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algorithm differential endocrinology management adrenal cardiology chronic endocarditis infectiousdiseases acth fatigue fever fuo history imdsoaps mnemonic myasthenia nephrology neurology pediatrics
"I MD SOAPS" Infectious Diseases Exposure History I - Immunization - Vaccination status (age-appropriate, comorbidities, travel, etc) M
"I MD SOAPS" Infectious ... Diseases Exposure ... 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
Causes of Fever ... - Differential Diagnosis ... Cholangitis • UTI ... • Protozoa (eg ... #Algorithm #causes
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Causes of Fatigue ... - Differential Diagnosis ... • Malignancy Infectious ... • Myasthenia Gravis ... • Drug Abuse (e.g
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
- Differential Diagnosis ... CRF) • Infection ... Chronic UTI) • ... #Differential #Diagnosis ... endocrinology #causes
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Respiratory insufficiency ... myasthenia Diagnosis ... Serologic and EMG ... precipitated by: Drugs, infection ... #diagnosis #management
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Adrenal Insufficiency ... unclear (often the case ... ) then go to stim ... is 250 mcg of IV ... intravenous (IV) injection
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
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
: Most Common Cause ... : TB, fungal infection ... A STIM test can ... ACTH STIM TEST: ... Give 250 mcg of
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Sanguinis, Mitis, Oralis ... murmur • Valvular insufficiency ... Septic Emboli Cause ... ↑ ESR, CRP • EKG ... Treat underlying cause
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... Sanguinis, Mitis, Oralis ... murmur • Valvular insufficiency ... Glomerulonephritis DDX ... ↑ ESR, CRP • EKG
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