7 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid Base Disorders ... - Evaluation and ... adding ~0.05 to pH ... chronic) of the disorder ... #Evaluation #workup
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
cases in which injury ... origin of the disorder ... a hypothalamic disorder ... Insufficiency #Evaluation ... endocrinology #workup
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
Hypertensive Disorders ... persists > 12 weeks postpartum ... evidence of organ injury ... severe RUQ pain, renal ... hypertension #htn #obstetrics
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... Approach (when evaluation ... or acute kidney injury ... Neurologic disorders ... #Hypertension #Workup
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Immune mediated injury ... thrombosis • Renal ... catheterization • BPH ... TURP/Biopsy Renal ... • Menstruation/Postpartum
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
hemolytic anemia, PNH ... injuries Hepatic Injury ... Hepatocellular Injury ... paralyses CNS Disorders ... Cardiac: • Myocyte injury
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Albumin > 4) Work-up ... first step in evaluation ... Connective tissue disorders ... cancers, HCC, renal