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

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Hypokalemic periodic paralysis ... GI losses (NG suction ... vomiting) • Low ... #nephrology #low
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Medications (diuretics), Hypothyroidism ... Cerebral salt wasting ... Primary polydipsia, Low ... diagnosis #sodium #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Cerebral salt wasting ... acid <4 • SIADH, Hypothyroidism ... , Low solute intake ... #Hyponatremia #algorithm ... #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... arrhythmias and paralysis ... consumption • Low ... differential #potassium #nephrology ... #low
Causes of Secondary Amenorrhea - Differential Diagnosis Algorithm
Absence of menses for more than 3 cycles or
Differential Diagnosis Algorithm ... FSH, Low estrogen ... : • Functional ... (e.g. eating disorder ... compression) • Hypothyroidism
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Uosm), Hypothyroidism ... Cerebral Salt Wasting ... table #sodium #nephrology
Causes of Primary Amenorrhea - Differential Diagnosis Algorithm
No onset of menarche by age 16 with secondary
Differential Diagnosis Algorithm ... Etiology - High FSH, Low ... Hypothalamic: • Functional ... (e.g. eating disorder ... Hyperprolactinemia • Hypothyroidism
Causes of Hypokalemia - Differential Diagnosis Algorithm
Decreased intake (rare cause in isolation)
GI loss - Urine loss
Differential Diagnosis Algorithm ... Vomiting • NG suction ... artery stenosis Low ... #Hypokalemia #Nephrology ... Differential #Diagnosis #Algorithm