91 results
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... Acromegaly #Secondary ... #Screening #Workup
Rotator Cuff Syndrome - SITS
Supraspinatus, Infraspinatus, Teres minor, and Subscapularis.
Causes: Calcific supraspinatus tendinitis 
Signs: painful abduction
Rotator Cuff Syndrome ... Causes: Calcific ... arm, empty can test ... Rotator #Cuff #Syndrome ... #orthopedics #diagnosis
Freiberg's Test for Piriformis Syndrome

Flex the hip to 90 degrees, internally rotate the hip.
Pain in the
Freiberg's Test ... for Piriformis Syndrome ... #Piriformis #syndrome ... sciatica #lumbar #clinical ... #msk #sports #orthopedics
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... Secondary Adrenal ... - If the secondary ... secretion; in chronic secondary ... endocrinology #workup
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... based on repeat clinic ... 3+) Consider secondary ... • Nephritic syndrome ... Excess: • Conn's syndrome
Pace Maneuver for Piriformis Syndrome

With the patient's hips and needs flexed to 90 degrees, the patient
for Piriformis Syndrome ... The test is positive ... Pace #Maneuver #Test ... #clinical #video ... sciatica #msk #orthopedics
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
Causes of Hypertension ... taken at home, work ... Causes (5%) - Onset ... excess (Cushing syndrome ... Diagnosis #Algorithm #causes
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Causes of Secondary ... Hypertension - Workup ... 109 mm Hg) with clinical ... Jcortesizaguirr #Secondary ... #Hypertension #Workup
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
1) Clinical ... ... laboratory tests ... Alzheimer - 1st cause ... Aphaso-apraxo-agnosia syndrome ... Dementia - 2nd cause
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
: Most Common Cause ... Causes of Secondary ... hypophysitis, Sheehan's syndrome ... A STIM test can ... ACTH STIM TEST: