10 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... Identification of onset (acute ... history (cardiac, liver ... #EM #IM #Nephro ... #Differential #Algorithm
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
GPA, IgA, MPA) Acute ... Antiphospholipid syndrome ... hypovolemia), Meds ... /Treatments (Pressors ... #Diagnosis #algorithm
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Heart Failure, Liver ... Cirrhosis, Nephrotic Syndrome ... MH/CCF/CWRU EM ... #diagnosis #causes
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diagnosis of ... heart failure, liver ... heart failure, liver ... heart failure, liver ... heart failure, liver
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
Algorithm Central ... Parvovirus 819 / EBV, Acute ... Secondary syphilis, EM ... angiomatosis, Sweet syndrome ... #Algorithm #Schema
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
thrombocytopenia • Liver ... 10,000 ng/mL • Hyponatremia ... Treatment: • Corticosteroids ... #Diagnosis #Management ... #Hematology #Rheumatology
Hemophagocytic Lymphohistiocytosis (HLH)
Definition: Overwhelming clinical syndrome associated with excessive macrophage activation and cytokine storm due to
Overwhelming clinical syndrome ... presents as an acute ... lymph node, or liver ... • Bicytopenia Treatment ... #hematology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
- 80% have fever ... - ACS, AKI, acute ... limb ischemia, ... #TLS #diagnosis ... #management #hematology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
glucose by the liver ... contribution of liver ... - Compartment syndrome ... mellitus/DKA - Liver ... gluconeogenesis Liver
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
presents with acute ... pulmonary symptoms • Rheumatologic ... to 12 weeks for acute ... , with ensuing ischemia ... Mississippi and Ohio River