31 results
Criss-Cross Gait on Physical Exam 

Seen in Glucose Transporter type 1 Deficiency Syndrome

#CrissCross #Criss #Cross #Gait
Transporter type 1 Deficiency ... Syndrome #CrissCross ... #Cross #Gait #PhysicalExam ... clinical #video #neurology ... #GLUT1 #deficiency
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Hyponatremia - Differential ... Mineral corticoid deficiency ... , Salt-losing deficiency ... #Hyponatremia #Differential ... Algorithm #Causes #nephrology
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
, TIO, Fanconi Syndrome ... glucose - Vitamin D Deficiency ... diagnosis #Algorithm #differential ... #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia - Differential ... Binders, Vitamin D Deficiency ... Vitamin D: Vit D Deficiency ... Hypophosphatemia #Differential ... Diagnosis #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... Niacin, Vitamin D deficiency ... hyperparathyroidism, Vitamin D deficiency ... Hypophosphatemia #Differential ... Workup #phosphate #nephrology
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Hypocalcemia Workup - Differential ... resistance, Vitamin D deficiency ... Phosphate - Vitamin D deficiency ... metastases, Hungry bone syndrome ... Diagnosis #Algorithm #nephrology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... no light-near dissociation ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
11beta-hydroxylase deficiency ... 17alpha-hydroxylase deficiency ... diuretics, Mg2+ deficiency ... urine #potassium #differential ... algorithm #diagnosis #nephrology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Guillain-Barre syndrome ... Lambert Eaton Syndrome ... : Acid maltase deficiency ... Weakness #Causes #differential ... #diagnosis #neurology
Etiologies of Peripheral Neuropathy
 • Metabolic / Nutritional: DiabetesB12 deficiency, Uremia/ESRD, Hypothyroidism
 • Medication-induced: ART, Antibiotics,
Nutritional: DiabetesB12 deficiency ... Paraprotein-associated (POEMS syndrome ... Peripheral #Neuropathy #differential ... diagnosis #causes #neurology