7012 results
Multiple Myeloma and Monoclonal Gammopathies
C - HyperCalcemia- calcium > 11 mg/dL / >1 mg/dL the ULN
R
hypergammaglobulinemia; SPEP ... Causes of false- ... negative SPEP: ... amyloidosis Other causes ... Gammopathies #MGUS #diagnosis
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
SPEP+free light ... monoclonal gammopathy (SPEP ... expensive than SPEP ... infections are common causes ... testing #workup #diagnosis
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
pathways. 6) SPEP ... monoclonal gammopathy (SPEP ... expensive than SPEP ... infections are common causes ... disease #workup #diagnosis
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Causes of Monoclonal ... amyloidosis Causes ... anemia • Other causes ... reactants will cause ... #differential #diagnosis
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
• Most common cause ... media • Important cause ... Diagnosis: • Physical ... Sensitivity 60%, Spec ... #microbiology #diagnosis
Monoclonal Gammopathy Testing
Strengths, Weaknesses and Accuracy Compared
 - SPEP 
 - IFE 
 - FLC
Accuracy Compared - SPEP ... - FLC - UPEP ... Testing #Protein #Diagnosis ... #MGRS #MGUS #SPEP
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome - Diagnosis ... lung disease Caused ... diffusion from IPVDs Diagnostic ... 100% sens, 88% spec ... minutes of rest HPS Diagnostic
Diplopia - Differential Diagnosis
Step 1: Consider Stroke
Step 2: Diplopia PLUS
 - Cavernous Sinus Syndrome
 - Infection
- Differential Diagnosis ... Step 1: Consider ... Stroke Step 2: ... #Differential #Diagnosis ... #Algorithm #Causes
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Specific Gravity Step ... and measure UNa Step ... considered likely, the cause ... #Hyponatremia #Diagnosis
Drugs Causing Acute Pancreatitis

Class Ia: The medications in which there was a rechallenge and other causes
rechallenge and other causes ... out other common causes ... Class II: Cases ... #Pancreatitis #Causes ... #Differential #Diagnosis