3 results
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
or nerve root Symptoms ... • Weakness • Fatigue ... #Pain #MSK #rheumatology ... #approach #workup ... #differential #diagnosis
Causes of Excessive Daytime Sleepiness - Differential Diagnosis Algorithm
Insufficient Sleep
 • Poor Sleep Hygiene
 • Insomnia
Shift Work) Sleep ... Hypoventilation Syndrome Medical ... Disorders • Neurologic ... Parkinson's, MS) ... Excessive #Daytime #Fatigue
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
dismay the blood work ... tumor, and always ask ... may constitute a medical ... Myasthenia #Gravis #PhysicalExam ... ophthalmology #neurology