260 clinical approaches below are grouped into 7 specialties and sorted alphabetically within each. Common presentations appear in several specialties at once, so search a symptom to jump straight to it, or browse a discipline end to end.
Common adult presentations seen first in primary care. These clinical approaches sort the benign from the serious and set clear thresholds for when to refer, admit, or safety-net.
- Abdominal Pain
- Back Pain
- Chest Pain
- Constipation
- Cough
- Dehydration
- Diarrhea
- Difficulty Swallowing
- Dizziness and Vertigo
- Ear Pain
- Erectile Dysfunction
- Eye Pain
- Fatigue
- Fever
- Headache
- Hearing Change
- Heartburn
- Heat or Cold Intolerance
- Hematuria
- Hemoptysis
- Hoarseness
- Itching
- Jaundice
- Joint Pain
- Limb Pain
- Limp and Mobility Difficulty
- Low Mood
- Lower GI Bleeding
- Memory or Concentration Problems
- Menstrual Change
- Neck Pain
- Palpitations
- Pelvic Pain
- Polyuria and Polydipsia
- Poor Feeding
- Pregnancy-Related Symptoms
- Rash
- Red Eye
- Seizure
- Shortness of Breath
- Skin Lump
- Sleep Disturbance
- Sore Throat
- Syncope
- Testicular Pain and Swelling
- Tremor
- Upper Gastrointestinal Bleeding
- Urinary Frequency and Urgency
- Urinary Incontinence
- Vaginal Discharge and Itching
- Visual Change
- Vomiting
- Weakness
- Weight Loss
- Wheezing
Undifferentiated and complex medical problems in adults. Each approach works methodically through a broad differential and points to the investigations that most change management.
- Abdominal Distension
- Abdominal Pain
- Ataxia
- Back Pain
- Chest Pain
- Claudication
- Constipation
- Cough
- Cyanosis
- Dehydration
- Delirium
- Diarrhea
- Dizziness and Vertigo
- Dysphagia
- Dyspnea
- Easy Bruising and Bleeding
- Fatigue
- Fever
- Focal Neurologic Deficit
- Headache
- Hearing Loss
- Heartburn
- Heat or Cold Intolerance
- Hematuria
- Hemoptysis
- Joint Pain
- Lower Gastrointestinal Bleeding
- Lymphadenopathy
- Menstrual Change
- Muscle Weakness
- Night Sweats
- Oliguria
- Orthopnea
- Pallor
- Palpitations
- Pelvic Pain
- Peripheral Edema
- Polyuria
- Pruritus
- Rash
- Recurrent Infections
- Seizures
- Syncope
- Tremor
- Upper Gastrointestinal Bleeding
- Urinary Frequency and Urgency
- Visual Change
- Vomiting
- Weight Loss
- Wheezing
Childhood presentations where age changes the differential, the red flags, and the dosing. These paediatric clinical approaches keep the well-versus-unwell judgement central.
- Abdominal Pain
- Altered Mental Status
- Ambiguous Genitalia
- Apnea
- Ataxia
- Back Pain
- Behavior Change
- Bone Pain
- Chest Pain
- Constipation
- Cough
- Cyanosis
- Dehydration
- Delayed Puberty
- Developmental Delay and Regression
- Diarrhea
- Dysuria
- Easy Bruising and Bleeding Tendency
- Exercise Intolerance
- Eye Discharge
- Fatigue
- Fever
- Headache
- Heat or Cold Intolerance
- Hematuria
- Hypotonia
- Irritability
- Jaundice
- Joint Pain and Swelling
- Limp
- Lymphadenopathy
- Morning Stiffness
- Muscle Weakness
- Night Sweats
- Pallor
- Palpitations
- Petechiae and Purpura
- Polyuria
- Precocious Puberty
- Pruritus
- Rash
- Red or Painful Eye
- Seizures
- Shortness of Breath
- Sleep Disturbance
- Stridor
- Syncope
- Urinary Frequency and Urgency
- Urticaria
- Vomiting
- Weight Loss and Poor Weight Gain
- Wheezing
Neurological complaints in children, from seizures to hypotonia and developmental concern. Each approach weighs benign patterns against progressive or treatable causes.
- Abnormal Movements
- Altered Mental Status
- Ataxia
- Behavior or Personality Change
- Developmental Delay
- Developmental Regression
- Dystonia
- Excessive Daytime Sleepiness
- Fever with Neurologic Symptoms
- Headache
- Hypotonia
- Loss of Consciousness
- Reduced Level of Consciousness
- Seizures
- Sleep Disturbance
- Tics
- Tremor
- Visual Loss
- Weakness
Adult neurological presentations that localise the lesion before the scan. These clinical approaches make explicit when imaging, lumbar puncture, or urgent referral is warranted.
- Altered Mental Status
- Ataxia
- Back Pain
- Bradykinesia and Rigidity
- Chorea
- Cognitive Decline
- Diplopia
- Dysarthria
- Dystonia
- Headache
- Memory Impairment
- Muscle Cramps
- Myoclonus
- Neck Pain
- Neuropathic Pain
- Ptosis
- Reduced Level of Consciousness
- Seizure
- Spasticity
- Sudden Focal Neurologic Deficit
- Syncope
- Tingling and Paresthesia
- Tremor
- Vertigo and Dizziness
- Visual Loss
- Weakness
Presentations across pregnancy and gynaecology, with the pregnancy-specific workup spelled out. Each approach separates the physiological from the pathological.
- Abdominal and Pelvic Pain in Pregnancy
- Abnormal Vaginal Discharge
- Acne (Hormonal Pattern)
- Amenorrhea
- Bleeding Between Periods
- Breast Lump
- Breast Pain
- Breast Skin and Nipple Changes
- Breastfeeding Difficulty
- Chest Pain and Shortness of Breath Postpartum
- Contractions and Abdominal Tightening
- Dysmenorrhea
- Dyspareunia
- Dysuria
- Fatigue
- Hair Thinning (Androgenic Alopecia)
- Heavy Menstrual Bleeding
- Heavy Postpartum Bleeding
- Hirsutism
- Infertility
- Leg Swelling and Pain Postpartum
- Mood or Sleep Disturbance
- Nausea and Vomiting in Pregnancy
- Nipple Discharge
- Pelvic Pain
- Perineal Pain and Wound Pain
- Postpartum Fever
- Postpartum Low Mood and Anxiety
- Premenstrual Symptoms
- Recurrent Pregnancy Loss
- Reduced Fetal Movements
- Urinary Frequency and Urgency
- Urinary Incontinence
- Vaginal Bleeding in Pregnancy
- Vaginal Dryness
- Vaginal Fluid Leakage in Pregnancy
- Vaginal Itching and Irritation
- Vasomotor Symptoms
Acute surgical presentations where the first decision is who needs theatre. These surgical clinical approaches prioritise the time-critical differentials and a focused examination.
- Abdominal Distension
- Abdominal Pain
- Acute Urinary Retention
- Anal Pain
- Ascites
- Breast Lump
- Constipation and Obstipation
- Diarrhea
- Dysphagia and Odynophagia
- Fever
- Fever After Surgery
- Groin Lump
- Leg Swelling and Limb Pain
- Lower Gastrointestinal Bleeding
- Nausea and Vomiting
- Non-Healing Ulcer and Wound
- Shortness of Breath After Surgery
- Testicular Pain and Swelling
- Unintentional Weight Loss
- Upper Gastrointestinal Bleeding