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diagnosis algorithm nephrology causes hypokalemia potassium physicalexam cord hypotonic management spinal urine workup adies alkalosis cauda caudaequina chloride comatose dermatomes
Spinal Cord Injury by Nerve Root Levels Spinal Root Sensory Motor Reflex C4 Acromioclavicular Joint Respiration None C5 Radial Antecubital Fossa Elbow Flexion Biceps Reflex C6 Dorsal Thumb Wrist Extension Brachioradialis Reflex C7 Dorsal
Femoral Condyle Knee ... Ankle Dorsiflexion Knee ... Sphincter None #SpinalCord ... NerveRoots #Levels #differential ... #diagnosis #Neurology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Extra-renal Losses: • Normal ... Acid-Base: Low ... #Hypokalemia #Differential ... #nephrology
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... decortication), abnormal ... #PhysicalExam #neurology
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Hyperplasia • Normal ... Al, Normal R - ... #Hypokalemia #Differential ... Diagnosis #Algorithm #nephrology
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia - Differential ... Hypercalcemia Low ... PTHrP: - Low ... disease, Viral Syndromes ... Algorithm #Workup #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... or Low PTH: ... or Low FGF-23: ... Hypophosphatemia #Differential ... Workup #phosphate #nephrology
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
unilateral; • Slow ... Holmes-Adie Syndrome ... Young females Differential ... Ill Palsy - abnormal ... #PhysicalExam #neurology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Low-normal EABV ... , Low Plasma HCO3 ... • Distal RTA Low-normal ... urine #potassium #differential ... algorithm #diagnosis #nephrology
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
and Myotomes Reflexes ... : • Knee - L2 ... • Cauda Equina Syndrome ... - Low back pain ... Myotomes #diagnosis #neurology
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
symptoms: • Severe low ... constipation Differential ... wink test - reflex ... #differential # ... diagnosis #causes #neurology
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