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diagnosis differential nephrology physicalexam algorithm clinical hypokalemia pupil anisocoria potassium alkalosis apex chloride half herpes horners hypomagnesemia hyponatremia hzo magnesium
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
unilateral; • Slow ... Holmes-Adie Syndrome ... dissociation • Other causes ... #PhysicalExam #neurology ... #ophthalmology
Adie's Pupil on Physical Exam Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... infection which causes ... PhysicalExam #clinical #video ... #ophthalmology ... #neurology #syndrome
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 Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Normal Acid-Base: Low ... Gl tract loss (Diarrhea ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... suggests extra-renal causes ... Laxative use • Diarrhea ... consumption • Low ... #low
Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
experience, the cause ... how the right pupil ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
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 Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... Adie’s tonic pupil ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
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 Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... the indicated causes ... urine #Algorithm #nephrology
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... biliary fistula, Diarrhea ... Hypomagnesemia #Causes ... differential #diagnosis #nephrology ... #magnesium #low
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... Decreased intake (rare cause ... <20mmol/d • Diarrhea ... artery stenosis Low ... #Hypokalemia #Nephrology
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
the follow up video ... fasciculus), which causes ... The most common causes ... #ophthalmology ... #neurology
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