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Causes of Dysuria - Differential Diagnosis Algorithm Pyuria - Leukocytes on Dipstick/Microscopy - Bacteriuria & Hematuria -
Causes of Dysuria ... Dipstick positive for nitrites ... Pyelonephritis - WBC Casts ... Dipstick negative for nitrites ... Diagnosis #Algorithm #Causes
Cyanide Toxicity Treatment: 1) Hydroxocobalamin + Cyanide = Cyanocobalamin (nontoxic) or 2) Amyl nitrite
or 2) Amyl nitrite ... - causes methemoglobinemia
Differential Diagnosis for Hemolytic Anemia Intrinsic Causes: • Enzyme deficiencies ex. G6PD, pyruvate kinase • Hemoglobinopathies
Anemia Intrinsic Causes ... elliptocytosis Extrinsic Causes ... agents ex. dapsone, nitrates ... Intravascular Causes ... Differential #Diagnosis #causes
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
WBCs, or urine nitrites ... proteinuria, RBC casts ... Nephrology if cause
Serious Bacterial Illness (SBI): 1) UTI and pyelonephritis Most common cause of SBI Accounts for 3-8% of uncharacterized fevers Female
pyelonephritis Most common cause ... 75% specificity, Nitrites
Syncope - Differential Diagnosis Algorithm Neurocardiogenic: • Vasovagal • Orthostatic Hypotension • Autonomic Neuropathy • Situational (micturition,
Medications (CCB, ßB, Nitrates ... Diagnosis #Algorithm #causes
Features That Differentiate Acute Pericarditis from Myocardial Ischemia or Infarction and Pulmonary Embolism In contrast to the
relieved with nitrates ... life-threatening causes
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 Post-abortion Hemorrhage Management Algorithm Cervical laceration → Direct pressure, silver nitrate for small laceration → Repair with
pressure, silver nitrate ... atony or unsure of cause
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products Angiotensin-Converting Enzyme Inhibitors (ACEIs) • Night-blooming
vera, Licorice - Causes ... digoxin assay Nitrates ... Potentiates action of nitrates
Sodium Nitrite and Nitrate - Toxicology Clinical features of nitrate/nitrite toxicity • MetHb • Hypotension • Headache,
Sodium Nitrite and ... Nitrate - Toxicology ... /nitrite toxicity ... blurred vision, nausea ... #Nitrite #Nitrate
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