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Clinical Manifestations of Serotonin Syndrome • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements) • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... Cardiovascular and vital sign ... UCSD Internal Medicine ... #Symptoms #spectrum ... #signs #diagnosis
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Does This
Acute Coronary Syndrome ... Likelihood Ratios for Symptoms ... Acute Coronary Syndrome ... EBM #Diagnosis #Cardiology ... #Signs #LikelihoodRatios
Acute Spinal Cord Injuries: Pathogenesis and clinical findings • Anterior Cord Syndrome -> Anterior spinal artery
Anterior Cord Syndrome ... • Central Cord Syndrome ... pathophysiology #signs ... #symptoms #msk ... #orthopedics #neurology
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck - Common in
onto the hand Symptoms ... – compartment syndrome ... weeks Urgent orthopedics ... compromise - Certain radiologic ... Overlying wounds or signs
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
anterior sail sign ... can't make A-OK sign ... ), compartment syndrome ... II-IV, pending orthopedic ... Elbow #Humerus #Radiology
Management of Serotonin Syndrome Identify and stop all serotoninergic medications • Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin Syndrome ... normalize vital signs ... then 2 mg q2h if symptoms ... UCSD Internal Medicine ... ucsdim #Serotonin #Syndrome
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Dehydration • Symptoms ... changes, stroke symptoms ... WBC >100k, + lab signs ... tumor burden • Symptoms ... SCVMC Internal Medicine
NINDS Diagnostic Criteria for Guillain Barre Syndrome Features Required for Guillain-Barré Syndrome: • Progressive muscle weakness
Guillain Barre Syndrome ... , Mild sensory symptoms ... or signs, Cranial ... nervous system signs ... paralysis BWH Medicine
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
Differential Diagnosis Algorithm ... papilledema • Horner syndrome ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g.
Causes of Pericarditis - Differential Diagnosis Algorithm Viral: • Coxsackie • Echovirus • Adenovirus • Epstein-Barr virus
Differential Diagnosis Algorithm ... Post-cardiac injury syndrome ... Frameworks for Internal Medicine ... Differential #Diagnosis #Algorithm ... #Causes #Cardiology
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