11 results
Evaluating a Patient with Presumed Cushing Syndrome

#Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
#Cushings #Syndrome ... #Disease #Algorithm ... #Workup #Dexamethasone ... #Suppression #Test ... #diagnosis
Causes of Knee Effusions - Differential Diagnosis Framework

Knee Effusion Red Flags:
1. Fever/Chills/Joint pain/Night sweats/Weight loss
	- DDX:
		-
- Differential Diagnosis ... Brucellosis - Viruses: HIV ... Seronegative Reactive Syndrome ... #differential #diagnosis ... #msk #physicalexam
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... typically part of the workup ... • Test all patients ... for HIV, Chlamydia ... Distal joints, knees
Bone Deformity / Limp - Differential Diagnosis Algorithm 
Infection
 • Septic Arthritis
 • Cortical Hypertrophy
 •
- Differential Diagnosis ... Algorithm Infection ... Knee Joint • ... Patellofemoral Syndrome ... Deformity #Limp #MSK
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Degenerative joint disease ... commonly affects the knee ... hip and L/C-spine ... Comparison #Versus #MSK ... JointDisease #JointPain #Diagnosis
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Symptoms of Joint Disease ... e.g., congenital hip ... #Joint #Pain #MSK ... rheumatology #approach #workup ... #differential #diagnosis
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... Onset ○ Meniere disease ... II ○ Susac’s syndrome ... Noise trauma ○ MS ... ○ Lyme disease
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Algorithm Polycythemia ... can drive this disease ... As with many disease ... Best to have an ... #Algorithm #workup
Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
 • Lymphocytes accumulate in large numbers
adults in the west ... Agent Orange or Hep ... cells can indicate disease ... • Richter’s Syndrome ... #workup #oncology
Celiac Disease - Diagnosis Algorithm
IgA TTG has high sensitivity and specificity of ~ 98% and is
Celiac Disease - ... Diagnosis Algorithm ... and Williams’ syndromes ... #Diagnosis #Algorithm ... gastroenterology #workup