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Cushing’s syndrome?,”Cushing’s syndrome is caused by corticosteroid excess (eg, asthmatic who takes multiple steroid medication). The signs and symptoms of Cushing’s syndrome include fatigue, weight gain, easy bruising, central adiposity, proximal muscle weakness, hyperglycemia, osteopenia and osteoporosis, hypertension, acne, cataracts, and susceptibility to infections. Hypokalemia and hypernatremia are the electrolyte abnormalities most commonly observed due to increased aldosterone production. If severe

Medicine

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Interstitial cystitis?,”Interstitial cystitis (painful bladder syndrome) is an idiopathic, chronic condition characterized by bladder pain that is worsened by filling and relieved by voiding. Diagnosis is primarily clinical. Dyspareunia (painful with sex), urinary frequency and urgency can also be present. Treatment is palliative and includes trigger avoidance, amitriptyline

Medicine

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Anterior knee pain in the young patient?,”Patellofemoral syndrome is a very common cause of anterior knee pain. Symptoms are chronic and associated with activities such as climbing stairs and extension at the knee. Women are affected more often than men. Diagnosis is based on history and examination findings (eg, extension of the knee while compressing the patella)

Medicine

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Community-acquired pneumonia (CAP)?,”The first step in management of CAP is risk assessment to determine if a patient can be treated as an outpatient or requires hospitalization. This may be quantified using the CURB-65 algorithm (1 point each):- Confusion- Uremia (BUN > 20)- Tachypnea (Respirations > 30/min)- Hypotension (BP < 90/60)- Age > 65Patients with a score of 2 or more will likely benefit from inpatient treatment, and a score of > 4 usually indicates that intensive care unit (ICU) admission is required. The most common cause of CAP include Strep. pneumo, H. influenza, and atypical organisms (eg

Medicine

Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.Community-acquired pneumonia (CAP)?,”The first step[…]

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Pseudogout?,”Attacks of pseudogout often occur in the setting of trauma, surgery, or medical illness. PAtients with pseudogout present with acute pain, swelling, redness, and limited motion of the involved joint (s), with the knee being the most commonly affected (> 50% of cases). Fever, leukocytosis with a left shift, and chondrocalcinosis (calcified articular cartilage) may also occur in pseudogout. Synovial fluid analysis is critical for distinguishing between gout and pseudogout. The identification of rhomboid

Medicine

Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.Pseudogout?,”Attacks of pseudogout often occur[…]

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Coccidioidomycosis?,”Coccidioidomycosis is endemic in the southwestern US, as well as Central and South AMerica (a patient from Arizona/California should make you think of coccidioidomycosis). Primary pulmonary infection has non-specific features, such as fever, fatigue, dry cough, weight loss, and pleuritic chest pain. Cutaneous findings, such as erythema multiforme and erythema nodosum, as well as arthralgias

Medicine

Average Rating 0 out of 5 stars. 0 votes.You must log in to submit a review.Coccidioidomycosis?,”Coccidioidomycosis is endemic in the[…]

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