15 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... Fluid albumin and serum ... • Calculate SAAG ... and check ascites
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... - Serum to Ascites ... oncotic pressure Low ... SAAG ≤ 1.1: • ... #Serum #Albumin
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Urine Sodium 4) Serum ... Uric Acid - Low ... Acid → renal salt wasting ... By Rachel Stern ... Diagnosis #Algorithm #nephrology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... Gradient (SAAG) ... " Low albumin ... ischemia/infarction #SAAG ... #Serum #Ascites
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Cerebral salt wasting ... Euvolemic, Serum ... Hypothyroidism, Low ... diagnosis #sodium #low ... #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Framework and Workup ... K low/normal ... K: low/normal ... Differential #Diagnosis #Workup ... #nephrology
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Diagnosis • ↑ in serum ... Moderate to severe ascites ... type 2 HRS) • Low ... diagnosis #HRS #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... in monitoring low-level ... expensive Serum ... #workup #diagnosis ... nephrotic #nephritic #nephrology
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... - CCP antibody testing ... chest wall, and low ... Arthritis #laboratory #workup ... #diagnosis #testing
Primary Adrenal Insufficiency:
 • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
endogenous ACTH • Serum ... autoantibody tests - Serum ... stimulation by ACTH • Serum ... laboratory #diagnosis #testing ... endocrinology #workup