55 results
Diagnostic algorithm for the workup of hypercalcemia. The diagnostic workup for patients presenting with hypercalcemia rests
algorithm for the workup ... suppressed PTH values ... calcium-creatinine ratio cutoff value ... sensitivity for correct classification ... #Workup #Differential
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Workup of Hypercalcemia ... - Differential ... Algorithm High or Normal ... Malignancy • Normal ... #Differential #
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Hypercalcemia Evaluation ... 1) Clinical clues ... FeCa <1 %) - Low normal ... • If all normal ... #workup #differential
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS
Laboratory TLS:
 • Uric
Classification of ... upper limit of normal ... hydroxide • Hyperkalemia ... treatment • Hypocalcemia ... TLS #diagnosis #management
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
320C / SOOF) • Normal ... variant • Hypercalcemia ... No prognostic value ... JWave #Diagnosis #Differential
Gynecomastia - Differential Diagnosis a
nd Workup Algorithm
Gynecomastia is common in clinical practice, affecting ~50% of males
Gynecomastia - Differential ... Diagnosis a nd Workup ... affecting ~50% of males ... Labs: TSH, Cr, LFTs ... #Diagnosis #Workup
Hypoglycemia Workup and Differential Diagnosis
Workup:
 • Sulfonylurea Labs
 • Anti-lnsulin Ab - Insulin Autoimmune Syndrome
 •
Hypoglycemia Workup ... and Differential ... Diagnosis Workup ... • Sulfonylurea Labs ... 30 mins later - Normally
Mitral Valve Regurgitation - Carpentier Classification
Type I - Normal Leaflet Motion
   - Type la
Mitral Valve Regurgitation ... - Carpentier Classification ... Type I - Normal ... Motion - Type la ... #Carpentier #Classification
Hypocalcemia - Diagnosis and Management
PTH Independent (↑ PTH)
 • LOW VIT D
    -
Hypocalcemia - Diagnosis ... and Management ... (phenytoin) • NORMAL ... #Diagnosis #Management ... endocrinology #differential
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
values: WBC >100k ... , + lab signs of ... values: Elevated ... hydration - Hyperkalemia ... TLS #diagnosis #management