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Anosmia / Smell Dysfunction - Differential Diagnosis Algorithm Nasal Obstruction/ URTI: • Septal Deviation • Allergic Rhinitis
Mellitus • Adrenal Hypofunction ... • Adrenal Hyperfunction ... #Dysfunction #Loss
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
endocrinology #Adrenal #Hyperfunction
Weber and Rinne Tuning Fork Testing for Conductive and Sensorineural Hearing Loss #Weber #Rinne #TuningFork #PhysicalExam #Testing
Sensorineural Hearing Loss ... Rinne #TuningFork #PhysicalExam
Muehrcke's Lines (Leukonychia striata) Narrow while transverse lines (Not depressed, compared to Beau's lines). Usually 2 or
increase protein loss ... hypoalbunemia (usually less ... #Fingernails #PhysicalExam
Medications associated with neuroleptic malignant syndrome First-generation and second-generation antipsychotics are dopamine receptor antagonists, which produce a
of dopaminergic hypofunction
Black and Bloody Stools - Melena and Hematochezia Melena - Refers to passage of black, tarry (sticky
Involves loss ... Less commonly, when ... slow, blood loss ... or anus; much less ... stools; blood loss
Scleritis, Episcleritis Pearls -Scleritis is characterized by significant pain, pain with eye movement, vision loss, and vessels
movement, vision loss ... Episcleritis is typically less ... with no vision loss
Principal patterns of loss of sensation. (a) Thalamic lesion: sensory loss throughout opposite side (rare).
Principal patterns of loss ... lesion: sensory loss ... and ipsilateral loss ... and temperature loss ... dorsal column loss
Lancisi's sign on Physical Exam Lancisi's sign = loss of the x descent (in tricuspid regurg) creating
Lancisi's sign = loss ... Lancisis #sign #PhysicalExam
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 Clinical features of shock from dehydration in an infant Decreased level of consciousness Sunken fontanelle Dry mucous
Sudden weight loss ... Extremities #PhysicalExam
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