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diagnosis differential nephrology causes hypokalemia low alkalosis chloride endocrinology interpretation metabolic acth adrenal dermatology hyperkalemia hyperthyroidism insufficiency petechiae petechial pfts
Pulmonary Function Tests (PFTs) - Interpretation Algorithm • Normal • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia • Chest
Pulmonary Function ... Interpretation Algorithm ... • Normal • ... #Pulmonary #FunctionTests ... #Algorithm #diagnosis
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic algorithm ... Supplementation (oral ... Nephropathy Renin Normal ... Renin High: • Primary ... Hyperkalemia #Diagnosis #algorithm
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid Function ... • Low TSH, Low normal ... • Low TSH, normal ... high T4 +/- T3 → Primary ... Scan • High or normal
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... mEq/g suggests urinary ... ↑ Aldosterone: Primary ... consumption • Low/Normal
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
diagnostic of primary ... this indicates normal ... adrenal function ... suggests EITHER primary ... ACTH: - High = primary
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses: • Normal ... secreting tumor, Primary ... Differential #Diagnosis #Algorithm ... #causes #potassium
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Differential Diagnosis Algorithm ... High Al, Low R - Primary ... Hyperplasia • Normal ... Al, Normal R - ... #causes #low #potassium
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride • Cl- responsive metabolic alkalosis
- Urinary Chloride ... alkalosis - Normal ... mineralocorticoid-like effect) • Normal ... salicylate poisoning • Normal ... #causes #urinary
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis - Urinary ... alkalosis • Normal ... salicylate poisoning Normal ... In a normal gap ... Metabolic #Alkalosis #Urinary
Causes of Petechial Rash - Differential Diagnosis Algorithm Pinpoint areas (less than 2 mm) of hemorrhage, which
Differential Diagnosis Algorithm ... Abnormalities in primary ... Thrombocytopenia - Abnormal ... platelet function ... deficiency - Abnormal
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