472 results
Internal Hemorrhoids - Classification
Grade l: 
 • 1st-degree or primary hemorrhoids - normal or near-normal
 •
Classification Grade ... l: • 1st-degree ... but no prolapse Grade ... hemorrhoids - some symptoms ... #diagnosis
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
Myasthenia Gravis ... Signs, Symptoms ... have myasthenia gravis ... eye movements #Diagnosis ... #Myasthenia #Gravis
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Hyperthyroidism (low TSH ... High T4/T3) - Diagnostic ... Graves disease – ... Graves disease! ... Check pregnancy test
Hashitoxicosis - Autoimmune thyroid disease overlap syndrome of Graves' and Hashimoto's disease

Autoimmune thyroid disease overlap syndrome
overlap syndrome of Graves ... immunoglobulin (TSI ... antibodies • TSH-receptor ... Developing Graves ... Pathophysiology #Diagnosis
Graves Hyperthyroidism - Diagnosis and Management Algorithm
Low TSH -> TSH-R-Ab+ -> Graves' Hyperthyroidism

doi: 10.1210/clinem/dgaa646

#Graves #Disease #Hyperthyroidism
Graves Hyperthyroidism ... - Diagnosis and ... Algorithm Low TSH ... -> TSH-R-Ab+ -> ... Algorithm #treatment #diagnosis
Hyperthyroidism Overview

Clinical Manifestation of Hyperthyroidism:
 • Fatigue
 • Weight loss
 • Heat intolerance
 • Depression, nervousness
diffuse goiter (Graves ... hyperthyroidism Diagnosis ... antibodies (TRAb) if Graves ... hyperthyroidism #causes ... endocrinology #signs #symptoms
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... : Most Common Causes ... Weakness • Low-grade ... Serum DHEAS Diagnosis ... endocrinology #diagnosis
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • Neurologic symptoms ... a mass as the cause ... • Myasthenia Gravis ... #Algorithm #Causes
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Dysphagia Differential Diagnosis ... • Myasthenia Gravis ... Intermittent Symptoms ... #Differential #Diagnosis ... #Algorithm #Causes
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
→ Inflammation causes ... Hepcidin which degrades ... 299 ng/mL with TSAT ... improvement in symptoms ... endpoint of all-cause