13 results
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
What’s the diagnosis ... accept increased blood ... and other rarer causes ... Kussmauls #Sign #physicalexam ... #neck #jugular
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Chorioretinitis • Diagnosis ... - Compatible syndrome ... + MRI lesions + ... #causes #radiology ... #neurology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... seen in acute tubular ... disease Red blood ... Fatty - Nephrotic syndrome ... Differential #Microscopy #Diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
• Normal/low blood ... , Gitelman syndrome ... the indicated causes ... #Algorithm #nephrology ... #differential #diagnosis
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
month following neck ... consistent with a diagnosis ... Bennett & Bloom ... ophthalmology #physicalexam ... #neurology #Anisocoria
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
- Differential Diagnosis ... of breath • Neurologic ... paradoxus • Beck ... hypotension, increased jugular ... Vomiting, decreased urine
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Management Summary Causes ... Weakness - Dark urine ... UA positive for blood ... hour with goal urine
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Base Disorders - Blood ... Interpretation Steps for Blood ... - Differential Diagnosis ... D-lactate (short bowel syndrome ... acidosis: - CNS
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Anti-GBM antibody • Urine ... : UA, Urine protein ... recent DAN) • EMG/NCS ... Goodpasture's cause ... reveals increasing blood