17 results
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
spread of the Gram-negative ... the preferred test ... typically part of the workup ... • Test all patients ... for HIV, Chlamydia
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... abnormal) in nearly all ... cause of AVS and negative ... #Diagnosis #PhysicalExam ... #HeadImpulse #Testing
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... ANAs; thus, a negative ... : HIV test, a rubella ... #diagnosis #testing ... #Rheumatology
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
- Differential Diagnosis ... and Workup History ... /HCV testing - ... not required in all ... #hematology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
suspected and anti-ACh ... In-office testing ... were negative and ... dismay the blood work ... Myasthenia #Gravis #PhysicalExam
Cold Agglutinin Disease

3 Types of Cold Sensitive Antibodies:
  1. Cold Agglutinins (CAD)
  2. Donath-Landsteiner
Cold Agglutinin Syndrome ... Positive Coombs testing ... for anti-C3d and negative ... Mycoplasma, EBV, HIV ... test #cold #
Lachman Test for ACL Injury

The patient lies supine and with the knee in ~20-30 degrees of
ACL Injury The ... degrees of flexion, hip ... translation of the tibia relative ... clinical #video #physicalexam ... #msk #orthopedics
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Ischemia, Compartment Syndrome ... Beta-Agonists, ↑ work ... acidosis with negative ... separate D-lactate testing ... in Short Bowel Syndrome
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
e.g., congenital hip ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup ... #differential #diagnosis
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Arthritis Differential Diagnosis ... spine, shoulders, hips ... aureus • Gram-negative ... #Differential #Diagnosis ... #MSK #rheumatology