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nephrology algorithm differential gastroenterology hyponatremia hypophosphatemia sodium anemia celiac disease endocrinology framework gastrointestinal hematology hypokalemia hypotonic insufficiency iron laboratory mds
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
Gastrointestinal Evaluation ... patients with anemia, diagnose ... Non-invasive testing ... Gastrointestinal #Evaluation ... #workup #diagnosis
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
pituitary) and deficiency ... Insufficiency #Evaluation ... #laboratory #diagnosis ... #testing #endocrinology ... #workup
Hypophosphatemia Diagnostic Algorithm - GI Losses - Redistribution - 1° HPT - 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
- 1° HPT - 1° Renal ... PO4 wasting: Hereditary ... , TIO, Fanconi Syndrome ... glucose - Vitamin D Deficiency ... Hypophosphatemia #phosphorus #low
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential Diagnosis ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... #phosphate #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney K wasting ... , Congenital adrenal ... consumption • Low ... #Hypokalemia #diagnosis ... #low
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Cerebral salt wasting ... Glucocorticoid deficiency ... Cirrhosis, Nephrotic syndrome ... Hyponatremia #algorithm #diagnosis ... #sodium #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
mineralocorticoid deficiency ... can be high or low ... Cerebral Salt Wasting ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
formed or don’t work ... or folic acid deficiency ... given to organ transplant ... Workup: • Complete ... #diagnosis #hematology
Celiac Disease - Diagnosis Algorithm IgA TTG has high sensitivity and specificity of ~ 98% and is
serologic marker for evaluating ... IgA deficiency affects ... and Williams’ syndromes ... pts need further testing ... gastroenterology #workup
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