32 results
Thyroid Goiter in Severe Hypothyroidism on Neck Physical Examination

TSH 124. Hashimoto’s, lost to care and thyroid
Goiter in Severe Hypothyroidism ... on Neck Physical ... #PhysicalExam # ... video #goiter #Hypothyroidism ... endocrinology #Hashimotos #otolaryngology
Thyroid Goiter on Physical Exam

Mother and daughter both presenting with thyroid goiters caused by iodine deficiency.
Thyroid #Goiter #PhysicalExam ... clinical #video #neck ... #hypothyroidism ... #otolaryngology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... • SIADH • hypothyroidism ... #Diagnosis #Workup ... #Algorithm #Nephrology
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
relaxation of the ankle ... evaluation confirmed a diagnosis ... Woltmans #Signs #PhysicalExam ... #Ankle #Reflexes ... Clinical #Video #Neurology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential Diagnosis ... Pain/Post-op • Neurologic ... Hormonal changes • Hypothyroidism ... #Diagnosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... - Differential Diagnosis ... Pain/Post-op • Neurologic ... Hormonal changes • Hypothyroidism ... #Diagnosis #Algorithm
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... Medications (diuretics), Hypothyroidism ... #Algorithm #diagnosis ... #sodium #nephrology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... • Euvolemic - Hypothyroidism ... #Differential #Diagnosis ... Algorithm #causes #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... CKD, Thiazides, Hypothyroidism ... UnremarkableLab #Hyponatremia ... #nephrology #sodium
Woltman’s sign on Physical Exam - Hi-Res .mp4 version here: https://www.grepmed.com/images/13248

53-year-old man presented with fatigue and
relaxation of the ankle ... evaluation confirmed a diagnosis ... of primary hypothyroidism ... deep-tendon reflex, is a neurologic ... manifestation of hypothyroidism