17 results
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
and left pleural effusion ... -chamber POCUS echocardiogram ... What abnormal fluid ... #s4c #POCUS #echocardiogram ... #POCUS #clinical
Orbicularis Reflex in an Alzheimer's Patient on Physical Exam

Alzheimer's is a degenerative, progressive and irreversible disease.
time, and can cause ... delusions and, in some cases ... examination is usually normal ... #PhysicalExam #clinical ... #video #neurology
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... Hoffmanns #Sign #Reflex ... #Positive #Abnormal ... #clinical #video ... #neurology #PhysicalExam
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
electrolytes, urea ... investigations abnormal ... investigations depending on clinical ... Differential #Diagnosis #nephrology ... #causes
Galant Reflex on Physical Exam

The Galant reflex is present at birth and remains until the 2nd
Galant Reflex on ... persistent in cases ... #PhysicalExam #clinical ... #video #Neurology ... Peds #Pediatrics #Normal
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Caused by splanchnic ... Pathophysiology: • Portal ... Diagnosis (Clinical ... • Normal kidney ... Syndrome #Hepatology #Nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... remember than the normal ... volume-based algorithm ... with poor renal perfusion ... table #sodium #nephrology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
neurological lesion: Clinical ... injury • Gait is abnormal ... dysfunction • Abnormal ... reflexes: Areflexia ... differential #algorithm
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Check levels after infusion ... improving adequately Normal ... FE Urate post correction ... SIADH — look for cause ... Hyponatremia #Management #algorithm
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Mildly decreased/Normal ... glucose level, • Normal ... • Common clinical ... <40 mg/dL • Normal ... • Conjunctival suffusion