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CERTA Analgesic Classes and Pain Indications

Dr. David H.Cisewski and Dr. Sergey M.Motov

#CERTA #Analgesic #Classes #Pain #Indications
CERTA Analgesic Classes ... and Pain Indications ... Sergey M.Motov ... CERTA #Analgesic #Classes ... #Pain #Indications
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
unilateral flank pain ... nephrolithiasis • Symptoms ... proteinuria, RBC casts ... → Refer to Nephrology ... if cause not identified
Pancreatic Cyst Diagnosis on Endoscopic Ultrasound EUS
Features of low cancer risk: No symptoms caused by the
cancer risk: No symptoms ... caused by the cyst ... high cancer risk: Symptoms ... caused by the cyst ... and vomiting, or pain
Somatoform Disorders - Differential Diagnosis Algorithm
 - Patient presents with complex medical problem or symptoms that
medical problem or symptoms ... Motivation is primary gain ... • Pain Disorder ... - Pain; psychological ... Conversion Disorder - Neurologic
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
vomiting, auditory symptoms ... Dysfunction - Imbalance, neurologic ... symptoms/signs, ... Dizziness #Vertigo #Neurology ... Diagnosis #Algorithm #Causes
Bell's palsy
There are many different causes of Facial Nerve Palsy. However, the commonest
cause of unilateral facial
many different causes ... the commonest cause ... #Bells #Palsy #Neurology ... #Signs #Symptoms
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Varies • No neurologic ... with vascular causes ... positional episodes caused ... No auditory symptoms ... Long symptom-free
Causes of Back Pain - Differential Diagnosis Algorithm
Always assess for red flags. If no red flags,
Causes of Back Pain ... constitutional symptoms ... deficits, nocturnal pain ... Unresolved Radicular Symptoms ... Diagnosis #Algorithm #Causes
Tolosa-Hunt Syndrome
What?
 • Unilateral orbital/retrobulbar pain
 • Paresis of the cranial nerves Ill, IV, VI
 •
orbital/retrobulbar pain ... or orbit (MRI) Treatment ... resolution of the symptoms ... Syndrome #TolosaHunt #neurology
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Causes of Peripheral ... without an obvious cause ... with significant neurologic ... attacks with varying neurologic ... Central #Vertigo #Causes