23 results
Knee Examination
Right Knee - Examination maneuvers include the Lachman (ACL), anterior drawer (ACL), Lateral pivot shift,
- Examination maneuvers ... Lateral pivot shift, Apley ... meniscal integrity) tests ... PhysicalExam #Lachman #Apley ... McMurray #Drawer #Test
Testing for Diabetes Type II
 - 
Hemoglobin A1c test
 - Random blood sugar test
 - Fasting
Testing for Diabetes ... Hemoglobin A1c test ... - Fasting blood ... Classification #Testing ... Glucose #Laboratory #Endocrinology
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Cosyntropin Stimulation Test ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm ... #Stimulation #endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... , hypoglycemia Testing ... ACTH) stimulation test ... Primary adrenal insufficiency ... Diagnosis #Algorithm #endocrinology
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
- Provocative Testing ... - Hawkin’s Test ... - Drop Arm Test ... PhysicalExam #Shoulder #Testing ... #Maneuvers #RotatorCuff
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
) • Hallpike test ... • Head impulse test ... ) • Epley maneuver ... saccade seen) • Epley ... maneuver: Ineffective
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... primary adrenal insufficiency ... Secondary Adrenal Insufficiency ... laboratory #diagnosis #testing ... #endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... PRIMARY adrenal insufficiency ... cosyntropin stimulation test ... interact with stim test ... Stimulation #StimTest #Endocrinology
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm Test ... OCPs, pregnancy) Test ... BCM_InternalMed #Adrenal #Insufficiency ... Diagnosis #Algorithm #endocrinology