27 results
REBEL Review 99: Serotonin Syndrome via Yosuf Alam, MSIV

Presentation: Altered mentd status, Seizures, Myoclonus, Hypertension, Hyperthermia
99: Serotonin Syndrome ... via Yosuf Alam, ... Hyperthermia (most common cause ... extremity) Diagnosis ... Cornerstone of treatment
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
atropine; Heat stroke ... Neuroleptic malignant syndrome ... ; Serotonin syndrome ... • Treatment: ... Hyperthermia #comparison #diagnosis
Mydriasis and Miosis - Differential Diagnosis Framework

Causes of Mydriasis:
Dilated pupils (mydriasis) more than 7mm
 • Unilateral
- Differential Diagnosis ... Miosis: Horner's syndrome ... Nicotine, Heat Stroke ... #differential #diagnosis ... #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... or induced by treatment ... clinical #video #ophthalmology ... #physicalexam #
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Bone/Joint Causes ... #differential #diagnosis ... lower #extremity #msk ... #physicalexam
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
circulation: MCA ACA ... Constipation, Seizures, Stroke ... the underlying cause ... • Treatment of ... with AEDs until cause
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
- Differential Diagnosis ... iniury, Compartment syndrome ... Heat iniury, Heat stroke ... Management #Summary #causes ... #treatment
BEE Syndromes - Non-inflammatory Causes

Immune-mediated conditions affecting the Brain, Eye, and Ear

Visual or auditory symptoms in
Non-inflammatory Causes ... important, as early diagnosis ... and treatment can ... Non-inflammatory causes ... consistent with MS
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... visual changes, stroke ... organ damage • Treatment ... Low calcium • Treatment ... #TLS #diagnosis
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology