44 results
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
intolerance suspected, Colonoscopy ... performed, may show melanosis ... EGD +/- ERCP +/- colonoscopy ... Inflammatory: • Colonoscopy ... Workup #diagnosis #differential
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
EGD and Biopsy Differential ... : Melanosis, Melanoma ... Pseudomembranous esophagitis, Infection
Blood culture contaminants
Grouped by gram negative vs gram positive vs other as well as never/maybe/probably
Some additional
negative vs gram positive ... febrilepodcast] #ID #Infectious ... Diseases #Infections ... Microbiology #Micro #Differential
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Syndromes and Mimics - Differential ... Disease - Double Positive ... Myositis MIMICS: - Infections ... : Hantavirus infection ... Syndromes #Mimics #Differential
The infant with tachypnea or wheeze - Clinical Conditions to Consider
 - Bronchiolitis 
 - Pneumonia
wheezing - with viral infections ... respiratory infection ... wheezing, eczema, positive ... Tachypnea #Wheeze #Differential
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Proteinuria - Differential ... Glomerular Proteinuria (Positive ... HSP • Post-infectious ... • Protein deposition ... Proteinuria #Nephrology #Differential
Causes of Sudden Unexpected Death in Infancy (SUDI) - Differential Diagnosis Algorithm
Congenital Anomaly / Disorder:
 •
Infancy (SUDI) - Differential ... Metabolic Disorders Infection ... Gastrointestinal infection ... Prone Sleeping position ... Infancy #Infant #Differential
Approach to a Positive (+) Rheumatoid Factor (RF)
(+) RF does not always = RA
Rheumatic disorders:
 •
Approach to a Positive ... disorders: • Chronic infections ... rheumatology #laboratory #differential
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Parasitic infections ... occult blood - Colonoscopy ... workup #diagnosis #differential
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
Neutrophil (Normal) Differential ... odds of having positive ... overlook severe infections ... superior indicator of infection ... #Bandemia #differential