16 results
Polyminimyoclonus (Minipolymyoclonus)

Polyminimyoclonus: intermittent, low-amplitude, arrhythmic movements commonly of several fingers, with “amplitudes just sufficient to produce
(Minipolymyoclonus ... movements in Bimelic amyotrophy ... #Minipolymyoclonus ... #Hand #Tremor # ... physicalexam #Bimelic #amyotrophy
Pseudobulbar Affect
Characteristics (These episodes usually cause distress and impairment in occupational or social functioning):
 - Extreme
Pseudobulbar Affect ... crying; Diseases: Amyotrophic ... #Pseudobulbar #Affect ... #neurology #differential
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Dilated Pupil - Differential ... hemorrhage, SAH, tumor ... • Medication effects ... Dilated #Pupil #differential
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
Pupillary Defects - Differential ... Afferent Pupil Defect ... • Optic Nerve Tumor ... Syndrome): • Tumor ... Pupils #Defects #Differential
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
of Polyuria - Differential ... Other: Mannitol Defect ... Hypoxic injury, Tumor ... #Polyuria #Differential
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... determine which is affected ... Inflammation • Orbital Tumor ... • Aneurysm • Tumor ... #DoubleVision #Differential
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... Ocular Adverse Effects ... Optic neuritis • Tumor ... • Visual field defect ... Blurry #Vision #differential
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
Macroadenoma direct effects ... multisystemic anabolic effects ... pancreatic islet cell tumor ... Differential Diagnosis ... 2 adenoma mass effect
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Renin secreting tumor ... Non-reabsorbable anion effect ... urine #potassium #differential
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
Hearing Loss - Differential ... and stroke may affect ... Sensorineural problems affect ... Cerebellopontine angle tumor ... Hearing #Loss #Differential