20 results
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
: • Lung cancer ... vomiting • Fatigue Signs ... Nausea/vomiting • Abdominal ... pain • Back pain ... Reduced libido • Signs
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Pain (<72 hours ... : R/O cardiac, pulmonary ... , renal, musculoskeletal ... Obstruction • Viscus Perforation ... #Pain #Differential
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
Auto-immune attack on hair ... , Sclera may perforate ... cause interstitial lung ... disease/pulmonary ... pathophysiology #signs
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
Anosmia, Stroke • Renal ... Nausea/vomiting, Abdominal ... pain, Anorexia ... vein thrombosis, Pulmonary ... Extrapulmonary #Diagnosis #Signs
Adrenal Crisis
Do not confuse acute adrenal crisis with Addison disease. In 1855, Thomas Addison described a
Adrenal Crisis ... a syndrome of long-term ... with vomiting, abdominal ... pain, and hypovolemic ... hydrocortisonr #ACTH #AI
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Adrenal Insufficiency ... ) w/ anorexia, abdominal ... pain w/ N/V (60 ... , Muscle/joint pain ... Insufficiency: Long-term
Pneumoperitoneum via Perforated Duodenal Ulcer- Free Air on Abdominal POCUS

Young patient with diffuse abdominal pain...don't let
Pneumoperitoneum via Perforated ... Duodenal Ulcer- Free Air ... pain...don't let ... intraperitoneal air ... get fooled by lung
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Free Air on Abdominal ... Peritoneal Stripe Sign ... female with LLQ pain ... intestinal/gastric perforation ... #Abdominal #POCUS
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
nausea, vomiting, abdominal ... pain, diarrhea, ... Weil's disease (renal ... dysfunction) • Pulmonary ... Diagnosis #Illness #Signs
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
effusion, Restrictive lung ... valve lesions Abdominal ... pain (20%) Renal ... erythematosus #signs