41 results
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
- Hawkin’s Test ... - Drop Arm Test ... #Diagnosis #PhysicalExam ... Testing #Maneuvers #RotatorCuff ... #Impingement #ALiEM
Algorithm and Differential Diagnosis of Tremor #Diagnosis #IM #PrimaryCare #Neuro #Tremor #Action #Rest #Differential #Algorithm #Comparison
Algorithm and Differential ... Diagnosis of Tremor ... #Diagnosis #IM ... Tremor #Action #Rest ... #Comparison #Table
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... level drawn BCM IM ... BCM_InternalMed #Adrenal
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... OCPs, pregnancy) Test ... response BCM IM
Legionnaire's Disease - Extrapulmonary organ involvement: CNS: Mental confusion, encephalopathic, headache. Cardiac: Relative bradycardia. GI: Loose
hematuria, renal ... insufficiency #Diagnosis ... #IM #InfectiousDisease ... Legionnaires #Legionella #Algorithm ... Extrapulmonary #ALiEM
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... eosinophilia Diagnostic ... findings (see algorithm ... cosyntropin stimulation test ... interact with stim test
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Differential Diagnosis ... h of infusion Adrenal ... CT scan, adrenal ... #Differential #Diagnosis ... Screening #Workup #table
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Standard Stim test ... #Algorithm #ACTH ... #Stimulation #Test
Hawkin's Test 1. Position arm in throwing position and flex forward 30 degrees. 2. Examiner internally
Hawkin's Test 1. ... #Diagnosis #Ortho ... Supraspinatus #RotatorCuff ... #Test #Hawkin # ... ALiEM
Infraspinatus scapular rotation test - Patient has pain when externally rotates shoulder against resistance (with elbow
scapular rotation test ... degree flexion) #Diagnosis ... Infraspinatus #RotatorCuff ... #Test #ALiEM