70 results
Spondylolysis & Spondylolisthesis: Pathogenesis and Clinical Findings

Pars interarticularis stress fracture (spondylolysis) - most frequently in the
tenderness • Positive ... XR — scotty dog sign ... Spondylolisthesis #MSK #diagnosis ... pathophysiology #signs
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Tropheryma whipplei) - Diagnosis ... Symptoms and Signs ... diarrhea (75%) Diagnostic ... Two different positive ... specimen OR • One positive
Liver Chemistry Tests - AST, ALT, Alkaline Phosphatase and Bilirubin Metabolism
AST and ALT:
 • AST: liver
Laboratory #Metabolism #ASTALT ... #AlkPhos #Bilirubin ... Pathophysiology #Diagnosis
Stages of Syphilis
Early Primary:
 • Painless chancre
 • Regional lymphadenopathy
Early Secondary:
 • Fever, malaise
 • Rash
Early Latent: • Positive ... Late Latent: • Positive ... Stages #symptoms #signs ... #diagnosis
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
fixation) • Positive ... Labyrinthitis #Diagnosis ... #Symptoms #Signs
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
as a physical sign ... Still useful for diagnosis ... Positive reflux=
A normal plantar reflex response involves toe flexion, or even no movement. A positive test, also
A positive test, ... as a Babinski sign ... A positive response ... #Babinski #Sign ... PhysicalExam #Diagnosis
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Biliary Cirrhosis - Diagnosis ... quadrant discomfort Signs ... after pregnancy Diagnose ... Positive AMA or ... Biliary #Cirrhosis #Diagnosis
Problem Representation

An evolving summary of a patient’s clinical presentation that strives to identify 
(1) Clinical syndrome
Clinical syndrome (signs ... pattern to maximize diagnostic ... • One-liner at start ... Representation #diagnosis
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
worsening brady, Signs ... Pads in AP position ... intrinsic rate (start ... Start pacing. ... #bradycardia #diagnosis