47 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... symptomatology Differential ... high resolution chest ... #differential # ... diagnosis #nephrology
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... • Parenchymal Disease ... Hypoventilation Syndrome ... Abnormalities • Chest ... Hypoxemia #Hypoxia #Differential
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... • Myocarditis Pulmonary ... • Biliary Disease ... • Trauma - Neurologic ... Noncardiac #Cardiology #Differential
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Encephalopathy Syndrome ... PRES) - Diagnosis Clinical ... constant, global, and refractory ... • Autoimmune disease ... #Diagnosis #Neurology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... • Sub-Valvular Disease ... Coronary Artery Disease ... Acute Coronary Syndrome ... Thickening/Masses Chest
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... cirrhosis, nephrotic syndrome ... Stress, Nausea, Pulmonary ... Diseases, CNS Disease ... Algorithm #diagnosis #nephrology
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Hypertension - Differential ... based on repeat clinic ... Hypertensive urgency • Refractory ... Renal Parenchymal Diseases ... #Differential #
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... Obstructive Lung Disease ... , Interstitial Disease ... Hypoxia #hypoxemia #differential
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Differential Diagnosis ... Causes of Fever CRITICAL ... infarction - Pulmonary ... Neuroleptic malignant syndrome ... - Sickle cell disease
Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm
No Objective Weakness
 • Cardio-pulmonary disease
Weakness • Cardio-pulmonary ... disease • Anemia ... Lambert-Eaton Myasthenic Syndrome ... Peripheral #Weakness #Neurology ... #Differential #