12 results
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
Diagnosis and Workup ... decreased PLT count: CBC ... smear, HIV/HCV testing ... K), H. pylori test ... thyroid function test
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
Possible Algorithm ... for Workup of Fever ... • Additional tests ... DrEricStrong #FUO #Algorithm ... #Fever #Unknown
Diagnosing Brucellosis
Epidemiological Exposures
- Endemic Regions
- Clinical Micro Lab Technicians
- Animal/Vaccine Exposure: Vets, Slaughterhouse workers, hunters
- Unpasteurized
Constitutional: Fevers ... Genitourinary Diagnostic Tests ... : - CBC + Chemistry ... Diagnosis #Criteria #Workup ... #Testing
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
aldosterone - Low in cases ... production • CRH ... deficiency of CRH ... laboratory #diagnosis #testing ... endocrinology #workup
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Diagnosis and Workup ... strategy with minimal testing ... cultures, but test ... missing things" → fewer ... lactoferrin + CRP
Fever After International Travel

Infectious Disease:
• Endemic in either the destination or home region

Viral Syndromes:
Arboviral infections, a
infections, a common cause ... - Another cause ... Investigations: • CBC ... polymerase-chain-reaction (PCR) testing ... and possibly PCR testing
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... Differential Diagnosis Algorithm ... Red Flags: • Fever ... deficiency Work ... Fecal occult blood test
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Performance thorough ... event, follow ACC algorithm ... determine if stress test ... surgery Stress Testing
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
: - Fever + ANC ... full infectious work-up ... days → add fungal work-up ... Treat underlying cause ... radiology for possible stenting
Fever of Unknown Origin (FUO) Diagnostic Algorithm
STEP 1 Perform a comprehensive history and complete physical examination.
STEP
Fever of Unknown ... FUO) Diagnostic Algorithm ... tuberculosis skin test ... positive first-tier testing ... ofaa132/5828054 #Fever