12 results
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
One and a Half Syndrome ... a Half Syndrome ... the hospital, diagnosed ... #Half #Syndrome ... #PhysicalExam #
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Failure (ALF ... rises later - Half ... • Near normal ... • Gilbert's syndrome ... liver #chemistry #diagnosis
Jaw Clonus on Physical Exam

A 24-year-old man presented with progressive dysphagia, dysarthria, and weakness in his
consistent with a diagnosis ... #Jaw #Clonus #PhysicalExam ... #Clinical #Video ... #ALS #Neurology ... #NEJM
Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology
Imaging Findings:
 • Os trigonum which has marrow
(Os Trigonum) Syndrome ... syndesmotic ligament tear ... torn ligament on ... #clinical #mri ... #diagnosis #msk
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... renal failure Clinical ... mediators such as ... Self-limiting, chronic but stable ... ), liver (pain/abnormal
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
- Differential Diagnosis ... evaluation should also ... Rinne Test: • Normal ... II ○ Susac’s syndrome ... Noise trauma ○ MS
Radial Fracture Due to Parathyroid Carcinoma- ...A plain radiograph of the left arm showed a diaphyseal
had received a diagnosis ... and can manifest as ... One year after the ... #clinical #radiology ... #NEJM #parathyroid
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Locked-in syndrome ... horizontal movements; also ... If ok with ICU team ... caseyalbin #PhysicalExam
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
Guillain-Barré Syndrome ... per 100,000 per year ... transplantation CLINICAL ... tested earlier than one ... Guillain #Barre #Syndrome
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
sx overlap with normal ... during Delivery • Stable ... defibrillator as ... on diagnosis or ... support for patients clinically