99 results
Multiple Endocrine Neoplasias (MEN syndromes) 

MEN I
• Hyperparathyroidism 
• Hypercalcemia 
• Possible ZE syndrome 
• Various
Neoplasias (MEN syndromes ... • Possible ZE syndrome ... • Various Pituitary ... • Cushing syndrome ... #Differential #Endocrinology
The principal endocrine 'axes' and glands. Parathyroid glands, adrenal zona glomerulosa and endocrine pancreas are not
controlled by the pituitary ... abbreviations see text ... Endocrine #Axes #Endocrinology ... Pathways #Diagnosis #Pituitary
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... Suspected Cushing syndrome ... dexamethasone suppression test ... adrenal glands, pituitary ... diagnosis #algorithm #endocrinology
Positive Hoffmann’s Test (Finger Flexor Reflex) on Physical Examination

Indicates cervical spinal cord compression in this patient
Positive Hoffmann’s Test ... (Finger Flexor Reflex ... #Hoffmanns #Reflex ... #test #sign #Positive ... PhysicalExam #Clinical #Video
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Hypercortisolism (Cushing syndrome ... ACTH-secreting pituitary ... Hypercortisolism #Cushings #syndrome ... Diagnosis #Algorithm #endocrinology
Positive Hoffmann's sign (finger flexor reflex) in a patient with Multiple Sclerosis

The Hoffmann's reflex test itself
(finger flexor reflex ... The Hoffmann's reflex ... test itself involves ... diseases, the reflexes ... Abnormal #Clinical #Video
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 ... Flex the hip ... #Piriformis #syndrome ... lumbar #clinical #video
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... Test downward eye ... Test if patient ... document response (tests
Myoedema in Hypothyroidism on Physical Exam

Hypothyroidism is a clinical syndrome resulting from the production, secretion or
is a clinical syndrome ... abolished tendon reflexes ... (shown in the video ... percussion by the reflex ... #neurology #endocrinology
Hyperreflexia in serotonin syndrome

- Dr. David Juurlink @DavidJuurlink

#Hyperreflexia #serotonin #syndrome #PhysicalExam #Clinical #Video #Knee #Reflexes
Hyperreflexia in serotonin syndrome ... Hyperreflexia #serotonin #syndrome ... PhysicalExam #Clinical #Video ... #Knee #Reflexes