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Basic schema of tonsil grading. Important when evaluating site of airway obstruction, especially in consideration of

consideration of OSA ... #clinical #physicalexam

OSA Questionnaire - STOPBANG
#Diagnosis #PrimaryCare #OSA #ObstructiveSleepApnea #Screening #STOPBANG #Questionnaire

OSA Questionnaire ... #PrimaryCare #OSA

Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
• Homogeneous pattern:
-

DM, SSc, PM/SSc OS ... -52 (Ro52), SSA- ... - SSc, PBC/SSc OS ... , PBC/SjS OS ... SLE, SjS, RA, OSs

There are several screening questionnaires for OSA, although the accuracy of many of them is limited.4,6,7,24

questionnaires for OSA ... #PrimaryCare #OSA

Treatment of Obstructive Sleep Apnea
Positive airway pressure therapy
→ Positive pharyngeal transmural pressure

ideal if severe OSA ... stimulation → Severe OSA

Opsoclonus Myoclonus Ataxia Syndrome (OMAS) on Physical Exam

Dancing eyes and dancing feet in an adult [Aka-

Ataxia Syndrome (OMAS ... ataxia syndrome (OMAS ... @bobvarkey #OMAS ... Ataxia #Syndrome #PhysicalExam

Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)

(Hx of COPD, OSA

Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
• Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
•

valves, COPD, ILD, OSA

Fluids, Electrolytes, Acid-Base
)
General Concepts
>
< Osmolality vs osmolarity
★
Osmolality
[H 20)
Milliosmoles per kg of water. The osmolality is the

contribute to an os ... mole of salt is 1 Osm ... of Na +1 Osm of ... CI = 2 Osms.

Causes of Encephalopathy - Differential Diagnosis Algorithm
Hyperacute:
- Primary Neurologic: Vascular (IS, ICH), Seizure, Migraine, Trauma

Malignancy, Autoimmune, OSA

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