Psychiatry algorithm em diagnosis workup nephrology syndrome hypokalemia sodium pth - GrepMed

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Laboratory Evaluation of Hypocalcemia #Diagnosis #EM #IM #Evaluation #Workup #Hypocalcemia #PTH #Differential #Algorithm #Ddxof

#Diagnosis #EM ... IM #Evaluation #Workup ... #Hypocalcemia # ... PTH #Differential ... #Algorithm #Ddxof

Hypocalcemia Workup - Differential Diagnosis Algorithm
• Low Magnesium, High Magnesium - Functional Hypoparathyroidism
• High

Hypocalcemia Workup ... Algorithm • Low ... metastases, Hungry bone syndrome ... #Diagnosis #Algorithm ... #nephrology #calcium

Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
• Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,

Workup of Hypercalcemia ... - Differential Diagnosis ... Algorithm High ... #Algorithm #Workup ... #nephrology #PTH

Hypokalemia Differential Algorithm
Acidosis
- RTA
- Diarrhea
pH Normal
1. Decreased Mg
2. Intracellular Shift

Hypokalemia Differential ... Algorithm Acidosis ... - Diarrhea pH ... #Diagnosis #Causes ... #Workup #Nephrology

Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
> 600 mOsm/kg - Implies extrarenal mechanism

- Differential Diagnosis ... Workup Algorithm ... , Cushing syndrome ... #Workup #Algorithm ... #nephrology #sodium

Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2. Check plasma osmolality.
NORMAL PLASMA

and Workup Step ... Repeat the sodium ... • nephrotic syndrome ... #Workup #Algorithm ... #Nephrology

Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia:
• ADH ON (UOsm > 100):

Modified Hyponatremia Algorithm ... ON (UNa < 30): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... #diagnosis #sodium ... #nephrology

Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia:
• Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,

Hyponatremia: • Hypovolemia ... Cirrhosis, Nephrotic Syndrome ... MH/CCF/CWRU EM ... #diagnosis #causes ... #nephrology #sodium

Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the

normal volume-based algorithm ... Present (Uosm ≥100): Hypovolemia ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... #nephrology

Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
• Prevalence: 1-2 cases per million -

(SPS) - Diagnosis ... positive in 2/3 of pts ... antibody that works ... others (botox, sodium ... Management #treatment #neurology

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