39 results
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Breast Discharge ... Pregnancy, Breast ... Hypothyroidism #Breast ... #Endocrinology ... #Causes
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Differential Diagnosis Algorithm ... renal, Bladder, Breast ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... if pregnant or breast ... workup choices AND management ... Hyperthyroid #Diagnosis #Algorithm ... #Workup #Endocrinology
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Differential Diagnosis Algorithm ... • Tumor (Lung, Breast ... Differential #Diagnosis #Algorithm ... #Causes #Ophthalmology
Male Gynecomastia - Watery Breast Discharge on Physical Exam
At presentation, our patient had bilateral gynaecomastia and
Gynecomastia - Watery Breast ... #Gynecomastia #breast ... #PhysicalExam #clinical ... #video #endocrinology
Chronic Hypertensive Retinopathy: Pathogenesis and clinical findings

Ophthalmic Artery Hypertension
Stage 1: Mild/vasoconstrictive
 • Acute and chronic vasospasm
Pathogenesis and clinical ... hyalinization causes ... white or yellow areas ... around atrophic areas ... pathophysiology #ophthalmology
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
and spaces can cause ... travels from these areas ... in subcutaneous areas ... #PhysicalExam #Clinical ... #Video
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... FE Urate post correction ... SIADH — look for cause ... hourly • Identify Cause ... #algorithm #treatment
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... into meaningful clinical ... Alternative causes ... up-titrated to treat ... #Management #Alcohol
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Overcrowded urban areas ... non-productive cough, nausea ... Epidemiologic exposure + clinical ... diagnosis #treatment #management