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differential nephrology hyponatremia im insufficiency cosyntropin euvolemic hematuria hypervolemic hypokalemia hypophosphatemia low lowglucose lowphosphate macroscopic nephro pediatrics polyuria pseudohyponatremia shortstature
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
symptoms (HA, nausea ... cardiac, liver, renal ... #EM #IM #Nephro ... #Differential #Algorithm ... #Ddxof
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
- Differential Diagnosis ... Algorithm ADH ... - GI losses, renal ... Hypothyroidism, adrenal ... #Algorithm #causes
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... Weakness, fatigue, GI ... - Unexplained hypoglycemia ... findings (see algorithm ... Stimulation #StimTest #Endocrinology
Hypoglycemia - Differential Diagnosis Algorithm Fasting Hypoglycemia: • Excess Insulin • Medications (e.g. Insulin Secretagogues, ß-Adrenergic Antagonists,
Diagnosis Algorithm ... Idiopathic Other Causes ... Hypopituitarism • Adrenal ... #Algorithm #endocrinology ... #causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... • Bleeding • GI ... Hypothyroidism • Adrenal ... #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... • Bleeding • GI ... Hypothyroidism • Adrenal ... #Algorithm #Causes
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... hyperpigmentation, hypoglycemia ... #Algorithm #endocrinology
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Algorithm and Differential ... RBC’s, RBC/WBC casts ... suggest intrinsic renal ... #EM #IM #Urology ... #Ddxof
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
- Differential Diagnosis ... Algorithm Transcellular ... Increased Excretion - GI ... #Algorithm #endocrinology ... #causes
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
Algorithm Normal ... • Congenital Adrenal ... Chronic Disease • GI ... #Algorithm #endocrinology ... #causes #pediatrics
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