Retinal Detachment

Clinic A/P, adults

“A 68-year-old female sees you because she developed increased floaters followed by flashes of lights after a sneezing attack. She then noted a dark spot in the periphery of her right eye. Three weeks ago she underwent cataract removal with intraocular lens...

Serotonin Syndrome (Serotonin Toxicity)

Clinic A/P, adults, Hospital A/P, Adults

Diagnosis The diagnosis is based on a history of taking a serotonergic agent PLUS specific clinical findings. See the Hunter Serotonin Toxicity Criteria. H&P: Risk factors: Typical presentation: DDx: NMS, Malignant hyperthermia, Anticholinergic syndrome, others....

Acute High Altitude Sickness

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Acute high altitude Sickness (High Altitude Sickness) is the umbrella term for 3 different conditions that can happen when a person ascents to altitudes ≥2500 m. Acute Mountain Sickness (AMS) High-Altitude Pulmonary Edema (HAPE) High-Altitude Cerebral Edema (HACE)...

Ankylosing Spondylitis

Clinic A/P, adults

“Ankylosing spondylitis is an inflammatory condition that affects the axial skeleton primarily, but other joints may be involved. The pain begins insidiously in the lower back and gluteal region. The symptoms improve with exercise and activity but they worsen at...

IgA Vasculitis (Formerly Henoch-Schönlein purpura)

Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds

Background Immunoglobulin A vasculitis (IgA vasculitis, IgAV) was formerly called Henoch-Schönlein purpura (HSP). Pathophysiology: In IgA vasculitis, IgA immune complexes are deposited in small vessels. When that happens in the skin, we see petechiae and palpable...

Female Athlete Triad

Clinic A/P, adults, Clinic A/P, Peds

Definition (ACOG 2017): “The female athlete triad is a medical condition observed in physically active females involving three components: 1) Low energy availability with or without disordered eating, 2) Menstrual dysfunction, and 3) Low bone density.”...