23 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
Woltman’s sign on ... Physical Exam 53-year-old ... relaxation of the ankle ... jerk reflex — Woltman ... Hypothyroidism #Ankle
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Approach to Headaches ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g. ... arteritis • Acute angle
Woltman’s sign on Physical Exam - Hi-Res .mp4 version here: https://www.grepmed.com/images/13248

53-year-old man presented with fatigue and
Woltman’s sign on ... images/13248 53-year-old ... relaxation of the ankle ... jerk reflex — Woltman ... Woltman’s sign,
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
Photophobia and Headache ... photophobia and headache ... - Autonomic symptoms ... meningeal irritation signs ... : - Acute angle-closure
Signs and Symptoms Associated With Different Headache Etiologies
 • Nonfocal mental status changes - Meningitis, encephalitis,
Signs and Symptoms ... pressure, acute-angle ... pressure - Acute angle ... pupils - Acute angle ... #signs #symptoms
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
Dangerous Causes of Headache ... work) - acute angle ... shoulder girdle symptoms ... thrombophilia, neurologic signs ... dental infection: ear
Headache Syndromes 
Sudden onset of pain - "Thunder clap" with any decreased mentation, any positive focal
Headache Syndromes ... with stroke-like symptoms ... venous thrombosis Near ... arteritis or acute angle ... Syndromes #diagnosis #symptoms
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
vertigo (BPPV) - Short-lived ... occur during the headache ... 24% always had headache ... vertigo and 67% had headache ... varying neurologic signs
Emergent Causes of Headache and Associated Risk Factors
Carbon monoxide poisoning
 - Breathing in enclosed or confined
with the same symptoms ... History of sinus or ear ... Glaucoma—acute angle ... #redflags #signs ... #symptoms #differential
Xeropthalmia: Pathogenesis and Ocular Manifestations

Decr Visual pigment -> Keratinization, thickening & non-wetting of the conjunctiva
mucins with reduced tear ... conjunctiva) • Bitot's spots ... ophthalmology #diagnosis #signs ... #symptoms