208 results
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Approach to Thyroid Function ... normal T4 +/- T3 ... of pregnancy, critical ... TSH, high T4 +/- T3 ... TSH, high T4 +/- T3
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
Hyperthyroidism Overview Clinical ... TSH • ↑ Total T3 ... ↑ FT4 and/or ↑ T3 ... : Reduce T4 -> T3 ... hyperthyroidism #causes
Critical and Emergent Causes of Neuromuscular Weakness
CRITICAL DIAGNOSES 
 - Cerebral cortex or subcortical 
 -
Critical and Emergent ... Causes of Neuromuscular ... Weakness CRITICAL ... Neuromuscular junction ... Differential #Neurology #Causes
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diagnosis Algorithm Clinical ... a mass as the cause ... Dislocation • Functional ... Neuromuscular Junction ... Diagnosis #Algorithm #Causes
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
on scores and clinical ... class (30-day all cause ... mortality) • RV Function ... prognostication #diagnosis #management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
help and inform clinical ... strategy. ❼ If clinically ... Plan definitive management ... a dramatic clinical ... Checklist #Diagnosis #Management
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
Preserved Ejection Fraction ... preserved ejection fraction ... cardiovascular causes ... hospitalization for the management
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
consider passing suction ... pressure as a cause ... intrathoracic pressure can cause ... o Endocrine cause ... Checklist #Diagnosis #Management
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
consider passing suction ... Consider potential causes ... POTENTIAL CAUSES ... tracheal/bronchial suction ... Checklist #Diagnosis #Management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
the extension function ... joint needs to be clinically ... Finger deformity caused ... fracture • ED Management ... XRay #Diagnosis #Management