45 results
Rheumatoid Arthritis Summary
MCP and PIP Involvement, Spares DIP, Carpal Tunnel, Sicca Syndrome, Epi/Scleritis, Heart Disease, Rheumatoid
Tunnel, Sicca Syndrome ... : Atlantoaxial Instability ... , Felty's Syndrome ... #rheumatology #signs ... #symptoms
Pediatric Inflammatory Multisystem Syndrome Temporally associated with SARS-CoV-2 infection (PIMS-TS)
Clinical features
all: fever > 101.3 F
most: oxygen
Inflammatory Multisystem Syndrome ... changes, syncope, neck ... #Inflammatory #Syndrome ... coronavirus #diagnosis #Signs ... #Symptoms
Management of Serotonin Syndrome
Identify and stop all serotoninergic medications
 • Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin Syndrome ... normalize vital signs ... illness with VS instability ... then 2 mg q2h if symptoms ... ucsdim #Serotonin #Syndrome
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
Lemierre's Syndrome ... on Neck POCUS with ... Differential/diagnosis ... On ultrasound note ... POCUS #Clinical #Ultrasound
Causes of Peripheral and Central Vertigo
PERIPHERAL VERTIGO
1. Benign paroxysmal positional vertigo (BPPV) - Short-lived (typically less
Can occur with neck ... (Wallenberg's syndrome ... Syndrome usually ... varying neurologic signs ... Vertigo #Causes #differential
Characteristic clinical manifestations of Down syndrome 
 
Typical craniofacial appearance 
 • Round face and flat
manifestations of Down syndrome ... anomalies • Short neck ... atlanto-axial instability ... #Downs #Syndrome ... PhysicalExam #Features #Signs
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... sliding/barcode sign ... Respiratory Distress Syndrome ... #pulmonary #differential ... #Lung #POCUS #ultrasound
Myotonic Dystrophy
Typically presents in middle age with weakness of hands, legs and neck.
 - Mental deficiency
hands, legs and neck ... Myotonia occurs - inability ... Myotonia #Diagnosis #signs ... #symptoms
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
to Headaches - Differential ... papilledema • Horner syndrome ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g.
Clinically Important Vitamins and Vitamin Deficiency States
Fat-soluble Vitamins: 
 • Vitamin A - Xerophthalmia, night blindness,
Wernicke-Korsakoff syndrome ... Vitamins #Deficiency #differential ... #diagnosis #signs ... #symptoms #nutrition