1922 results
Adson's Test for Thoracic Outlet Syndrome

To perform Adson's Test locate the radial pulse.
Have the patient take
Adson's Test for ... To perform Adson's ... open_michigan #Adsons ... Outlet #Syndrome #PhysicalExam
Unmeasured Anions Associated with an Elevated Anion Gap and Metabolic Acidosis

#Unmeasured #Anions #Gap #Metabolic #Acidosis #Diagnosis
Unmeasured Anions ... #Unmeasured #Anions
Primary hypoadrenalism (Addison’s disease) – symptoms, signs

#Diagnosis #Hypoadrenalism #Addisons #Disease #Hypoadrenalism #Signs #Symptoms

** GrepMed Recommended Text:
Hypoadrenalism #Addisons
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Nonreabsorbable anions
Distribution of Magnesium in the Body
66% in Bones
33% in Muscles
1% in Serum
 • 60-70% Free (ionized)
molecular weight anions
Ranson's Criteria in Pancreatitis 
At Admission: 
 - Age > 55 years 
 - WBCs >
sequestration > 6 L #Ransons
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Non-reabsorbable anions
Optic Disc Edema

The optic disc is elevated and its surface is covered by cotton wool spots
spots (damaged axons
Cotton Wool Spots

Caused by microinfarcts. Exploded ganglion cell axons extrude their axoplasm into retina. Long DDx:
ganglion cell axons
Cutaneous signs of Addison's disease may be a useful clue. Hyperpigmentation especially involves sun-exposed areas and
#Addisons #disease