15 results
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
confirmed the diagnosis ... and gut, which causes ... #clincial #peds ... #infant #NEJM # ... Wolmans #radiology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... ACTH) stimulation test ... #Differential #Diagnosis
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
head-impulse, nystagmus, test ... from the physical examination ... A diagnostic algorithm ... The approach uses ... into one of three clinical
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Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
non-productive cough, nausea ... Disease: Jaundice + renal ... failure • Severe pulmonary ... Epidemiologic exposure + clinical ... agglutination - test
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
- The physical examination ... Laboratory tests ... Hydatid disease is caused ... #clinical #NEJM ... liver #hepatic #radiology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... of lactate as a clinical ... a multitude of clinical ... tests before beginning ... output - Acute pulmonary
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
severe RUQ pain, renal ... doubling of Cr), pulmonary ... ↑ in anti HTN meds ... so have high clinical ... htn #obstetrics #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
diagnosis but rather ... with presence of pulmonary ... the determined cause ... #algorithm #management ... #cardiology #treatment
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
When the diagnosis ... assessment, is best ... intra-abdominal masses ... #Peds #Pediatrics ... #Diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... Change in clinical ... one post op Cardiology ... stratification #diagnosis