41 results
Evaluating a Patient with Presumed Cushing Syndrome

#Cushings #Syndrome #Disease #Algorithm #Workup #Dexamethasone #Suppression #Test #diagnosis
Presumed Cushing Syndrome ... #Cushings #Syndrome ... #Disease #Algorithm ... #Workup #Dexamethasone ... #Suppression #Test
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Test for celiac ... disease with serology ... change medical management ... Gastrointestinal #Evaluation #workup ... #diagnosis #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Irritable Bowel Syndrome ... Diagnosis and Workup ... cultures, but test ... #Diagnosis #workup ... #gastroenterology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Graves disease – ... Check pregnancy test ... affects diagnostic workup ... choices AND management ... Diagnosis #Algorithm #Workup
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
Indication → Pre-test ... → Spectrum of Disease ... 3: Spectrum of Disease ... the spectrum of disease ... #ultrasound #management
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
cause of renal disease ... • Renovascular disease ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... Causes #Screening #Workup
Dermatologic Extraintestinal Manifestations in IBD - IBD Algorithm

Erythema Nodosum
Pyoderma Gangrenosum
Metastatic Crohn's Disease
Sweet Syndrome
EBA

Dr. Wade Billings @wabillin

#Dermatologic
Metastatic Crohn's Disease ... Sweet Syndrome ... IBD #Algorithm #gastroenterology ... #management #dermatology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Behçet's Syndrome ... pathognomonic laboratory tests ... Positive pathergy test ... is a skin prick test ... #diagnosis #management
Systemic Lupus Erythematosus - Summary
Antinuclear (ANA) - 95% - Initial screening test
Anti-dsDNA - 50%
 • Associated
Initial screening test ... with more severe disease ... block • Sjogren syndrome ... polymyositis overlap syndrome ... #rheumatology #management
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Irritable bowel syndrome ... Systemic disease ... Malabsorption syndromes ... Chronic #Diarrhea #management ... #algorithm #workup