11 results
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... likely: • High ... #Differential # ... Diagnosis #Algorithm #endocrinology
Causes of Dizziness - Vertigo - Differential Diagnosis Algorithm
True Vertigo - Illusion of Rotary Movement
Peripheral Vestibular
Dizziness - Vertigo - Differential ... symptoms/signs, bidirectional ... Vertebrobasilar Insufficiency ... Dizziness #Vertigo #Neurology ... #Differential #
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Treat with a high ... Hypothyroidism, adrenal insufficiency ... #Hyponatremia #Differential ... Algorithm #causes #nephrology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Diagnosis Adrenal Insufficiency ... Step 3) Differentiate ... pituitary gland) - High ... ) #Adrenal #Insufficiency ... #Stimulation #Endocrinology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Acidosis (NAGMA) - Differential ... HCO3 - Renal insufficiency ... • Serum K high ... - Diarrhea - High ... Diagnosis #Workup #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... phlebotomy High ... deficiency • Renal insufficiency ... causes #potassium #high ... #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... 0.8 Normal + High ... 0.8-2.0 Pure High ... failure - Adrenal insufficiency ... Diagnosis #Summary #Nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... phlebotomy High ... deficiency • Renal insufficiency ... causes #potassium #high ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
diuresis can be high ... Hypothyroidism, Adrenal Insufficiency ... #Hyponatremia #differential ... table #sodium #nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Causes of High-anion ... Acidosis Causes of High-anion ... hyperkalemia (with renal insufficiency ... Metabolic #Acidosis #differential ... diagnosis #causes #nephrology