213 results
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
RBC’s, RBC/WBC casts ... prostatic) #Diagnosis #EM ... #IM #Urology #Hematuria
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
proteinuria, RBC casts ... and referral to Urology ... if cause not identified ... by UW IM Residency ... Algorithm #Workup #urology
Hydrophobia on Physical Examination

Seen in the late stages of rabies.  Caused by painful paroxysmal contractions
Seen in the late ... Caused by painful ... #PhysicalExam #clinical ... #video #neurology
Petechiae are small, red lesions caused when capillaries leak blood into the skin. Petechiae larger than
small, red lesions caused ... cm are purpura #Clinical ... #EM #IM #Derm #
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Deep coma (any cause ... syndrome, Eclampsia, Late ... Hyperreflexia #Testing #Causes ... diagnosis #table #neurology
Pathyophysiology - hyperglycemic crises in patients with diabetes 
Key signs/symptoms of HHS/DKA:
Both: Polyuria, polydipsia, weight loss,
Pathyophysiology ... hyperglycemic crises ... seizure) #Pathophys #EM ... #IM #Endo #DKA
Bell's Palsy
Bell’s Palsy is a damage, acute weakness, or paralysis of the Facial nerve (7th CN),
an identifiable cause ... The cause is unknown ... but its clinically ... #Bells #Palsy #neurology ... #anatomy #pathophysiology
Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
 • EM appears 7-14 days at the
Disease: Early and Late ... Clinical manifestations ... Localized • EM ... days-weeks after EM ... • Heralded by neurologic
Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
Willis via UNC IM ... differential #diagnosis #causes ... #neurology
Marcus Gunn Phenomenon - Jaw Winking Syndrome

Jaw-winking syndrome is thought to be caused by abnormal innervation
thought to be caused ... Most cases are congenital ... Winking #Syndrome #clinical ... #video #neurology