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differential algorithm causes endocrinology cardiology ekg electrocardiogram insufficiency management nephrology acth adrenalmass avr chronic dysuria equivalents exposure fever fuo gravis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... 0.15mV women • DDx ... : Acute STEMI, Aortic ... #EKG #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
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
- Differential Diagnosis ... • Congenital Adrenal ... CRF) • Infection ... Chronic UTI) • ... #Differential #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
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Acute myocardial ... : Differential diagnosis ... complex tachycardia ddx ... electrocardiogram #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
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... with diffuse ST ... often follows a URI ... #Acute #Pericarditis ... #Cardiology #Diagnosis
"I MD SOAPS" Infectious Diseases Exposure History I - Immunization - Vaccination status (age-appropriate, comorbidities, travel, etc) M
"I MD SOAPS" Infectious ... specific food (e.g ... protection, past STI ... InfectiousDiseases #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
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