19 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
evaluation confirmed a diagnosis ... of primary hypothyroidism ... deep-tendon reflex, is a neurologic ... Delayed #Clinical #Video ... #Neurology #Endocrinology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
acid <4 • SIADH, Hypothyroidism ... , Low solute intake ... Hyponatremia #algorithm #diagnosis ... #sodium #low #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
- Differential Diagnosis ... treat underlying cause ... Stress, Nausea, ... CKD, Thiazides, Hypothyroidism ... #nephrology #sodium
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Medications (diuretics), Hypothyroidism ... Primary polydipsia, Low ... Hyponatremia #Algorithm #diagnosis ... #sodium #nephrology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
- Differential Diagnosis ... Beer Potomania - Low ... • Euvolemic - Hypothyroidism ... #Algorithm #causes ... #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... - Differential Diagnosis ... water loss, Serum Sodium ... mannitol, glucosuria Low ... Hypernatremia #Nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... can be high or low ... Uosm), Hypothyroidism ... #differential #diagnosis ... #nephrology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
disorder - Primary hypothyroidism ... PRA • ↓ Serum sodium ... • Weakness • Low-grade ... Serum DHEAS Diagnosis ... endocrinology #diagnosis
Myoedema on Physical Exam
Myoedema (or "mounding"): A sign of Hypothyroidism, refers to a small lump rising
"mounding"): A sign ... of Hypothyroidism ... relaxation, because of slow ... PhysicalExam #clinical #neurology ... #video
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
Hoffman's sign. ... this specific case ... the hand. 3) Now ... Abnormal #clinical #video ... #neurology #PhysicalExam