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diagnosis differential management nephrology cardiology potassium symptoms treatment arteritis blood chf chronic clinical criticalcare dermatology electrocardiogram elevation encephalopathy evaluation fatigue
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia. - At
Hyperkalemia shortens ... repolarization; changes ... prolonged PR and QT ... #EKG #ECG #Changes ... #Progression #Table
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia Focal Hyporeflexia: • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hyporeflexia: • Hypercalcemia ... polyneuropathy (e.g ... Guillain-Barré syndrome ... differential #diagnosis #table ... #neurology
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Liver Failure • Hypercalcemia ... Neoplastic / Hematologic ... Pulmonary Disease Neurologic ... • Drug Abuse (e.g ... Chronic Fatigue Syndrome
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
): • Pattern change ... papilledema • Horner syndrome ... (e.g., fever, myalgia ... CNS infection (e.g ... #neurology #PHANTOMS
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
risk factors (eg ... hypertension (eg ... hypertension and signs ... hypertension (eg ... renal bruit or signs
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... tinnitus, visual changes ... WBC >100k, + lab signs ... hydration - Hyperkalemia ... unless worrisome EKG
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... • Fanconi's syndrome ... • Minimal change ... Protein deposition (eg ... #Causes
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... STE: "Pardee's sign ... dissection • Sodium-channel ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm Drugs that prolong QT interval: • Class 1a (quinidine,
Pointes - Management Algorithm ... Syndrome Electrolyte ... Hypomagnesemia • Hypokalemia ... 1b (lidocaine)- case ... TDP #Management #Algorithm
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... • Cell Lysis (e.g ... Tumor Lysis Syndrome ... IntercellularShift #Nephrology ... #Causes
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