65 results
Hyperparathyroidism - Primary vs Secondary vs Tertiary 
Lab Comparison:
 • Primary Hyperparathyroidism: ↑→PTH, ↑Calcium, ↑Vitamin D,
Hyperparathyroidism: ↑→PTH ... Hyperparathyroidism: ↑PTH ... Symptoms: Commonly no signs ... Bone/joint pain Psychiatric ... endocrinology #PTH
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
decompensated chronic PH ... - Myocarditis, postpartum ... Diagnosis #Features #Signs
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Evaluation 1) Clinical ... 2) PTH - Frankly ... Hypercalcemia #workup ... elevated #evaluation #workup
Major neurocognitive disorders (MNCD): Diagnosis and workup 

1) Clinical diagnosis Cognitive impairment + loss of autonomy
2)
Diagnosis and workup ... 1) Clinical ... the diagnostic workup ... (parkinsonian signs ... Classification #Workup
Kussmaul Breathing Pattern

Demonstration of Kussmaul breathing pattern seen here in Diabetic Ketoacidosis.  Initial pH was
Initial pH was 6.95 ... Pattern #Pulmonary #Sign ... #PhysicalExam #Clinical
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
skin thickening Signs ... lung disease), PAH ... rheumatology #diagnosis #signs ... symptoms #testing #workup
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
FUO) - Further Workup ... thin smear • Signs ... node biopsy • Clinical ... UnknownOrigin #workup
Alcohol Use Disorder: Pathogenesis and Clinical Findings

 • Tolerance (reduced sensitivity to effects of EtOH)
 •
Pathogenesis and Clinical ... role obligations (work ... Pathophysiology #Diagnosis #Signs ... #Symptoms #Psychiatry
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Kussmaul's Sign ... and Friedreich's Sign ... M with unknown PMH ... #Kussmauls #Sign ... #PhysicalExam #Clinical
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
pregnancy to 5 months postpartum ... Clinical • Under-recognized ... Management during Postpartum ... up to 8 weeks postpartum ... Karan Desai MD, MPH