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diagnosis differential hints neurology adrenal clinical headimpulse hyponatremia insufficiency vertigo video workup acth avs cancer cushings cva dermatology emergencies evaluation
HINTS Exam - Abnormal Test of Skew (Abnormal Vertical Skew) In a patient with vertigo symptoms, this
Test of Skew (Abnormal ... worrisome for a CENTRAL ... cause of vertigo ... Vertical #Skew #Test ... #HINTS #PhysicalExam
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 The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... result is positive (abnormal ... with a peripheral cause ... cause of AVS. ... #Diagnosis #PhysicalExam
HINTS Exam - Normal Head Impulse Test = Central Cause This patient as a normal head impulse
Head Impulse Test ... = Central Cause ... head impulse test ... cause of vertigo ... #HINTS #PhysicalExam
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 Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Weakness, fatigue, nausea ... , hypotension, hyponatremia ... ACTH) stimulation test ... insufficiency • Low or normal ... #endocrinology
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... Differential Diagnosis Algorithm ... response • Central ... Kidney • Nephrogenic ... #Causes
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... may actually be normal ... Consider additional tests ... considered likely, the cause
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Thyroid Function Tests ... T4 → Possibly Central ... high T4 +/- T3 → Central ... Hyperthyroidism #algorithm ... #diagnosis #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... this indicates normal ... #Endocrinology
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... • Discuss with endocrinology ... SIADH — look for cause ... hourly • Identify Cause ... #Management #algorithm
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... deficiency - Abnormal ... Fecal occult blood test ... #physicalexam
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