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management clinical differential endocrinology insufficiency nephrology pocus primary renal treatment abscess addisons algorithm bacterial calculi calculus criticalcare crohns diuresis diuretics
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
SBP <90, drop in ... , Anaphylaxis, Adrenal ... Insufficiency, Liver ... , Severe Valve Disease ... Severe auto-PEEP, Abdominal
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
• Low-grade fever ... Nausea/vomiting • Abdominal ... patients • ↓ BP ... Serum DHEAS Diagnosis ... endocrinology #diagnosis
Adrenal Insufficiency - Diagnosis and Management Summary Primary Adrenal Insufficiency: Most Common Cause in the US: Autoimmune Adrenalitis Other
or metastatic disease ... ) w/ anorexia, abdominal ... , infiltrative diseases ... level of at least ... minutes Cortisol level
Intraabdominal Abscess on POCUS RUSH exam for fever, hypotension, abd pain. You notice this in RUQ.
Diagnosis? ... Answer: Large intra-abdominal ... hx of Crohn's disease ... signatures of air ... Abscess #POCUS #ultrasound
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 Imaging Modalities for Renal Calculus AXR. KUB - Good far calcium-containing stones useful when limited radiation dose
Calculus AXR ... radiation dose Ultrasound ... causes of flank or abdominal ... retroperitoneal disease ... diverticulae). degree and level
Spontaneous Bacterial Peritonitis DIAGNOSTICS Paracentesis: • Calculate absolute PMN count (total WBC x PMN %) • Correct
Bacterial Peritonitis DIAGNOSTICS ... , abdominal pain ... disease (Child-Pugh ... bilirubin 3) or renal ... #diagnosis #management
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Agents Regulating Renal ... disequilibrium syndrome • Diagnosis ... Postoperative abdominal ... distention • Abdominal ... Diuresis #Nephrology #Pharmacology
Small Bowel Obstruction on POCUS This 28yo female with history of Crohn's disease presents with abdominal pain,
history of Crohn's disease ... presents with abdominal ... Here is her ultrasound ... , diagnosed with ... #SBO #SmallBowel
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 Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... pulmonary and renal ... asymmetric arm BP ... multiplex • GI tract: Abdominal ... gut involvement, abdominal
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
disease: cirrhosis ... Diagnosis (Clinical ... Normal kidney ultrasound ... Diagnostic Support ... Hepatorenal #Syndrome #Hepatology
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