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diagnosis differential hypokalemia nephrology potassium anorexianervosa arthrocentesis causes cirrhosis complications diet effusions endocrinology fluid hepatology hyperthyroidism joint knee management nutrition
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
Thyrotoxic Periodic Paralysis ... and menses • Pathophysiology ... Hypokalemia +/- low ... high fT4 or high T3 ... Thyrotoxic #Periodic #Paralysis
Knee Effusions - Arthrocentesis Interpretation Inflammatory arthritis: • Color: Yellow-> Green • Clarity: Opaque • Viscosity: Low
Arthrocentesis Interpretation ... • Viscosity: Low ... RBC's Crystal analysis ... Lyme: Serological testing ... #joint #fluid #analysis
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
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... arrhythmias and paralysis ... differentiating kidney K wasting ... consumption • Low ... potassium #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
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Differential Diagnosis Algorithm ... Vomiting • NG suction ... Thyrotoxic periodic paralysis ... hypokalemic periodic paralysis ... Differential #Diagnosis #Algorithm
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
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