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Secondary causes of Hypertension • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes ... Pseudopheochromocytoma - respond ... Other Endocrine causes ... low renin HTN causes ... #Secondary #causes
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
Diagnosis Framework Causes ... - Dim light response ... , Serotonin syndrome ... Miosis: Horner's syndrome ... - Bright light response
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic ... mmol/l - Chloride responsive ... BP = Bartter's Syndrome ... , Gitelman's Syndrome ... Metabolic #Alkalosis #Causes
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Tea and Toast Syndrome ... Responds briskly ... Psychogenic Polydipsia - Responds ... failure, nephrotic syndrome ... Diagnosis #Algorithm #causes
Adie's Pupil What? Unknown nature & benign • Regular and mildly dilated pupil (4-6mm); • Light-near dissociaton;
pupillary dilation in response ... light; • Normal response ... Holmes-Adie Syndrome ... dissociation • Other causes
Blood gas analysis Metabolic alkalosis Measured urine CI < 10 mEq/L Saline responsive > 10 mEg/L Not saline responsive - Vomiting or NG
mEq/L Saline responsive ... /L Not saline responsive ... suction Endocrine cause ... H+ loss Renal cause ... - Gitelman syndrome
Adie's Pupil on Physical Exam Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
more definite response ... It is caused by ... infection which causes ... ophthalmology #neurology #syndrome
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 Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Causes of Secondary ... Testing Common causes ... illicit drugs) Response ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes
Bradycardia - Differential Diagnosis Framework BRADI Mnemonic • BRASH/Hyperkalemia • Reduced oxygen/Glucose/Temp • ACS • Drugs •
Infections BRASH Syndrome ... Pressure - Cushing response ... • Tachy-Brady syndrome ... Spondylarthropathies Other causes ... differential #diagnosis #causes
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
frequently benign causes ... due to vasovagal responses ... carotid sinus syndrome ... life-threatening causes ... depends on the cause
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