166 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
- Differential Diagnosis ... Algorithm 4 tests ... Resisted shoulder extension ... after cross-arm test ... #Algorithm #MSK
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Diagnosis Algorithm ... findings (see algorithm ... cosyntropin stimulation test ... interact with stim test ... #Diagnosis #Algorithm
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... ACTH stimulation test ... CRH stimulation test ... - Serum tests that ... Evaluation #laboratory #diagnosis
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm ... Test 1: Baseline ... OCPs, pregnancy) Test ... #Diagnosis #Algorithm
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
• Low-grade fever ... Palmar creases - Extensor ... Serum DHEAS Diagnosis ... clue • Blood tests ... endocrinology #diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Diagnosis Algorithm ... Standard Stim test ... #Diagnosis #Algorithm ... #Stimulation #Test
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... Stimulation Test ... BCM_InternalMed #Adrenal #Insufficiency ... #Testing #Algorithm
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Stroke Subtle extensor ... 9.2, LR- 0.09 Best ... test characteristics ... #physicalexam #diagnosis
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... ACTH) stimulation test ... #Differential #Diagnosis ... #Algorithm #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Insufficiency - ... Algorithm Step ... 1) Screening Test ... ) #Adrenal #Insufficiency ... #Algorithm #Diagnosis