9 results
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Management Algorithm ... Stabilization Concern ... idiopathic, liver, CTD, renal ... UGIB #GIBleed #Differential ... gastrointestinal #gastroenterology
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Algorithm and Differential ... suggest intrinsic renal ... disease - Timing ... prostatic) #Diagnosis #EM ... #Algorithm #Ddxof
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Differential Diagnosis ... cardiac, liver, renal ... disease), drug ... history #Diagnosis #EM ... #Algorithm #Ddxof
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... basement membrane disease ... of glomerular disease ... BPH • Prostate cancer ... Pseudohematuria: • GI
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm ... stimulus to ADH • Pain ... • Bleeding • GI ... losses • Renal ... Hypo-osmolar urine
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm ... stimulus to ADH • Pain ... • Bleeding • GI ... losses • Renal ... Hypo-osmolar urine
Weight Loss - Differential Diagnosis Algorithm
Decreased Intake:
 • GI illness (upper and lower)
 • Psychiatric (Depression,
Weight Loss - Differential ... Diagnosis Algorithm ... Decreased Intake: • GI ... Trauma, Burns) • Cancer ... COPD) • Chronic Renal
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
permanent alopecia Differential ... Arthritis: • Joint pain ... pericardial/abd GI ... edema, active urine ... APLA/LAC: • Renal
Hyponatremia Differential Diagnosis Algorithm in Cancer
UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Diagnosis Algorithm ... in Cancer UOsm ... 100 mOsm/kg = Urine ... amyloidosis) • Liver disease ... chemotherapy, nausea, pain