9 results
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
in 1923 Low ALP ... thigh bones -> chronic ... respiratory failure • Neurologic ... Hyperlipidemia - Hypercalcemia ... Phosphatase: • Other causes
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... : Hypovolemia, Hypervolemia ... differential #diagnosis #table ... #sodium #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
polydipsia • Hypervolemia ... Nephrotic Syndrome, Chronic ... #diagnosis #causes ... #nephrology #sodium ... #low
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
only if no clear cause ... Elimination (see Table ... acidosis) • Low ... NOT hypertonic Amp ... #potassium #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Torsemide) • Acute pulmonary ... Hyponatremia • Hypercalcemia ... Kidney stones caused ... Tolvaptan) • Treatment ... #Medications #Table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... with presence of pulmonary ... the determined cause ... #differential #algorithm ... #table #foamed
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
are typically able ... treat the primary cause ... “one size fits all ... #diagnosis #algorithm ... criticalcare #foamed #treatment
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
acid, high LDH, low ... high d-dimer, low ... Treat underlying cause ... plasmapheresis Hypercalcemia ... renal failure, pulmonary
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
of prior silent pulmonary ... w/ subacute-to-chronic ... Nausea & vomiting ... Standard treatment ... If a second LP is