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diagnosis algorithm hyponatremia management nephrology neurology rheumatology sodium abg acid acidbase adies aids alveolar arterial base bloodgas disorders endocrinology floppy
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS ... Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... UnremarkableLab #AA ... Hypoxia #hypoxemia #differential
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... treat underlying cause ... cirrhosis, nephrotic syndrome ... Pulmonary Diseases ... , CNS Disease, Meds
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
Short Stature - Differential ... Anorexia Nervosa • CNS ... #ShortStature #Differential ... endocrinology #causes ... #pediatrics
Hyponatremia - Differential Diagnosis by Mechanism Decr Blood Pressure (“Decr Effective Circulating Volume”) - Volume depletion
Hyponatremia - Differential ... - Cirrhosis Syndrome ... the lung) - CNS ... hemorrhage) - Pulmonary ... Diagnosis #Table #Causes
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... Diagnosis: • CN ... dissociation • Other causes ... #Adies #Pupil #PhysicalExam
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Parotid swelling CNS ... nervous system (CNS ... peripheral neuropathy, transverse ... • 8%-27% for CNS ... , INC risk PE, Pulmonary
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Differentials? ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... acidosis: - CNS ... Base #Gas #VBG #differential
Neurological Manifestations of Tuberculosis Spinal Arachnoiditis & Polyradiculopathy: • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
Reconstitution Inflammatory Syndrome ... lymphadenopathy, pulmonary ... neurological symptoms • Caused ... or abruptly • CN ... Tuberculosis #diagnosis #differential
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Vasculitis - Differential ... Vasculitis Differential ... tract, and often causes ... chorioretinitis, CNS ... #Vasculitis #Differential
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Infections in HIV - Differential ... Pneumonia: • 3 syndromes ... Lymphadenopathy, CNS ... Infections #HIV #AIDS #pulmonary ... #differential #
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