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diagnosis differential endocrinology nephrology acidosis adrenalmass blood classification elevation hematuria hyperkalemia insufficiency k lactate lactic management pediatrics polyuria potassium proteinuria
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... • Symptoms of UTI ... and treat for UTI ... Nephrology for renal ... Risk factors for malignancy
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
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Differential Diagnosis Algorithm ... • Fever • UTI ... Protein deposition (eg ... #Causes
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
Differential Diagnosis Algorithm ... • Congenital Adrenal ... Chronic UTI) • ... Differential #Diagnosis #Algorithm ... endocrinology #causes
Malignant Adrenal Mass - Differential Diagnosis Algorithm Suggestive of Malignancy: Inhomogenous Density, Delay in CT Contrast Washout
Malignant Adrenal ... Differential Diagnosis Algorithm ... Suggestive of Malignancy ... Hypointense to Liver on TI ... Differential #Diagnosis #Algorithm
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
Causes of Polyuria ... SGLT2 inhibitors (e.g ... Nephrogenic DI (Renal ... Polyuria Mimics (↑ urine ... volume): • UTI
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... Peak T, flat P, ST ... lysis) ± Urine ... levels, Cortisol+ACTH ... stim test (only
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... ., urine, sweat) ... drugs, seizures, malignancy ... patient’s complete medical ... lactate and can act
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