29 results
Hemolytic Anemias - Differential Diagnosis Algorithm

Signs of anemia and hemolysis:
 • ↓ Haptoglobin
 • ↑ LDH
Hemolytic Anemias ... Diagnosis Algorithm Signs ... of anemia and hemolysis ... • Extrinsic RBC ... • Intrinsic RBC
Classic Findings During Hallpike Test in Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)
 • Latency (delay
nystagmus and vertigo ... with repeated testing ... #physicalexam #testing ... #findings #signs ... #bppv #vertigo
Characteristics of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
 • Onset: Sudden
 • Intensity: Severe initially, often decreasing
PERIPHERAL VERTIGO ... Intermittent episodes lasting ... continuous and lasting ... upbeat (fast phase beating ... diagnosis #findings #signs
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Peripheral and Central Vertigo ... PERIPHERAL VERTIGO ... usually lasting ... episode usually lasting ... varying neurologic signs
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Biliary Cirrhosis (PBC ... ) - Summary PBC ... 30-65 years PBC ... Signs and Symptoms ... Proximal limb muscle wasting
Hemolytic Anemia - Differential Diagnosis Algorithm
 • Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia ... hypertension • Unusual RBC ... acanthocytes - Consider RBC ... ARUPLabs #Hemolytic #Anemia ... workup #hematology #testing
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Bandemia Overview ... Even with normal WBC ... especially in the setting ... 21% had normal WBC ... #CBC #hematology
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... Non-specific Kernig Sign ... 95% Brudzinski Sign ... Puncture • Glucose, WBC ... Meningitis #diagnosis #testing
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
skin thickening Signs ... pericarditis • Hepatic: PBC ... rheumatology #diagnosis #signs ... #symptoms #testing
Diagnosing Brucellosis
Epidemiological Exposures
- Endemic Regions
- Clinical Micro Lab Technicians
- Animal/Vaccine Exposure: Vets, Slaughterhouse workers, hunters
- Unpasteurized
Diagnostic Tests: - CBC ... + Chemistry: Anemia ... Criteria #Workup #Testing