26 results
Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Diagnosis and Management ... Gastroesophageal Reflux ... Extraesophageal Symptoms ... Gastroesophageal #Reflux ... #Disease #Diagnosis
Carbon Monoxide Poisoning

Symptoms are non-specific:
 - Headache 90%
 - Nausea/vomiting 50%
 - Vertigo 50%
 - Altered
Monoxide Poisoning Symptoms ... Subjective weakness 20% Diagnosis ... Outdoors improves symptoms ... Monoxide #Poisoning #Toxicology ... #diagnosis #management
What is a Boxer’s fracture?? Fracture of the 4th or 5th metacarpal neck
 - Common in
onto the hand Symptoms ... - Pain along ulnar ... Management: - ... Hand #Metacarpal #Diagnosis ... #Management #Referral
Gamma hydroxybutyrate (GHB) - Toxicology

Clinical presentation
 - Symptoms of GHB toxicity include: short term anterograde amnesia,
hydroxybutyrate (GHB) - Toxicology ... presentation - Symptoms ... Hydroxybutyrate #GHB #Toxicology ... #Toxicity #Diagnosis ... #Management #Pharmacology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux ... Summary GERD: Diagnosis ... Testing Ambulatory reflux ... #Disease #diagnosis ... #management #Gastroenterology
Hypothyroidism – symptoms and signs.

Symptoms: 
Tiredness/malaise, 
Weight gain,
Anorexia,
Cold intolerance, 
Poor memory,
Change in appearance, 
Depression, 
Poor libido,
Hypothyroidism – symptoms ... Symptoms: Tiredness ... Slow-relaxing reflexes ... Features #Signs #Symptoms ... #Diagnosis #PhysicalExam
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Fracture - ED Management ... hematoma block or ulnar ... "fight bite", Keflex ... object) • Splint: Ulnar ... Radiology #XRay #Diagnosis
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... and Management ... ingestion/exposure Symptoms ... Aspirin #Toxicity #Toxicology ... #diagnosis #management
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Abduction - C8-T1 (ulnar ... Adduction - C7-T1 (ulnar ... , T1 (median) Reflexes ... Dermatomes #Myotomes #diagnosis ... sensory #motor #arm #physicalexam
Pott's Disease in Tuberculosis - Diagnosis and Management Summary
Epidemiology:
 - Typically from TB endemic areas
 -
Tuberculosis - Diagnosis ... and Management ... Clinical Signs/Symptoms ... back pain - Symptoms ... numbness, decreased reflexes