7 results
Alice in Wonderland Syndrome
What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
Syndrome What? ... (Many causes!) ... * (most common cause ... #Wonderland #Syndrome ... #diagnosis #neurology
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Infectious • Endocarditis ... Pulmonary Disease Neurologic ... • Drug Abuse (e.g ... Chronic Fatigue Syndrome
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Hypercoagulable (APLAS ... ) Microbiology ... Diagnosis? ... ↑ ESR, CRP • EKG ... Treat underlying cause
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Hyaline Casts ... suggestive of nephrotic sydnrome ... colored compounds (e.g ... Urine #Microscopy #nephrology ... interpretation #diagnosis
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
infections are caused ... immunosuppression (eg ... Endophthalmitis, Endocarditis ... Non-pigmented (hyaline ... sometimes have this morphology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Hypercoagulable (APLAS ... ) Microbiology ... Cholesterol emboli syndrome ... ↑ ESR, CRP • EKG ... Treat underlying cause
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
Culture-Negative Infective Endocarditis ... but important causes ... BCNIE Diagnostic ... antiphospholipid syndrome ... special stains (e.g