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clinical video physicalexam neurology diagnosis differential ophthalmology sign management msk syndrome cardiology nephrology orthopedics ocular algorithm pulmonary reflex pediatrics hemiballismus
When to Evaluate for Secondary Causes of Hypertension 1. Severe or resistant HTN 2. Acute rise/lability in BP 3.
for Secondary Causes ... Severe or resistant HTN ... Malignant HTN with ... #Hypertension #causes ... indications #diagnosis #HTN
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
mmHg - portal HTN ... Signs of portal HTN ... hepatorenal syndrome Clues ... Post-Hepatic: • Cardiac causes ... Differential #Diagnosis #causes
Causes of Nausea and Vomiting - Differential Diagnosis Framework Chemoreceptor Trigger Zone/Area Postrema: • Drugs: - Chemo agents -
Causes of Nausea ... Antiarrhythmics, Anti-HTN ... Malignancy #nausea ... differential #diagnosis #causes
Non-lschemic Causes of Cardiogenic Shock: Beta-Blockers, Calcium Channel Blockers, Digoxin Myocarditis Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, hemochromatosis) Valvular
Non-lschemic Causes ... Tamponade, pulmonary HTN ... , systemic HTN, ... #Nonlschemic #Causes
Secondary causes of Hypertension • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes ... Hyperaldosternism (low renin HTN ... Other Endocrine causes ... Other low renin HTN ... causes: Cushing's
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
glomerulopathies • Causes ... disease Renal Causes ... • Malignant HTN ... Mass Ureteral Causes ... and SMA - Can cause
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Ureterosigmoidoscopy • HTN ... Cushing Syndrome • HTN ... Aldosterone: Malignant HTN ... , Renovascular HTN ... Diagnosis #Algorithm #causes
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
PROBLEM ~80% of AKI cases ... are caused by prerenal ... CONSIDER INTRINSIC CAUSES ... for WBCs, RBCs, casts ... etiologies due to ATN
Internal Jugular Vein Rouleaux Flow on POCUS Amazing video of a dilated IJV showing Rouleaux flow. Whenever
POCUS Amazing video ... significantly, it causes ... echogenic as in this case ... for underlying cause
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 Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
Cardiovascular Causes ... Tamponade Pulmonary Causes ... - Pulmonary HTN ... syndrome Other Causes ... differential #diagnosis #causes
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