23 results
Positive Lachman test in ACL Injury

Here is an exam of a patient under anesthesia with an
Positive Lachman test ... during running and cutting ... #Lachmans #test ... #ACL #Knee #Injury ... PhysicalExam #Sports #Ortho
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
dexamethasone suppression test ... Hormone • MRI of adrenal ... #Syndrome #diagnosis ... #algorithm #endocrinology ... #Adrenal #Hyperfunction
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... Zona Fasciculata: Cushing ... dexamethasone test ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... CRH stimulation test ... Evaluation #laboratory #diagnosis ... #testing #endocrinology ... #workup
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... abdomen/pelvis • Cushing ... #Differential #Diagnosis ... Causes #Screening #Workup
External Ventricular Drain (EVD) Troubleshooting for Neurosurgery Residents

Low Hanging Fruit
 • Has the system become disconnected
• Are all EVD stopcocks ... • Is the setting ... "Two Tests" for ... Distal Flushing ... #Neurosurgery #diagnosis
Disseminated Gonococcal Infection - Diagnosis and Management Summary

Bacteremic spread of the Gram-negative diplococci Neisseria gonorrhoeae. History
the preferred test ... typically part of the workup ... • Test all patients ... Distal joints, knees ... , wrists, ankles
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Step 1) Screening Test ... excludes AI in almost all ... require Cosyntropin testing ... #Stimulation #Endocrinology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... for All Types of ... (to support a diagnosis ... Arthritis #laboratory #workup ... #diagnosis #testing
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology