14 results
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Algorithm and Differential ... RBC’s, RBC/WBC casts ... suggest intrinsic renal ... #EM #IM #Urology ... #Ddxof
Hypoglycemia - Differential Diagnosis Algorithm
Fasting Hypoglycemia:
 • Excess Insulin
 • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
- Differential Diagnosis ... Algorithm Fasting ... Idiopathic Other Causes ... #Algorithm #endocrinology ... #causes
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
symptoms (HA, nausea ... cardiac, liver, renal ... #EM #IM #Nephro ... #Differential #Algorithm ... #Ddxof
Short Stature - Differential Diagnosis Algorithm
Normal Variant, Normal Puberty Onset (BA = CA)
 • Familial Short
- Differential Diagnosis ... Algorithm Normal ... • Congenital Adrenal ... #Algorithm #endocrinology ... #causes #pediatrics
Breast Discharge - Differential Diagnosis Algorithm
High Prolactin + Normal TSH
 • Microprolactinoma
 • Steroid Hormone Intake
- Differential Diagnosis ... Algorithm High ... Failure • Stress (e.g ... #Algorithm #Endocrinology ... #Causes
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... Stim test is 250 mcg ... #Algorithm #ACTH ... Stimulation #Test #Endocrinology
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
Management Summary ... : Most Common Cause ... Adrenalitis Other causes ... Give 250 mcg of ... #Management #Endocrinology
Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase
- Differential Diagnosis ... Ultrasound • Adrenal ... Cell Tumor • HCG ... #Algorithm #causes ... #endocrinology
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Management of Hyponatremia ... • Discuss with endocrinology ... SIADH — look for cause ... hourly • Identify Cause ... #algorithm #treatment
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
criteria required to diagnose ... mm is needed to cause ... hypertension (e.g ... proteinuria, or chronic renal ... #Algorithm #CriticalCare