53 results
Chronic Shoulder Pain - Differential Diagnosis Algorithm
4 tests for the AC joint:
1. Direct palpation
2. Cross-arm shoulder
Diagnosis Algorithm 4 tests ... Direct palpation ... after cross-arm test ... Diagnosis #Algorithm #MSK
Marcus Gunn Pupil - Relative Afferent Pupillary Defect (RAPD)
Definition: Afferent loop of the pupillary light reflex
Afferent Pupillary Defect ... neuritis due to MS ... How to test it? ... swinging light test ... Afferent #Pupillary #Defect
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... 10 minutes of rest ... • Oxygenation defect ... SpO2 > 88% • Management ... syndrome #diagnosis #management
Lynch Syndrome:
 • "CRC + Endometrial/Ovarian + Stomach + Urinary → Lynch Syndrome"
 • Autosomal Dominant,
Mismatch Repair Defect ... Microsatellite Instability (MSI ... Syndrome #diagnosis #management
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Diagnosis and Management ... function panel, Direct ... antiglobulin test ... Differential #Diagnosis #Management
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
include functional deficit ... outstretched hand or direct ... fractures • ED Management ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... patients taking direct ... available lab test ... anticoagulant effect ... Perioperative #Management
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
whispered voice test ... and stroke may affect ... 512 Hz) Weber Test ... Sensorineural problems affect ... Noise trauma ○ MS
Deprescribing algorithm for proton pump inhibitors

To support clinicians in employing the recommendations outlined in the guideline,
how to monitor effect ... longer be the best ... #Management #Geriatrics
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
of flow) Face Mask ... Device: Face Tent ... ~40% Venturi Mask ... support #devices #management