Video: approach to vaginal discharge

Video outline:

  • Common causes: chlamydia, trichomonas, candida, GAMM complex.
  • Clinical presentation.
  • Diferential diagnosis
  • pH characteristics.
  • Physiological discharge: PCOS.
  • Vaginal discharge management.
  • Workup algorithm.
  • Commonly used antibiotics

USMLE algorithm: vaginal discharge

PPT: Thyroid cancer diagnosis and management

These PowerPoint presentations overview the different types of thyroid cancer as well as approaches to its diagnosis and management.

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  • Thyroid cancer epidemiology
  • Pathology
  • Follicular cell origin (FCDC)
  • Parafollicular (C cells) – medullary
  • FCDC
  • Papillary (and follicular variant – FVPTC) (most)
  • Follicular
  • Oxyphilic (Hurthle cell)
  • Anaplastic
  • Diagnosis
  • History/examination (MEN, MTC FH)
  • TNM staging system
  • Ultrasound-guided FNAB of clinical or radiologically detected mass
  • Thyroid and Neck ultrasound
  • Serum Ca 2+
  • CT scan neck/superior mediastinum/chest
  • ENT exam (vocal cords)
  • Well Differentiated Thyroid Carcinoma PTC

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Lecture outline:
Classification & Incidence of Thyroid Cancer:

Follicular cell origin
Papillary 80%
Follicular 10%
Hurthle cell 3-5%
Anaplastic 1-2%
Parafollicular cell origin
– Medullary 5%
Medullary Thyroid Carcinoma
Lymphoma of the Thyroid

Evaluating a thyroid nodule
Which of the following are concerning findings on ultrasound?
Prognostic Risk Classification for Patients with Well-Differentiated Thyroid Cancer (AMES or AGES)

Clinical cases

Psychiatric interview video lectures

These set of video lectures are a useful review for the  USMLE psychiatry test.  They explore the basics of a mental status examination when interviewing  psychiatric patients.

Lecture outline:

  • Mental status exam:
  • General description
  • Appearance, attitude rapport.
  • Behaviour /Activity
  • Akathesia: inability to sit still, restlessness (side effects of neuroleptic drugs)
  • Speech
  • Differences between:hallucination and illusion.
  • Types of hallucinations: auditory, visual, tactile, olfactory.
  • Content of thought
  • Minimental status exam: alertness, level of consciousness, orientation to time, person, place.
  • Features of dementia.
  • Concentration and attention.
  • Sensorium and cognition.

PowerPoint: Systemic diseases and the eye

The following PPT file was developed by the International Council of Ophthalmology.

Lecture outline:

  • Common systemic diseases affecting the eye
  • Non-infectious: Endocrine – diabetes, thyroid
  • Connective tissue disease – RA/ SLE/ Wegeners/ PAN/ Systemic sclerosis
  • Vasculitides (GCA)
  • Sarcoidosis
  • Behcet’s Disease
  • Vogt Koyanagi Harada syndrome
  • Phakomatoses
  • Ophthalmic Manifestations of HIV Infection
  • Herpes Zoster Ophthalmicus
  • Kaposi’s Sarcoma
  • Toxoplasma Retinochoroiditis
  • Syphilis Retinitis

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