10 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Diagnosis Algorithm ... Workup Step #1 ... Uglucose Step #3 ... & desmopressin test ... #Sodium #nephrology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Tuberculosis: can cause ... Hypoparathyroidism - Type 1 ... PRA • ↓ Serum sodium ... : - Check sodium ... Serum cortisol < 3
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Evaluation Algorithm ... Step 1: Consider ... Gravity Step 3: ... Consider additional tests ... considered likely, the cause
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
Encephalopathy 1) ... L in the first 1- ... Increase in sodium ... urine output for signs ... management #protocol #hyponatremia
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Management Caused ... Symptoms and Signs ... : 1. ... Weight loss (90%) 3. ... Disease #diagnosis #algorithm
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
(Romberg's sign ... to perform: 1) ... Observe when patient closes ... the eyes 3) Observe ... proprioception #physicalexam
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... heat illness → Hypernatremia ... → Syncope • Signs ... , ARDS, DIC) 3.
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
disturbance, psychosis 3) ... is decreased), hypernatremia ... dexamethasone suppression test ... ACTH levels 3) ... Hypercortisolism #Diagnosis #signs
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... the “Chewing gum test ... elicited after 2-3 ... 3 years. ... GCA #Temporal #Signs
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Comatose Patient 1. ... stimulation 3. ... Sternal rub 3. ... • Examine for signs ... caseyalbin #PhysicalExam