343 results
Venous Insufficiency: Chronic venous insufficiency resulting in swelling and dark discoloration of legs.

Charlie Goldberg, M.D. -
Venous Insufficiency ... Chronic venous insufficiency ... Goldberg, M.D. - UCSD ... Chronic #Venous #Insufficiency ... Dermatitis #Standing #UCSDH
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
Primary Adrenal Insufficiency ... primary adrenal insufficiency ... Secondary Adrenal Insufficiency ... secondary adrenal insufficiency ... secondary adrenal insufficiency
Adrenal Insufficiency Diagnosis Algorithm
Clinical features: 
 - Weight loss, anorexia, Weakness, fatigue, GI distress
 - Hypotension,
Adrenal Insufficiency ... PRIMARY adrenal insufficiency ... > 18, adrenal insufficiency ... cosyntropin stimulation test ... interact with stim test
Acute Arterial Insufficiency: Embolus to right lower extremity resulted in acute vascular insuficiency
to foot. Note mottled
Acute Arterial Insufficiency ... acute vascular insuficiency ... Goldberg, M.D. - UCSD ... PAD #Arterial #Insufficiency ... #Acute #UCSDH
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Cosyntropin Stimulation Test ... BCM_InternalMed #Adrenal #Insufficiency
Pemphigus: Idiopathic blistering condition best seen in image on left. It is extremely puritic, with scratching
blistering condition best ... unroofing of blisters, best ... Goldberg, M.D. - UCSD ... SkinRash #Pemphigus #UCSDH
Chronic Arterial vs Chronic Venous Insufficiency.

#Venous #Arterial #Insufficiency #Comparison #Skin #PhysicalExam #LowerExtremity #Diagnosis

** GrepMed Recommended Text:
Chronic Venous Insufficiency ... Venous #Arterial #Insufficiency ... GrepMed Recommended Text
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... ACTH) stimulation test ... Response - Adrenal insufficiency ... Primary adrenal insufficiency ... Secondary adrenal insufficiency
Adrenal Insufficiency Diagnosis Algorithm
Test 1: Baseline AM Cortisol 
 - Beware of major normal value
 -
Adrenal Insufficiency ... Diagnosis Algorithm Test ... OCPs, pregnancy) Test ... BCM_InternalMed #Adrenal #Insufficiency
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Standard Stim test ... AI #Adrenal #Insufficiency ... #Stimulation #Test