120 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
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 - Differential Diagnosis Workup Algorithm
Primary Adrenal Insufficiency:
 • Autoimmune primary adrenal insufficiency
 • Adrenoleukodystrophy,
Adrenal Insufficiency ... Differential Diagnosis Workup ... Algorithm Primary ... Differential #Diagnosis #Workup ... #Algorithm #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... between 8 and 9 AM ... autoantibody tests ... between 8 and 9 AM ... endocrinology #workup
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
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
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
ultrasound, Tests ... sodium loading test ... saline infusion test ... dexamethasone suppression test ... Causes #Screening #Workup
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... ACTH Early am ... Standard Stim test ... Insufficiency #Diagnosis #Algorithm ... #Stimulation #Test
Drop Arm Test - Supraspinatus Tear

The drop arm test evaluates for a supraspinatus muscle tear.
Passively adduct
Drop Arm Test - ... Tear The drop arm ... test evaluates ... The test is positive ... video #sports #msk
Evaluating a Patient with Presumed Cushing Syndrome

#Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
Syndrome #Disease #Algorithm ... #Workup #Dexamethasone ... #Suppression #Test