13 results
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
Diagnosis and Workup ... procedures - Infection ... K), H. pylori test ... thyroid function test ... #hematology
Anterior Non-necrotizing Scleritis - Slit Lamp Ocular Examination

This 57 yo WM reported to clinic complaining of
using a cotton tip ... patient was sent to rheumatology ... further systemic workup ... Scleritis #clinical #video ... #physicalexam #rheumatology
Greater Trochanteric Bursa Injection 

Usually roll patient on side, find the most tender spot, approximately an
leg well below hip ... #clinical #video ... #procedure #rheumatology ... #sports #msk #orthopedics ... #hip
Dorsal Foot Corticosteroid Injection

Uncommon dorsum of foot injection. Try to move fluid in tendon to see
Dorsal Foot Corticosteroid ... Injection Uncommon ... #clinical #video ... physicalexam #procedure #msk ... orthopedics #sports #rheumatology
Approach to Joint Pain

History:
Is the pain from:
	• Joint
	• Adjacent bursa
	• Tendon
	• Ligament
	• Bone
	• Muscle
	• Referred from
Acute or chronic infections ... e.g., congenital hip ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
about bacterial infections ... - parvovirus, HIV ... #Joint #Pain #MSK ... #rheumatology # ... approach #workup
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
deficiency - Abnormal ... ITP - APLS - HIT ... deficiency Work ... Fecal occult blood test ... Algorithm #Causes #dermatology
Antenatal Visits - Testing and Schedule
At Every Visit:	
 • Gestational Age	
 • BP
 • Maternal Weight
Protein Blood Work ... • HepB • HIV ... Glucose Challenge Test ... if ≥1 value is abnormal ... Amy Chung, MD, MSc
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Better call hematology ... exogenous, EPO levels: normal ... you’ll do a good workup ... Best to have an ... #hematology
Chronic Lymphocytic Leukemia - Summary

Cancer affecting lymphocytes/Mature B cell neoplasm
 • Lymphocytes accumulate in large numbers
adults in the west ... Agent Orange or Hep ... weeks without infection ... Leukemia #diagnosis #workup ... #oncology #hematology