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differential nephrology physicalexam algorithm clinical hypokalemia pupil alkalosis anisocoria metabolic potassium alternating barre bilateral bulimianervosa chloride complications dermatomes enophthalmos exophthalmos
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... 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
- Differential Diagnosis ... Gl tract loss (Diarrhea ... #Differential #Diagnosis ... #Algorithm #causes ... #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... Laxative use • Diarrhea ... consumption • Low ... #Hypokalemia #diagnosis ... #low
Adie’s Tonic Pupil on Physical Exam A young female was referred in for a sudden onset anisocoria.
Adie’s Tonic Pupil ... nervous system isn’t working ... anisocoria #clinical #video ... #ophthalmology ... #physicalexam #neurology
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 Horner's Syndrome on Physical Exam A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... how the right pupil ... #clinical #video ... #ophthalmology ... #physicalexam #neurology
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 Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
• Cauda Equina Syndrome ... - Low back pain ... Commonly caused ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Causes of Hypokalemia ... - Differential Diagnosis ... <20mmol/d • Diarrhea ... #Hypokalemia #Nephrology ... #Differential #Diagnosis
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... biliary fistula, Diarrhea ... #differential #diagnosis ... #nephrology #magnesium ... #low
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 ... #differential #diagnosis
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