15 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Diagnosis Algorithm ... Workup Step #1 ... history Step #2 ... & desmopressin test ... #Sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... 1) Check Urine ... renal mechanism 2) ... #nephrology #sodium
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Step 1: Consider ... elevated Step 2: ... Consider additional tests ... considered likely, the cause
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Adrenals: • Lung cancer ... Hypoparathyroidism - Type 1 ... Serum DHEAS Diagnosis ... : - Check sodium ... endocrinology #diagnosis
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Management Caused ... Symptoms and Signs ... : 1. ... oligoarthralgia (80%) 2. ... #algorithm #management
Dermatological semiology of Cutaneous Vasculitis 

Clinicopathologic correlations
 • Purpura, papules, pustules, necrosis: involvement of small vessels
Identification of causes ... EGPA • Solid cancers ... • Infections (1- ... 2%) • Other: IBD ... #lesions #diagnosis
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
(Romberg's sign ... to perform: 1) ... with eyes open 2) ... #neurology #diagnosis ... proprioception #physicalexam
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... → Syncope • Signs ... encephalopathy) 2. ... #causes #stroke
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Involves large and medium ... systemic sx + signs ... the “Chewing gum test ... Start steroids if concern ... GCA #Temporal #Signs
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... is decreased), hypernatremia ... dexamethasone suppression test ... Hypercortisolism #Diagnosis ... #signs #symptoms