12 results
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Redistribution - 1° HPT ... , TIO, Fanconi Syndrome ... Hypophosphatemia #phosphorus #low ... #differential #nephrology
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Normal PTH: • Hyperparathyroidism ... Hypercalcemia Low ... PTHrP: - Low ... disease, Viral Syndromes ... Algorithm #Workup #nephrology
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Algorithm • Low ... Magnesium - Functional Hypoparathyroidism ... PTH - Hypoparathyroidism ... metastases, Hungry bone syndrome ... Diagnosis #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Tumor genesis syndrome ... Primary or Tertiary hyperparathyroidism ... • Normal or Low ... - Normal or Low ... Workup #phosphate #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Shift: Refeeding Syndrome ... Tumor Genesis Syndrome ... Vitamin D: Primary Hyperparathyroidism ... Diagnosis #Algorithm #nephrology
Mechanisms of nephron damage in cardiorenal syndrome
 • Increased renal interstitial pressure
 • Hypoperfusion
 • Reduced
in cardiorenal syndrome ... Reduced renal blood flow ... #cardiorenal #syndrome ... #Mechanisms #pathophysiology ... #nephrology
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... deficiency • Primary hyperparathyroidism ... • Secondary hyperparathyroidism ... , K, Mg2+) • Slow ... Differential #Diagnosis #Pathophysiology
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
metastasis (hungry bone syndrome ... Endocrine disorders: Syndrome ... Hyperthyroidism, Hyperparathyroidism ... differential #diagnosis #nephrology ... #magnesium #low
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... • Mutism Pathophysiology ... • Vestibulo-ocular ... #PhysicalExam #neurology
HIV-Associated Neurocognitive Disorder (HAND)

Definition:
HIV-Associated Neurocognitive disorders categories:
• Asymptomatic neurocognitive impairment
• Mild neurocognitive impairment
• HIV dementia

Pathophysiology:
HIV frequently
HIV dementia Pathophysiology ... ARVs can have low ... The clinical syndrome ... untreated HIV and with low ... dementia #AIDS #Neurology