8 results
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Approach to Thyroid Function ... T4 +/- T3 → Subclinical ... T4 +/- T3 → Primary ... Hyperthyroidism #algorithm ... endocrinology #TFTs #TSH #Interpretation
Thyrotoxic Periodic Paralysis - Illness Script
 • Epidemiology: Asian men age 20-30 with hyperthyroidism of any
Heavy exercise, fasting ... and menses • Pathophysiology ... Hypokalemia +/- low ... high fT4 or high T3 ... • Treatment: Potassium
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemic periodic paralysis ... GI losses (NG suction ... vomiting) • Low ... #nephrology #low ... #potassium
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... arrhythmias and paralysis ... treated with IV potassium ... consumption • Low ... #nephrology #low
Priapism: Pathogenesis

 - Post-cavernosal venous occlusion -> Post-cavernosal venous drainage is mechanically obstructed e.g. sickle cell
cell disease, dialysis ... -> Ischemic (Low-flow ... Inadequate venous function ... Prolonged erection lasting ... #Priapism #Pathophysiology
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Prioritizing Tool • Low ... Biolectrical Impedance Analysis ... muscle mass and function ... • Prescribe low ... management #hepatology #pathophysiology
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... urine Na/Cl > 1.6, low ... confirmed via genetic testing ... correcting serum potassium ... in most cases; interpretation
Anorexia Nervosa: Complications
CARDIAC ABNORMALITIES
 - Functional: Low BP, Sinus bradycardia, prolonged QT interval
 - Structural: Reduced
ABNORMALITIES - Functional ... : Low BP, Sinus ... Enzymes - From fasting ... T3/T4 - Females ... Complications #pathophysiology