9 results
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Approach to Thyroid Function ... Tests in the Evaluation ... 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 ... Hypokalemia +/- low ... high fT4 or high T3 ... • Treatment: Potassium ... hyperthyroidism, 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
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Insufficiency Diagnosis Algorithm ... then go to stim testing ... Standard Stim test ... normal adrenal function ... primary AI - Low
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
Pulmonary Function Test (PFT) Interpretation Algorithm

Approach to PFTs:
1) Look at Flow-Volume Loop if available
2) FEV1/FVC <
Pulmonary Function ... Test (PFT) Interpretation ... Algorithm Approach ... PFTs: 1) Look at Flow-Volume ... #Test #PFT #Interpretation
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Prioritizing Tool • Low ... Biolectrical Impedance Analysis ... (Handgrip test) ... muscle mass and function ... • Prescribe low
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... Functional status ... event, follow ACC algorithm ... determine if stress test ... Orthopedic • Low
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