302 results
Myositis and Myopathies
#ESR #CK #Differential diagnosis of myopathy 
#Inflammatory #myopathies	#Dermatomyositis	
#muscle weakness
#Polymyositis	
#Inclusion body myositis
#Polymyalgia rheumatica	
#Fibromyalgia	
#Hypothyroid myopathy	
#Muscle stiffness
#Drug-induced
#Differential diagnosis ... of myopathy # ... Fibromyalgia #Hypothyroid ... myopathy #Muscle ... Statin-induced myopathy
Hypothyroid Myopathy
Very common (up to 80% ) in patients with hypothyroidism
Pathophysiology:
 • T4 deficiency leads to
Hypothyroid Myopathy ... Symmetric, proximal myopathy ... Rhabdomyolysis (rare) #Hypothyroid ... #Myopathy #pathophysiology ... #signs #symptoms
Statin Induced Muscle Toxicity - Summary

Clinical Presentation:
 • Elevations of serum creatine kinase with proximal myalgia
onset of muscle symptoms ... Symptoms: • Proximal ... , hypothyroid-induced ... Atorvastatin Diagnosis ... #diagnosis #management
Hypothyroidism – symptoms and signs.

Symptoms: 
Tiredness/malaise, 
Weight gain,
Anorexia,
Cold intolerance, 
Poor memory,
Change in appearance, 
Depression, 
Poor libido,
Hypothyroidism – symptoms ... Symptoms: Tiredness ... hypertrophy, Proximal myopathy ... reflexes, Anaemia #Hypothyroid ... #Diagnosis #PhysicalExam
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
varied clinical symptoms ... There are several symptoms ... Myopathy due to ... reflex hammer, caused ... endocrinology #hypothyroid
Myelopathy - Injury to the entire spinal cord - Signs and Symptoms
 • Ataxia (early sign)
Myelopathy - Injury ... cord - Signs and Symptoms ... early signs) #Myelopathy ... #diagnosis #signs ... #symptoms #msk
Occult Causes of Non-Response to Vasopressors

vital disclaimer: the cognitive response to hypotension should not be reaching
Occult Causes of ... - acidosis - hypothyroid ... toxicologic - 2nd cause ... shock #Diagnosis ... #Differential #Causes
Causes of Back Pain - Differential Diagnosis Algorithm
Always assess for red flags. If no red flags,
Causes of Back Pain ... - Differential Diagnosis ... constitutional symptoms ... Spondyloarthropathies • Myelopathic ... #Algorithm #Causes
Causes of Proximal Muscle Weakness That May Mimic Inflammatory Myopathy
 • Central or peripheral neurologic disease
Causes of Proximal ... Mimic Inflammatory Myopathy ... Mitochondrial myopathy ... #mimics #diagnosis ... #differential #causes
Causes of Generalized Edema - Differential Diagnosis Algorithm
Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... - Differential Diagnosis ... • Myxedema (Hypothyroid ... #Differential #Diagnosis ... #Algorithm #Causes