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diagnosis nephrology alkalosis chloride hypercalcemia hypokalemia metabolic potassium workup adrenal breast discharge elevated evaluation hematology hyperkalemia hypernatremia hyperthyroidism insufficiency nephrolithiasis
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Diagnosis Algorithm ... or normal): • Primary ... Hypercalcemia Low ... Bony Mets - Calcium ... #causes #endocrinology
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
Tubulointerstitial diseases - Urinary ... transplant - SLE ... #Hyperkalemia #Algorithm ... #diagnosis #differential ... #causes
Causes of Nephrolithiasis - Differential Diagnosis Algorithm Radio-opaque - Calcium-containing - 90% of stones Radiolucent - Non-calcium 10%
Causes of Nephrolithiasis ... - Differential ... Diagnosis Algorithm ... of stones: • Urinary ... #Causes
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Gl tract loss (Diarrhea ... secreting tumor, Primary ... #causes #potassium
Breast Discharge - Differential Diagnosis Algorithm High Prolactin + Normal TSH • Microprolactinoma • Steroid Hormone Intake
Diagnosis Algorithm ... Prolactin + Normal/ Low ... + High TSH • Primary ... #Endocrinology ... #Causes
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
- Differential ... Diagnosis Algorithm ... Osmotic diuresis (see ... mannitol, glucosuria Low ... loss • Watery Diarrhea
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
Evaluation 1) Clinical clues ... FeCa <1 %) - Low ... Hypercalcemia #workup #differential ... #diagnosis #endocrinology ... #calcium #elevated
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... Laxative use • Diarrhea ... mEq/g suggests urinary ... consumption • Low ... #differential #
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... - Urinary Chloride ... - Normal/low ... #causes #urinary
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... Weakness, fatigue, nausea ... baseline ACTH - Primary ... #endocrinology
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