9 results
Asymmetric Umbilicus Reflex on Physical Exam

An asymmetric umbilicus reflex in a patient with scoliosis warrants an
Asymmetric Umbilicus ... scoliosis warrants an MRI ... umbilical #clinical #video ... #neurology #PhysicalExam ... #syrinx #orthopedics
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
disorder (Cardiac, pulmonary ... Nervous System: • Symmetric ... Common pattern: Symmetric ... EMG) studies • MRI ... Differential #Diagnosis #neurology
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Manifestations: • Fairly symmetric ... axonal form • MRI ... Syndrome #diagnosis #management ... #treatment #neurology
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
progressive, fairly symmetric ... demyelinating or axonal • MRI ... - Spinal MRI may ... Syndrome #diagnosis #management ... #neurology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
progressing GN • New pulmonary ... vascular bruits, asymmetric ... affects the skin, neurologic ... cognitive impairment, neurologic ... oligoclonal bands • MRI
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... Intraabdominal - Orthopedic ... days before Pulmonary ... since elective PCI ... medical and surgical management
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Torsemide) • Acute pulmonary ... Inhibitors of Na+CI ... Excretion #Diuresis #Nephrology
Pectoralis Major Rupture Injury during Bench Press Exercise
CLINICAL: a rare injury patterns with typical sudden "tear/pop"
Likely need MRI. ... Inferior to operative management ... for repair by orthopedic ... Injury #clinical #video ... #msk #orthopedics
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
by culture or serology ... transplantation • MCC ... MC: CNS CSF: • ... Diagnosis: • Serology ... Fungal #Diagnosis #Management