277 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Differential Diagnosis Algorithm ... 4 tests for the ... test 4. ... Differential #Diagnosis #Algorithm ... #MSK
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... Tuberculosis: can cause ... clue • Blood tests ... sodium, potassium, AM
Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis 
Signs: painful abduction
Causes: Calcific ... painful abduction of arm ... , empty can test ... diagnosis #sports #MSK
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
ultrasound, Tests ... sodium loading test ... h of infusion Adrenal ... CT scan, adrenal ... • Congenital adrenal
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Syndrome Testing Algorithm ... dexamethasone suppression test ... Then measure at 8 am ... Hormone • MRI of adrenal ... endocrinology #Adrenal
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... ACTH Early am ... unclear (often the case ... Standard Stim test ... #Stimulation #Test
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... findings (see algorithm ... ): - AM serum ... cosyntropin stimulation test ... interact with stim test
Differential Diagnosis of Pleuritic Chest Pain:

Categorized by causes: Cardiac, Pulmonary, MSK, Drug/Toxins, Heme/Onc, Renal, Autoimmune

#Diagnosis #Pleuritic
Categorized by causes ... Cardiac, Pulmonary, MSK ... Toxins, Heme/Onc, Renal ... Pleuritic #ChestPain #Causes ... #Differential #Algorithm
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... between 8 and 9 AM ... aldosterone - Low in cases ... autoantibody tests ... between 8 and 9 AM
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... AM Cortisol - ... OCPs, pregnancy) Test