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differential management neurology adrenal ankle barre bee cardiology cardiomyopathy causes clinical cushing endocrinology gbs guillain impingement myelitis noninflammatory os ostrigonum
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Testing Algorithm ... dexamethasone suppression test ... Hormone • MRI ... #diagnosis #algorithm ... endocrinology #Adrenal #Hyperfunction
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology Imaging Findings: • Os trigonum which has marrow
(Os Trigonum) Syndrome ... - MSK Radiology ... syndesmotic ligament tear ... flexion but no symptoms ... #msk
Restrictive Cardiomyopathy - Diagnosis and Causes Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema) Physical
↑ "Right Sided-Symptoms ... and TR Murmurs ... Echocardiography, Cardiac MRI ... Hyper-eosinophilc Syndrome ... differential #cardiology #algorithm
BEE Syndromes - Non-inflammatory Causes Immune-mediated conditions affecting the Brain, Eye, and Ear Visual or auditory symptoms in
Brain, Eye, and Ear ... Visual or auditory symptoms ... conjunction with symptoms ... neuropathy (LHON) plus MRI ... consistent with MS
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
bouts of HTN Diagnostic ... Bilateral signs and/or symptoms ... Transverse Myelitis Diagnosis ... negative, MOG-IgG test ... Transverse #Myelitis #diagnosis
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... per 100,000 per year ... than one after symptom ... and sensitive tests ... - Spinal MRI may
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry ... eyes • Salivary hypofunction ... phenomenon (16%) MSK ... Symptomatic: artificial tears ... Biologic: 2nd or 3rd
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