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algorithm differential endocrinology causes insufficiency management infectiousdiseases nephrology primary acth addisons adrenalmass aspergillus chronic complicated disease dysuria exposure fever fungal
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
- Differential Diagnosis ... • Congenital Adrenal ... CRF) • Infection ... Chronic UTI) • ... #Differential #Diagnosis
"I MD SOAPS" Infectious Diseases Exposure History I - Immunization - Vaccination status (age-appropriate, comorbidities, travel, etc) M
"I MD SOAPS" Infectious ... Diseases Exposure History ... specific food (e.g ... protection, past STI ... InfectiousDiseases #Diagnosis
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
- Differential Diagnosis ... • Infectious ... Cholangitis • UTI ... • Protozoa (eg ... #Differential #Diagnosis
Procalcitonin Limitations - Situations where PCT can be misinterpreted: - Single value testing - AKI/CKD - Pancreatitis - Cancers/Neoplasms - Trauma -
Burns - Localized infections ... (e.g. ... SSTI, UTI) - Atypical ... pathogens (e.g. ... Limitations #PCT #Diagnosis
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... case) then go to stim ... Standard Stim test ... is 250 mcg of IV ... intravenous (IV) injection
Diagnostic Tests for Select Patients with Dysuria Imaging is not necessary in most patients with dysuria, although
Diagnostic Tests ... a complicated UTI ... anatomic anomaly (e.g ... positive family history ... abscess, relapsing infection
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 Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
- Differential Diagnosis ... Hypointense to Liver on TI ... Releasing Carcinoma (e.g ... Other Source (e.g ... #Differential #Diagnosis
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... • Fever • UTI ... HSP • Post-infectious ... Protein deposition (eg ... #Differential #Diagnosis
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
- Differential Diagnosis ... SGLT2 inhibitors (e.g ... Nephrogenic DI (Renal ... urine volume): • UTI ... #Differential #Diagnosis
Invasive Aspergillus (IA) - Diagnosis and Management Aspergillus is ubiquitous in nature. Most invasive infections are caused
Aspergillus (IA) - Diagnosis ... immunosuppression (eg ... positive with Histo ... angle branching • Ddx ... Aspergillus #IA #Diagnosis
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