63 results
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... Cortisol, Free Urine ... Serum (or Cortisol Urine ... Hormone • MRI of adrenal ... endocrinology #Adrenal
Hypophosphatemia - Measurement of urine phosphate excretion - Differential Diagnosis Algorithm
 • GI loss
 • Redistribution
Measurement of urine ... Differential Diagnosis Algorithm ... deficiency • Primary Renal ... PO4 wasting ... Hypophosphatemia #urine
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... mimics, repeat testing ... WBCs, or urine ... Nephrology for renal ... Hematuria #Diagnosis #Algorithm
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... High Uric Acid → renal ... salt wasting By
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... present on repeat testing ... including overnight testing ... Proteinuria (Negative urine ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Algorithm - Cosyntropin Stimulation Test
T-1m: Baseline cortisol drawn
T0: 250 µg cosyntropin given IV
T30m: Repeat
Adrenal Insufficiency ... Algorithm - Cosyntropin ... BCM_InternalMed #Adrenal ... Insufficiency #Testing ... #Algorithm #Cosyntropin
Emergency physician interpretation of point-of-care ultrasound for identifying and grading of hydronephrosis in renal colic compared
hydronephrosis in renal ... 29663580 #EBM #VisualAbstract ... #Specificity #Testing
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
uric acid >4 • Urine ... losses • Urine ... Cerebral salt wasting ... uric acid >4 • Urine ... #Hyponatremia #algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... differentiating kidney K wasting ... A urine K/Cr ratio ... • Diarrhea A urine ... syndrome, Congenital adrenal
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Differential Diagnosis Algorithm ... Decreased Serum K, Urine ... Decreased Serum K, Urine ... obstruction • Urine ... Differential #Diagnosis #Algorithm