74 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Differential Diagnosis ... , anti-CCP • CXR ... infiltrates) → high ... #differential #diagnosis ... #nephrology
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
Locked-In Syndrome ... Brief CPR and intubated ... #PhysicalExam # ... clinical #video ... #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
when reexposed to light ... Holmes-Adie Syndrome ... females Differential Diagnosis ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
- Differential Diagnosis ... Inappropriately High ... Carboxymaltose, CAR-T ... #Differential #Diagnosis ... #Algorithm #nephrology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... 5 or elevated Cr ... common • Imaging: CXR ... Differentiation #Syndrome ... #management #hematology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... consistent with a diagnosis ... #clinical #video ... ophthalmology #physicalexam ... #neurology #Anisocoria
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
Pathogenesis and clinical ... Anterior Cord Syndrome ... proprioception, and light ... #diagnosis #pathophysiology ... #orthopedics #neurology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... , dyspnea, +/- CXR ... acid, Elevated Cr ... #TLS #diagnosis ... #management #hematology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... Diarrhea A urine K/Cr ... urinary losses: • High ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
reacts slowly to light ... #Adies #Pupil #PhysicalExam ... #clinical #video ... ophthalmology #neurology ... #syndrome