24 results
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Intravascular Coagulation (DIC ... • Prolonged PT/PTT ... CNS involvement (2% ... PT/INR: ↑ • PTT ... INR < 2.3 - APTT
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Abnormal PT and/or aPTT ... liver disease 2. ... prolong PT too 2. ... filling of tube 2. ... intravascular coagulation (DIC
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Differential Diagnosis Algorithm ... history Step #2 ... Hypernatremia #Management #Algorithm ... nephrology #insipidus #DI
Water Deprivation Test - Differential Diagnosis of Diabetes Insipidus (DI)
Concept of WDT: endogenous vasopressin secretion is
Diabetes Insipidus (DI ... Diabetes #Insipidus #DI ... Differential #Diagnosis #algorithm
Hypernatremia - Diagnostic Evaluation Algorithm
Step 1: Consider history. Most patients presenting with hypernatremia are either very
Diagnostic Evaluation Algorithm ... Step 2: Check Uosm ... If patient has DI ... Workup #Evaluation #Algorithm
Differential Diagnosis for a Prolonged PT and aPTT
If the PT and the aPTT are both prolonged,
Prolonged PT and aPTT ... the PT and the aPTT ... filling of tube) 2. ... intravascularcoagulation (DIC ... #Abnormal #PT #aPTT
Polyuria - Differential Diagnosis
Solute Diuresis
 • Na intake/saline
 • Glucosuria: Hyperglycemia, SGLT-2 inhibitors
 • Urea: Exogenous
Hyperglycemia, SGLT-2 ... Polydipsia • Central DI
Central vs Nephrogenic Diabetes Insipidus - Desmopressin Challenge
Give desmopressin (intranasal, SQ, IV) and monitor UOsm every
30 minutes over 2 ... Diabetes #Insipidus #DI
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
reaction to light 2. ... in bright and dim ... Anisocoria #Evaluation #Algorithm
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
analgesia 2. ... repair with suture (2- ... epinephrine prn DIC ... fibrinogen, PT/PTT