69 results
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if concern for nodular ... thyroid disease ... Graves disease – ... Check pregnancy test ... workup choices AND management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Clinical triad ... Differential Diaqnoses ... hepatitis • Pulmonary ... • Ocular: uveitis ... #diagnosis #management
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
movement Typical management ... #Flail #Chest #Breathing ... Trauma #Video #Clinical ... #PhysicalExam # ... Pulmonary #Respiratory
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... ulceration • Ocular ... Behcet syndrome (Clinical ... is a skin prick test ... #management #signs
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
failure • Severe pulmonary ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... agglutination - test ... #treatment #management
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... and the ice pack test ... swallowing or breathing ... Myasthenia #Gravis #PhysicalExam ... #clinical #video
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Whipple Disease ... and Management ... Oculomasticatory/oculo-facial-skeletal ... positive T. whipplei test ... #management #criteria
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
restrictive lung disease ... In lung disease ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis ... #PhysicalExam
Behcet's Syndrome - Diagnosis
Diagnostic Criteria for Behget's Syndrome (International Study Group for Behget's Disease):
 • Recurrent,
Behcet's Syndrome - Diagnosis ... Diagnostic Criteria ... Abnormal pathergy test ... Most Common Clinical ... #Diagnosis #criteria
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
→ Spectrum of Disease ... Ratio Step 1: Clinical ... with a focused clinical ... Stewardship #ultrasound #management ... #diagnosis