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Functional Hemi-Anesthesia Testing on Physical Examination

Dr. Michael Okun @MichaelOkun

#Functional #Hysterical #Hemianesthesia #PhysicalExam #clinical #video #neurology #psychiatry
#Functional #Hysterical ... #Hemianesthesia
Brown-Sequard syndrome

It is a rare neurological condition characterized by a lesion in the spinal cord which
of sensation (hemianesthesia
Classifications for COPD through the Years
Graphic Design by Mr. Ramon Thompson
#Diagnosis #COPD #Classification #Severity #Critera #GOLD2006
GOLD2017 #History #Historical
Exogenous Testosterone Side Effects
 • Mood disorder, Depression, Aggression
 • ↑ Erythropoiesis
 • Hypogonadism +/-BPH, prostate
Hypogonadism +/-BPH ... Hemostatic changes - BWH
Oxygen-Hemoglobin Dissociation Curve

Left Shift (↓ O2 unloading to tissue), Left = Lower:
 • ↓ H+ (↑
Lower: • ↓ H+ (↑ pH ... PCO2 • ↓ 2,3-BPG ... Exercise • ↑ 2,3-BPG
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Hematuria Important Historical
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Pulmonary Angioplasty (BPA ... Karan Desai MD, MPH
Historical Indicators of Pediatric Physical Abuse:
- No/vague explanation for a significant injury
- Important detail of the
Historical Indicators
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
haemangiomatosis; PH ... veno-occlusive disease; BPD
Oral Antihypertensive Medications - Selection by Comorbidities
Comorbidities: 
 • Stable Angina, HFpEF, HFrEF, AFib, TAA/Marfan, Aortic
• Supine HTN, BPH