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Oncology Algorithm for the Management of Suspected Epidural Spinal Cord Compression (ESCC)

Suspected ESCC: Pain, weakness, numbness/paresthesias,

Cord Compression (ESCC ... ) Suspected ESCC ... MatthewHoMD #ESCC

Liver Mass Differential Diagnosis
Solid:
• Benign: Hepatic Hemangioma, Focal nodular hyperplasia, Hepatocellular adenoma, Regenerative nodules
•

• Malignant: HCC ... Cystadenocarcinoma, Primary SCC

Human Papillomavirus–Associated Oropharyngeal Squamous-Cell Carcinoma - Flexible nasolaryngoscopy showed an exophytic mass on the left base

Oropharyngeal #SCCa ... #SCC #HPV #Nasolaryngoscopy

Cavity Mnemonic for Cavitary Pulmonary Lesions:
C: cancer
- bronchogenic carcinoma: most frequently squamous cell carcinoma

cell carcinoma (SCC ... most frequently SCC

CAVITY – a useful mnemonic for the causes of a cavitating lung mass.

C = cancer

most frequently SCC ... most frequently SCC

Tumor markers in clinical practice
Colorectal - CEA
Hepatocellular - AFP
Pancreatic - CA 19-9
Ovarian - CA 125
Breast -

- CYFRA 21-1, SCC

Neck Mass - Differential Diagnosis Framework
Inflammatory:
• Viral (reactive): EBV, HIV
• Bacterial: Staph/Strep, Tularemia, Brucella

• Metastatic: SCC

Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
• Primary Hyperparathyroidism
• Familial Hypocalciuric Hypercalcemia
Low

Tumors: Lung, SCC

Conductive Hearing Loss - Differential Diagnosis Algorithm

Normal Otoscopy - Middle Ear:
• Otosclerosis
• Congenital (Ossicular

Exostosis) • Tumors (SCC

Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
• Homogeneous pattern:
-

SjS, SLE, DM, SSc ... , PM/SSc OS, MCTD ... Smith, Sm/RNP, Scl ... pattern: - SSc ... , PBC/SSc OS

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