37 results
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Adie's Pupil What ... Young females Differential ... dissociation • Other causes ... trauma/orbital tumor ... #Pupil #PhysicalExam
Hypoglycemia Differential Diagnosis and Management Algorithm

Features of hypoglycemia:
 • Neurogenic: Tremor, Palpitations, Anxiety, Arousal, Sweating, Hunger,
Hypoglycemia Differential ... Diagnosis and Management ... • Neurogenic: Tremor ... #Diagnosis #Management ... #Algorithm #endocrinology
Hyperphosphatemia - Differential Diagnosis Algorithm
Transcellular Shift:
 • Rhabdomyolysis
 • Tumor Lysis
 • Metabolic or Respiratory Acidosis
Hyperphosphatemia - Differential ... Rhabdomyolysis • Tumor ... HighPhosphate #Differential ... Diagnosis #Algorithm #endocrinology ... #causes
Hirsutism & Virilization - Differential Diagnosis Algorithm
ADRENAL EXCESS
Ovarian
 • Polycystic Ovarian Syndrome
 • Hyperthecosis
 • Tumor
Adrenal
Virilization - Differential ... Hyperthecosis • Tumor ... #Virilization #Differential ... Diagnosis #Algorithm #endocrinology ... #causes
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Her ocular exam ... Adie’s tonic pupil ... anterior_seg_rocks #Adies ... ophthalmology #physicalexam
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
Breast Discharge - Differential ... • Bronchogenic Tumor ... Breast #Discharge #Differential ... Diagnosis #Algorithm #Endocrinology ... #Causes
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Pupillary Defects - Differential ... pilocarpine • Tonic (Adie's ... • Trauma • Tumor ... Pupils #Defects #Differential ... Diagnosis #Algorithm #Causes
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... Optic neuritis • Tumor ... Concussion Other Causes ... glaucoma • GCA • Adie ... ophthalmology #causes
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
Hypoglycemia Workup and Differential ... metabolic demand causes ... still rise by 25+ Differential ... Hypoglycemia #Workup #Differential ... Diagnosis #insulinoma #endocrinology
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
Gynecomastia - Differential ... • Leydig Cell Tumor ... #Gynecomastia #Differential ... Diagnosis #Algorithm #causes ... #endocrinology