8 results
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
- Differential Diagnosis ... • Meningeal signs ... , mid-dilated pupil ... (e.g., fever, myalgia ... #Algorithm #neurology
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
relaxation of the ankle ... evaluation confirmed a diagnosis ... Hypothyroidism #Ankle ... #Clinical #Video ... #Neurology #Endocrinology
Scarlet fever
• Delayed-type skin reactivity to pyrogenic exotoxin Requires prior exposure
• Diffuse erythematous eruption that generally
Scarlet fever • ... Delayed-type skin ... folds #Scarlet #fever ... #diagnosis #clinical ... #photo #signs #
Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
 • EM appears 7-14 days at the
Early and Late Clinical ... myalgia, arthralgia, headache ... , fever (not common ... Lyme #Disease #diagnosis ... #signs #symptoms
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
Dangerous Causes of Headache ... CNS infection: fever ... thrombophilia, neurologic ... signs/symptoms ... postpartum #Diagnosis
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Fever • Nuchal ... • Common clinical ... Acute meningeal signs ... (fever, nuchal ... #neurology #meningitis
Woltman's sign of hypothyroidism- ...At the time of presentation, a physical examination was notable for the
Woltman's sign of ... relaxation of the ankle ... video)...Woltman’s sign ... deep-tendon reflex, is a neurologic ... #clinical #photo
Rickettsialpox Eschar

40 homeless male from NY admitted with fever, chills, headache, myalgias. Diagnosis?
Rickettsialpox R akari classic
, chills, headache ... Diagnosis? ... rickettsia) Dx: serology ... Eschar #rakari #clinical ... #photo #skinrash