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diagnosis differential pathophysiology pediatrics 21hydroxylasedeficiency 21ohd addiction allergy anaphylaxis bulimianervosa buprenorphine complications cord disorders endocrinology erythrocytosis genetics heat heatstroke hematology
Clinical features of shock from dehydration in an infant Decreased level of consciousness Sunken fontanelle Dry mucous
from dehydration ... in an infant Decreased ... #PhysicalExam #Signs ... #Symptoms #Shock ... #Peds #Pediatrics
Shock - Differential Diagnosis Algorithm Warm Extremities - Distributive Shock - Low JVP
Diagnosis Algorithm ... - Normal/Decreased ... Hemorrhage • Dehydration ... Differential #Diagnosis #Algorithm ... #causes
Causes of Polycythemia (Erythrocytosis) - Differential Diagnosis Algorithm Relative - Normal RBC Mass / Decreased Plasma Volume
Causes of Polycythemia ... Differential Diagnosis Algorithm ... Normal RBC Mass / Decreased ... • Diarrhea • Dehydration ... Chronic Chest Symptoms
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Volume depletion → Decreased ... → Syncope • Signs ... /Symptoms: - Lightheadedness ... sweaty skin - Decreased ... differential #diagnosis #causes
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
enzyme 21-OHase causes ... Signs/Symptoms/Complications ... vomiting • Late (shock ... endocrinology #peds
Manifestations of Anaphylaxis by Body System Dermatologic/mucosal - Eyes: periorbital swelling/erythema, injected conjunctiva, tears - Oral mucosa:
tightness, tachypnea, decreased ... : bradycardia, shock ... Gastrointestinal - Nausea ... Diagnosis #Allergy #Signs ... #Symptoms #Anaphylaxis
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 Spinal Cord Disorders - Differential Diagnosis Framework Spinal cord neurological lesion: Clinical findings: • Symptoms and signs below
findings: • Symptoms ... and signs below ... Cauda equina- decreased ... Non-compressive Spinal Cord Causes ... differential #algorithm
Quick Guide: Buprenorphine Initiation Algorithm Adjunctive meds: The following can be prescribed PRN for symptoms of withdrawal
Adjunctive meds ... prescribed PRN for symptoms ... hours PRN w/d symptoms ... q 6 hours PRN nausea ... withdrawal/pain ● Decrease
Bulimia Nervosa: Complications GASTROINTESTINAL • Dehydration & inability to digest food -> Constipation • Recurrent vomiting exposes
GASTROINTESTINAL • Dehydration ... frequent vomiting -> decreased ... hormone levels cause ... pathophysiology #diagnosis #signs ... #symptoms #psychiatry
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