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diagnosis causes pathophysiology algorithm edema grading nephrology ophthalmology ammonia auscultation bilateral cardiac cardiology chloride clinical curve diplopia dissociation doublevision endocrinology
Differentiation of Causes of Hyperthyroidism According to Pattern of Radionucleotide Uptake Reduced uptake: • Thyroiditis • Exogenous
thyroxine • Iodine loading ... increased uptake: • Graves ... radionuclide #uptake #differential
Grades of Pitting Edema 0+ No pitting edema 1+ Mild pitting edema. 2 mm depression
Grades of Pitting ... #Diagnosis #PhysicalExam ... Pitting #Edema #Grade ... #Grading #Severity
Oxyhemoglobin Dissociation Curve Left Shift - decreased unloading of O2 at tissue level (i.e. increased
Shift - decreased unloading ... Shift - increased unloading ... #Right #Shift #Differential
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Polyuria - Differential ... Water and solute loading ... #Polyuria #Differential
Non-cirrhotic Hyperammonemia - Differential Diagnosis Framework Hematologic & Vascular: • Multiple myeloma & Acute leukemia (plasma cells
Hyperammonemia - Differential ... bleeding (↑ nitrogen loading ... Hyperammonemia #ammonia #Differential
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • Myasthenia Gravis ... • Myasthenia Gravis ... cannot depress when looking ... #DoubleVision #Differential
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Hypochloremia - Differential ... facilitates oxygen unloading ... Hypochloremia #Differential
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Myasthenia gravis ... • Myasthenia gravis ... to the eyelid leading ... Ptosis #neurology #Differential
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... Oral sodium loading ... #Hypertension #Differential
Peripheral Edema - Differential Diagnosis Framework for Lower Extremity Edema Edema occurs when any of the following
Peripheral Edema - Differential ... Bilateral • Protein-losing ... Peripheral #Edema #differential ... Lower #Extremity #PhysicalExam
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