83 results
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Most common symptoms ... - Fatigue - Pruritis ... examination: - Pruritis ... disease - Bone symptoms
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
• Frequency of symptoms ... reproduction of vertigo symptoms ... in vestibular neuritis ... • Frequency of symptoms ... Hallpike test: Symptoms
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Diagnosis Algorithm Symptoms ... : Fatigue, Pruritus ... Associated history: Symptoms ... disease, Persistent pruritus
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
canal) Vestibular neuritis ... No auditory symptoms ... (vestibular neuritis ... Long symptom-free
Sequential Approach to the Uremic Patient with Pruritus 

Optimize dialysis adequacy 
Use biocompatible membranes for HD
Uremic Patient with Pruritus ... antagonists, naltroxono, tacro ... the Patient with Pruritus ... Uremic #Uremia #Pruritis
Polycythemia Vera (PV) - Diagnosis and Management Summary
Diagnostic Criteria:
 • Elevated hemoglobin and/or hematocrit AND
 •
When present, symptoms ... • "Vasomotor" symptoms ... Thrombosis, Hemorrhage, Pruritis ... shower ("aquagenic pruritis ... the reduction of symptoms
Bullous Pemphigoid - Diagnosis and Management Summary
Pathophysiology: Autoantibody-mediated damage to epithelial basement membrane -> separation of
Clinical Signs/Symptoms ... - Prodrome: pruritic ... bullae, often pruritic
Labyrinthitis 
Vestibular neuritis + unilateral hearing loss = Labyrinthitis 
1) Vertigo (severe) 
2) Gait instability 
3)
Labyrinthitis Vestibular neuritis ... Labyrinthitis #Diagnosis #Symptoms
Symptoms Distinguishing Groups of Cutaneous Drug Reactions
IgE-mediated reactions:
 • Onset minutes to hours into treatment course
Symptoms Distinguishing ... of the skin • Pruritic ... Typically less pruritic
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome Treatment
Stop offending agents:
 • List as allergies
Eosinophilia and Systemic Symptoms ... antihistamine for pruritis