28 results
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Evaluation 1) Clinical clues ... likely - Mid range/ULN ... FeCa <1 %) - Low normal ... • If all normal ... differential #diagnosis #endocrinology
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Severe ALT > 15x ULN ... Moderate ALT 5-15x ULN ... Mild ALT < 5x ULN ... disease US — Normal ... Diagnosis #Algorithm #Causes
Normal (Negative) Babinski / Plantar Reflex

The plantar reflex is a reflex elicited when the sole of
Normal (Negative ... In normal adults ... plantar reflex causes ... Plantar #Negative #Normal ... PhysicalExam #pyramidal
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
High Prolactin + Normal ... High Prolactin + Normal ... Diagnosis #Algorithm #Endocrinology ... #Causes
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
URT inflammation causes ... severe swelling causes ... severe swelling causes ... within CNS causing MN ... genital warts, abnormal
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Elevated PTH (High or normal ... Diagnosis #Algorithm #causes ... #endocrinology
Hyperthyroidism - Differential Diagnosis Algorithm
High/Normal Radioiodine Uptake
 - Autoimmune Thyroid Disease:
    • Grave's
Algorithm High/Normal ... Diagnosis #Algorithm #endocrinology ... #causes
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Idiopathic Hirsutism - Normal ... Diagnosis #Algorithm #endocrinology ... #causes
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
injury • Gait is abnormal ... Non-compressive Spinal Cord Causes ... dysfunction • Abnormal ... : Areflexia UMN ... plantar response LMN
The Chvostek sign (/ˈkvɒstɪk/) is a clinical sign of existing nerve hyperexcitability (tetany) seen in hypocalcemia.It
hypocalcemia.It refers to an abnormal ... hyperventilation, which causes ... serum Ca2+ with a normal ... Video #Clinical #endocrinology