3 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
symptoms (HA, nausea ... Assessment of volume status ... Diagnosis #EM #IM ... #Nephro #Hyponatremia ... #Differential #Algorithm
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
pregnancy related cause ... Medroxyprogesterone acetate PO Stat ... Hemodynamically stable ... breast cancer IM ... long-term therapy #AUB
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... absorption 2/2 ab ... malabsorptive state ... - Check for IF ab ... , can consider IM