75 results
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
meds, Consider diagnostic ... intolerance suspected, Colonoscopy ... performed, may show melanosis ... : • Consider diagnostic ... EGD +/- ERCP +/- colonoscopy
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... Varies • No neurologic ... change • Neurologic ... #differential #diagnosis ... #neurology
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Approaching a Difficult Colonoscopy ... rate • Fewer position ... Water assisted colonoscopy ... time • Less position ... Summary #Endoscopy #diagnosis
SNOOP mnemonic may catch potentially life-threatening headaches
Systemic signs and disorders
Neurologic symptoms
Onset new or changed & patient
and disorders Neurologic ... Pulsatile tinnitus, Positional ... #Differential #Diagnosis ... redflag #dangerous #neurology
Epley Maneuver for Treatment of BPPV
1) The patient begins in an upright sitting posture, and the
into a supine position ... remains in this position ... remains in this position ... #vertigo #neurology ... #instructions #
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... BENIGN PAROXYSMAL POSITIONAL ... Hallpike test: Positive ... Labyrinthitis #diagnosis ... #neurology #comparison
Urine Microscopy Instructions
1) Spin fresh urine sample (10-15mL) in a centrifuge for 3-5 minutes - Don't
Urine Microscopy Instructions ... Urine #Microscopy #Instructions ... #nephrology #diagnosis
Dix-Hallpike Maneuver for BPPV

Procedure:
1. Make the patient sit on examination table, such that the shoulders would
sitting to supine position ... patient in this position ... to the upright position ... Maneuver #BPPV #Instructions ... #Diagnosis #neurology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
- Differential Diagnosis ... Benign Paroxysmal Positional ... Dysfunction - Imbalance, neurologic ... Dizziness #Vertigo #Neurology ... #Differential #Diagnosis
Phimosis 
Inability to retract the foreskin - Can be normal up to 3 years old -
back to anatomic position ... Paraphimosis #Comparison #Diagnosis ... #Urology