43 results
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
Fecal Occult Blood Testing ... to unnecessary testing ... , extended LOS ... #FOBT #Guaiac #FalsePositives ... #FalseNegatives
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Uric Acid - Low ... Acid → renal salt wasting ... #nephrology #sodium ... #low #uricacid
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... acid: - Urine sodium ... low, uric acid ... and uric acid low ... #Differential #Algorithm
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Cerebral salt wasting ... Primary polydipsia, Low ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Causes of Inaccurate Fecal Occult Blood Test Results 

False Positive gFOBT:
Ingestion of nonhuman heme (eg, meat
#OccultBlood #Testing ... #Laboratory #FalsePositive ... #FalseNegative
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Cerebral salt wasting ... Hypothyroidism, Low ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Syphilis Serologic Testing - Treponemal and Non-Treponemal Testing Algorithms
Treponemal Testing:
 • Confirmatory or Screening - Detection
Syphilis Serologic Testing ... Non-Treponemal Testing ... Algorithms Treponemal ... Testing: • Confirmatory ... Definitive • Low
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome Testing ... Algorithm INDICATIONS ... FOR TESTING: • ... Cortisol, Saliva • Low ... Syndrome #diagnosis #algorithm
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... : SIADH, Renal Sodium ... can be high or low ... Cerebral Salt Wasting ... Primary polydipsia), Low
Summary of Agents Potentially Contributing to False Positives on Urine Drug Screens (UDS)
Marijuana Metabolites
 • dronabinol,
hemp products are low ... #FalsePositives ... DrugScreening #UDS #Testing