11 results
Monoclonal Gammopathy Testing
Strengths, Weaknesses and Accuracy Compared
 - SPEP 
 - IFE 
 - FLC
Monoclonal Gammopathy Testing ... #Protein #Diagnosis ... #FLC #Nephrology ... #Laboratory #Comparison ... #Table
HINTS Exam - Distinguishing Central from Peripheral Vertigo
 • Head Impulse: Head thrust 10° with eyes
TylerLarsenMD #HINTS #physicalexam ... Peripheral #Vertigo #diagnosis ... #neurology #bppv ... #comparison #table
Ice-pack Test for Myasthenia Gravis - Likelihood Ratio (LR) +24 / -0.16
Ice pack's can be used
Ice-pack Test for ... LR) +24 / -0.16 Ice ... effectively increasing ACh ... Myasthenia #Gravis #physicalexam ... #neurology #diagnosis
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
abnormal) in nearly all ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... #HeadImpulse #Testing
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome - Diagnosis ... Fractional excretion of Cl ... - Normal Renal Ultrasound ... kidneys Genetic Testing ... #Workup #nephrology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
suspected and anti-ACh ... In-office testing ... cogan sign and the ice ... Myasthenia #Gravis #PhysicalExam ... ophthalmology #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... stimulation to all ... caseyalbin #PhysicalExam ... #neurology #comatose ... #diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Elimination (see Table ... Ca-gluconate or 1g CaCl ... #Hyperkalemia #Diagnosis ... Treatment #potassium #nephrology
The VAN assessment (see table below) begins with a simple assessment of upper extremity weakness. If
assessment (see table ... If the patient exhibits ... aphasia and neglect testing ... If either vision ... #Diagnosis #Neurology
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic ... confirmed via genetic testing ... *If hypokalemia ... #hypokalemia #diagnosis ... differential #algorithm #nephrology