29 results
diagnosis differential causes hypokalemia hyponatremia potassium alkalosis metabolic hirsutism hyperkalemia hypernatremia management pathophysiology urine workup cardiorenal chloride classification cushing epilepticus
Hirsutism - Differential Diagnosis Algorithm RAPID ONSET Medications • Steroids • Danazol • Progestin Containing Contraceptives Increased Serum Testosterone
Differential Diagnosis Algorithm ... RAPID ONSET Medications ... Serum DHEAS • Adrenal ... Neoplasm SLOW ... #endocrinology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Uric Acid - Low ... High Uric Acid → renal ... #nephrology #sodium ... #low #uricacid
Hirsutism & Virilization - Differential Diagnosis Algorithm ADRENAL EXCESS Ovarian • Polycystic Ovarian Syndrome • Hyperthecosis • Tumor Adrenal
Differential Diagnosis Algorithm ... ADRENAL EXCESS ... Tumor Low Serum ... Differential #Diagnosis #Algorithm ... #endocrinology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses ... Normal Acid-Base: Low ... Differential #Diagnosis #Algorithm ... #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Cirrhosis, Nephrotic syndrome ... Hypothyroidism, Adrenal ... Primary polydipsia, Low ... #diagnosis #sodium ... #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Hypothyroidism, Low ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Tea and Toast Syndrome ... Beer Potomania - Low ... failure, nephrotic syndrome ... #causes #nephrology
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Testing Algorithm ... Cortisol, Saliva • Low ... #diagnosis #algorithm ... #endocrinology ... #Adrenal #Hyperfunction
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Sodium loss (diuretics ... can be high or low ... Cirrhosis, Nephrotic syndrome ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... • Euvolemic (Low ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... #nephrology #sodium
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