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diagnosis differential syndrome algorithm guillain management blood cauda caudaequina comatose equina gbs guillainbarre hematuria hyperreflexia hyporeflexia polyuria proteinuria table testing
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
• Symptoms of UTI ... and treat for UTI ... → Refer to Nephrology ... to Nephrology if ... cause not identified
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - ... Causes of Hyporeflexia ... polyneuropathy (e.g ... Guillain-Barré syndrome ... diagnosis #table #neurology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Epidemiology: • 1-2 cases ... muscle weakness • Absent ... • Decreased / Absent ... Reflexes: Arms ... management #treatment #neurology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... • Fever • UTI ... Protein deposition (eg ... #Proteinuria #Nephrology ... Diagnosis #Algorithm #Causes
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
Causes of Polyuria ... SGLT2 inhibitors (e.g ... urine volume): • UTI ... Differential #Diagnosis #Causes ... #nephrology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
- Emergency Causes ... cord • Guillain-Barre ... wink test - reflex ... differential #diagnosis #causes ... #neurology
Guillain-Barré Syndrome (GBS) Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness Epidemiology: • Incidence: 1
Guillain-Barré Syndrome ... Incidence: 1 to 2 cases ... muscle weakness, absent ... depressed deep tendon reflexes ... diagnosis #management #neurology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
unresponsiveness; the absence ... • Gag reflex ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose
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