12 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Algorithm Cl- ... Vomiting/nasogastric suction ... alkalosis • Normal ... In a normal gap ... #urine #Algorithm
Right Ventricular Structure and Function

- Almost 75 % of the RV systolic function is dependent in
is dependent in longitudinal ... the RV and RA longitudinal ... Having normal TAPSE ... doesn't mean normal ... volume ratio is high
A POCUS is done starting first at the distal posterior thigh on non-painful, normal appearing tissue.

Dr.
distal posterior thigh ... on non-painful, normal ... Clinical #MSK #POCUS #Normal ... #Thigh #Muscle ... #Longitudinal #SonoStuff
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Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... - Urinary Chloride ... Vomiting/nasogastric suction ... , Congenital chloride ... Differential #Diagnosis #Algorithm
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Ringers (LR) vs Normal ... 1.5 mEq/L • Chloride ... densa receives high ... chloride load - ... coagulopathy - functional
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Approach to Thyroid Function ... • Low TSH, Low normal ... • Low TSH, normal ... or normal TSH, ... Hyperthyroidism #algorithm
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... this indicates normal ... adrenal function ... Measure ACTH: - High ... Insufficiency #Diagnosis #Algorithm
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm
Absence of menses for more than 3 cycles or
Differential Diagnosis Algorithm ... menstruating Ovarian - Normal ... progesterone challenge, normal ... estrogen: • Functional ... Differential #Diagnosis #Algorithm
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
and MLF (medial longitudinal ... There was also high ... days, followed by oral ... and cognitive function
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The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
crusade against “Ab”Normal ... associated with its Chloride ... we introduce a high ... derangements in function ... The high CL- content