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Bilateral Lens Dislocation in Marfan syndrome - Slit Lamp Ocular Examination

Dr. Sebastian Vega @oftalmopo

#Bilateral #Lens #Dislocation
Bilateral Lens Dislocation ... in Marfan syndrome ... Bilateral #Lens #Dislocation ... #Marfan #syndrome ... #Ocular #PhysicalExam
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Noninfectious Causes ... infarction - Pulmonary ... Neuroleptic malignant syndrome ... Postmyocardiotomy syndrome ... Noninfectious #Causes
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... - Tamponade Pulmonary ... Hepatopulmonary syndrome ... #differential #diagnosis ... #causes #pulmonary
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... Anterior Shoulder Dislocation ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... obesity-hypoventilation syndrome ... hepatopulmonary syndrome ... #Differential #Diagnosis ... #pulmonary
Cystic Lung Disease
Upper Lobe Predominant: 
Langerhans Cell Histiocytosis, Pneumocystis Jiroveci, Hypersensitivity Pneumonitis, Neurofibromatosis Type 1, Paracoccidioidomycosis,
Ehlers-danlos Syndrome ... (LCDD), Cystic Pulmonary ... Birt-Hogg-Dubé Syndrome ... #differential #diagnosis ... #causes #pulmonary
Causes of Erythema Nodosum - Mnemonic

NO cause found in 60% of cases
Drugs (antibiotics e.g., sulfonamides, amoxicillin)
Oral
Causes of Erythema ... Mnemonic NO cause ... Sarcoidosis or Lofgren's syndrome ... Nodosum #Mnemonic #Causes ... #Differential #Diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... - Differential Diagnosis ... Acute Coronary Syndrome ... #Differential #Diagnosis ... #Algorithm #Causes
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... - Differential Diagnosis ... Malignancy • Pulmonary ... #Diagnosis #Algorithm ... #Hepatology #causes
Faget's Sign & Liebermeister's Rule
Pulse-Temperature Dissociation
EVERY 1 F RISE IN TEMPERATURE -> HR INCREASES 8-10 BPM
INFECTIOUS
Pulse-Temperature Dissociation ... pulse-temperature dissociation ... #Temperature #Dissociation ... #diagnosis #differential ... #causes