8 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Diagnosis and Evaluation ... symptoms (HA, nausea ... cardiac, liver, renal ... history #Diagnosis #EM ... #Differential #Algorithm
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... considered likely, the cause ... #Diagnosis #Workup ... #Evaluation #Algorithm
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
Algorithm for the ... evaluation of macrocytic ... to specifically order ... the most likely cause ... #Workup #AAFP
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
cortex is already ... aldosterone - Low in cases ... cortex is atrophied ... Insufficiency #Evaluation ... endocrinology #workup
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Syndrome, Chronic Renal ... MH/CCF/CWRU EM ... #Differential #Algorithm ... #diagnosis #causes
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
phlebotomy/ blood work ... during clinical evaluations ... prolonged rest can cause ... lying down and can cause ... Hospitalization #causes
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Albumin > 4) Work-up ... first step in evaluation ... Causes of Monoclonal ... amyloidosis Causes ... , renal tumors,
Post-Transplant Diarrhea - Diagnosis and Management Algorithm
Post-transplant diarrhea (≥ 3 loose or liquid stools per day)
and Management Algorithm ... Malabsorption workup ... in case of chronic ... ) ± Plasma CMV PCR ... #nephrology #renal