10 results
Woltman’s sign on Physical Exam

53-year-old man presented with fatigue and sensitivity to cold. A physical examination
relaxation of the ankle ... evaluation confirmed a diagnosis ... of primary hypothyroidism ... Hypothyroidism #Ankle ... #Endocrinology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
- Differential Diagnosis ... • Meningeal signs ... ) • Systemic symptoms ... and signs (e.g. ... #Algorithm #neurology
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
- Differential Diagnosis ... Primary headaches ... - Autonomic symptoms ... meningeal irritation signs ... ophthalmology #Neurology
Headaches Overview - Primary vs Secondary Headaches

What’s the Core Difference?
 • Primary headache = headache is
Primary headache ... symptom of something ... N Neurological signs ... confusion, focal signs ... #Diagnosis
13 Dangerous Causes of Headache:
 - subarachnoid hemorrhage: family history, PCKD, known berry aneurysm, sudden and
Dangerous Causes of Headache ... work) - acute angle ... thrombophilia, neurologic ... signs/symptoms ... postpartum #Diagnosis
Emergent Causes of Headache and Associated Risk Factors
Carbon monoxide poisoning
 - Breathing in enclosed or confined
with the same symptoms ... dormitories) - Lack of primary ... Glaucoma—acute angle ... #redflags #signs ... #emergency #diagnosis
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Coltivirus Symptoms ... can present with primarily ... influenzae Symptoms ... Acute meningeal signs ... #neurology #meningitis
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
bilateral, malignant, pediatric ... and Signs: 50% ... triad: episodic headache ... • Headache → ... and signs: •
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary
Chagas disease (American trypanosomiasis) is an infectious
Trypanosomiasis - Diagnosis ... Romana's sign ... /symptoms, positive ... serology, smear ... cruzi Treatment - Primary
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... 50 years • New headache ... with GCA or as primary ... of headache, cognitive ... impairment, neurologic