21 results
Ophthalmoplegia secondary to Orbital Apex Syndrome

A 61-year-old man presented with retro-orbital pain, near-complete ophthalmoplegia, loss of
to Orbital Apex Syndrome ... A 61-year-old ... Orbital #Apex #Syndrome ... Ophthalmology #PhysicalExam ... #NEJM
Jaw Clonus on Physical Exam

A 24-year-old man presented with progressive dysphagia, dysarthria, and weakness in his
Physical Exam A 24-year-old ... consistent with a diagnosis ... #Jaw #Clonus #PhysicalExam ... ALS #Neurology #NEJM
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
- Differential Diagnosis ... Algorithm ADH ... Independent: • Tea ... and Toast Syndrome ... #Algorithm #causes
Upper and Lower Causes of GI Bleed
Upper:
 • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
• Esophagus: Tear ... Weiss, Boerhaave syndrome ... #differential #diagnosis ... #Causes #algorithm
Isocoria - Pupillary Defects - Differential Diagnosis Algorithm
Relative Afferent Pupil Defect
 • Optic Neuritis
 • Ischemic
- Differential Diagnosis ... Algorithm Relative ... Syphilis (light-near ... Midbrain (Parinaud's Syndrome ... #Algorithm #Causes
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Trial - Management Algorithm ... patients with Stable ... acute coronary syndrome ... Angina #ChestPain #Diagnosis ... #Management #Algorithm
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
6mm); • Light-near ... Holmes-Adie Syndrome ... females Differential Diagnosis ... - no light-near ... #Adies #Pupil #PhysicalExam
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Differential Diagnosis ... - Cirrhosis Syndrome ... potomania - “Tea ... #Differential #Diagnosis ... #Table #Causes
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
- Differential Diagnosis ... Algorithm Hypovolemic ... cirrhosis, nephrotic syndrome ... Potomania - Tea ... #Algorithm #diagnosis
Iron Deficiency Anemia - Differential Diagnosis Algorithm

Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR

 • Blood loss:
- Differential Diagnosis ... Algorithm Labs ... Gastrectomy, WHDA syndrome ... diet, Alcoholism, Tea-toast ... #Algorithm #ferritin