53 results
The head impulse test (HIT) result is positive (abnormal) in nearly all patients with a peripheral
The head impulse test ... #Diagnosis #PhysicalExam ... #Neurology #AVS ... VestibularSyndrome #Posterior ... #HeadImpulse #Testing
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
dexamethasone suppression test ... Hormone • MRI of adrenal ... #diagnosis #algorithm ... #endocrinology ... #Adrenal #Hyperfunction
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Differential Diagnosis ... and Screening Testing ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes ... #Differential #Diagnosis
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Weakness, fatigue, nausea ... , hypoglycemia Testing ... ACTH) stimulation test ... #Algorithm #endocrinology
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Guillain-Barré syndrome ... Hyperreflexia #Testing ... #diagnosis #table ... #neurology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
unclear (often the case ... then go to stim testing ... Standard Stim test ... #Stimulation #Test ... #Endocrinology
Effects of Strokes by Location - Anterior vs Posterior Localization

Anterior Circulation 
 - MCA 
 -
Location - Anterior vs ... Posterior Localization ... Artery #Strokes #Syndromes ... #Diagnosis #Table ... GrepMed Recommended Text
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
ACTH stimulation test ... aldosterone - Low in cases ... glands as a result ... Evaluation #laboratory #diagnosis ... #testing #endocrinology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal ... Step 1) Screening Test ... require Cosyntropin testing ... Differentiate primary vs ... #Stimulation #Endocrinology
Froment’s Test for Ulnar Nerve Palsy

This tests for pinch grip weakness caused by ulnar nerve palsy,
grip weakness caused ... ulnar nerve palsy, testing ... flat object such as ... clinical #video #neurology ... physicalexam #msk #orthopedics