38 results
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
Thyroid Goiter on ... presenting with thyroid ... goiters caused ... by iodine deficiency ... #PhysicalExam #iodine
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake
Reduced uptake:
 • Thyroiditis
 • Exogenous
Differentiation of Causes ... thyroxine • Iodine ... loading • Ectopic thyroid ... disease • Excess thyroid-stimulating ... #radioactive #iodine
Laboratory Evaluation of Patients for Thyroid Disease 
Hyperthyroidism:
 • Graves disease - TSH low; free T4
of Patients for Thyroid ... high; in some cases ... uptake; thyroid ... uptake; thyroid ... concentrations of TSH and thyroid
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Toxicosis • Iodine ... with radioactive iodine ... Thionamide - Iodine ... • Radioactive iodine ... hyperthyroidism #causes
Secondary causes of Hypertension
 • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes ... CNI, Alcohol, Cocaine ... Other Endocrine causes ... : Thyroid disease ... low renin HTN causes
Takotsubo Cardiomyopathy - Right Ventricular Involvement 

In up to 1/4 of cases of stress cardiomyopathy (takotsubo),
In up to 1/4 of cases ... Echocardiogram #A4C ... #Clinical #POCUS
Myocarditis on Echocardiogram
It is always great to witness the tremendous reversal of severe biventricular dysfunction from
Case Resolution: ... Myocarditis #plax #psax #a4c ... clinical #cardiology #pocus
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
dark, - 10% cocaine ... (Lung, Breast, Thyroid ... Diagnosis #Algorithm #Causes
Radiation Injury
Acute Radiation Toxicity primarily affects rapidly dividing cells based on dosage
Hematopoiteic - Pancytopenia, Infection
 •
to radioactive Iodine ... iodide to prevent thyroid ... lymphocyte count = ALC ... at 48 hours • ALC ... prognosis • ALC
Lymphoma infiltration in mitral valve on Echocardiogram
A case from my archive... interesting. Lymphoma infiltration in mitral
Echocardiogram A case ... Echocardiogram #clinical #pocus ... #plax #psax #a4c