21 results
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
- Provocative Testing ... #Diagnosis #PhysicalExam ... #Shoulder #Testing ... #Maneuvers #RotatorCuff ... #Impingement #ALiEM
Algorithm for the diagnosis of chronic diarrhea.
It is usually impractical to test and treat the many
Algorithm for the ... impractical to test ... many possible causes ... pick specific tests ... Chronic #Diarrhea #Algorithm
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... 1) Screening Test ... require Cosyntropin testing ... #Algorithm #Diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... unclear (often the case ... then go to stim testing ... #Diagnosis #Algorithm
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... Renal ultrasound, Tests ... #Differential #Diagnosis ... #Causes #Screening
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... aldosterone - Low in cases ... primary adrenal insufficiency ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
Syphilis Reverse Algorithm ... first step in the algorithm ... of inflammation caused ... Syphilis #Reverse #Algorithm ... #Testing #Diagnosis
Subacromial Impingement - Neer Test 1. With the arm fully pronated, the examiner raises the arm
Impingement - Neer Test ... , the examiner raises ... scapulothoracic motion #Diagnosis ... #Impingement #RotatorCuff ... #Neer #Test #ALiEM
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
- Differential Diagnosis ... Algorithm Fasting ... Idiopathic Other Causes ... Hypopituitarism • Adrenal Insufficiency ... #causes