31 results
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if concern for nodular ... thyroid disease ... -99% sensitive and ... Check pregnancy test ... management options
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... Positive pathergy test ... is a skin prick test ... Giant retinal tears ... #management #signs
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Whipple Disease ... and Management ... Oculomasticatory/oculo-facial-skeletal ... positive T. whipplei test ... #management #criteria
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... Onset ○ Meniere disease ... Noise trauma ○ MS ... ○ HIV ○ Lyme disease ... #Differential #Diagnosis
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
and Management ... or metastatic disease ... , infiltrative diseases ... A STIM test can ... ACTH STIM TEST:
Meralgia paresthetica: Pathogenesis and Clinical Findings
Compression/injury of Lateral Femoral Cutaneous Nerve (LFCN) -> Meralgia paresthetica
 •
sensory • Before diagnosis ... intervertebral disc disease ... Straight Leg Raise Test ... inguinal ligament (near ... MeralgiaParesthetica #MSK
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
bouts of HTN Diagnostic ... negative, MOG-IgG test ... MCTD - Bechet disease ... Treatment: • Steroids ... #management #neurology
Syphilis - Clinical Manifestations and Treatment

1) Primary Syphilis
 • Direct lesion contact during sex is responsible
Headache, meningitis, ocular ... meningovascular disease ... ulcerated • MSK ... Syphilis #stages #diagnosis ... #management #Treatment
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Symptoms of Joint Disease ... e.g., meniscal tears ... Paget disease) ... #Joint #Pain #MSK ... #differential #diagnosis
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... myasthenia Diagnosis ... Bedside: ice pack test ... /Edrophonium test ... #management #neurology