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differential endocrinology urine acth adrenalmass blood chronic color discoloration fever fuo hematuria hyperkalemia insufficiency k malignant management pediatrics polyuria potassium
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Algorithm • Confirm ... • Symptoms of UTI ... and treat for UTI ... for renal biopsy ... if cause not identified
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
- Differential Diagnosis ... Algorithm Normal ... • Congenital Adrenal ... Chronic UTI) • ... #causes #pediatrics
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Algorithm Persistent ... • Fever • UTI ... #Proteinuria #Nephrology ... #Algorithm #Causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... ) then go to stim ... Standard Stim test ... is 250 mcg of IV
Urine Color - Differential Diagnosis Red Urine: • Medical conditions: bleeding, porphyria, factitious disorder • Meds: rifampin,
- Differential Diagnosis ... Urine: • Any cause ... dyes typically cause ... conditions: UTI ... discoloration #nephrology
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
Causes of Polyuria ... - Differential Diagnosis ... SGLT2 inhibitors (e.g ... urine volume): • UTI ... #Causes #nephrology
Causes of Fever of Unknown Origin (FUO) - Differential Diagnosis Algorithm Neoplasm: • NHL • Hodgkin's lymphoma • Leukemia • Solid
Causes of Fever ... Algorithm Neoplasm ... Cholangitis • UTI ... • Protozoa (eg ... #Algorithm #causes
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
- Differential Diagnosis ... Algorithm Suggestive ... Hypointense to Liver on TI ... #Differential #Diagnosis ... #Algorithm #Endocrinology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... Peak T, flat P, ST ... Cortisol+ACTH stim ... only if no clear cause ... Treatment #potassium #nephrology
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