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diagnosis clinical differential cardiology msk algorithm nephrology management treatment ucsdh neurology ekg nejm ecg pocus cardiacmri cardiomyopathy dermatology disease echocardiogram
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Diagnosis and Causes ... Pseudo-acute coronary syndrome ... Recent flu-like syndrome ... diagnosis: Ischernic cause ... #cardiology #MRI
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
and Nephrotic Syndromes ... Nephritic syndrome—due ... RBC casts in urine ... but in severe cases ... Nephritic #Nephrotic #Syndromes
Purple Urine Bag Syndrome Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine Tryptophan → Indoxyl
Purple Urine Bag ... Syndrome Chronic ... E.coli*) + alkaline urine ... #Bag #Syndrome ... pathophysiology #clinical #photo
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria: Red/Dark urine ... 1ml blood/liter urine ... disease - Alport syndrome ... pain hematuria syndrome ... • Nutcracker syndrome
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... hematuria (RBC casts ... dysmorphic RBCs in urine ... Nephritic #Nephrotic #Syndrome
Causes Abnormal Urine Color - Differential Diagnosis Turbid White Urine (Albinuria): • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal ... • Drummond's syndrome ... (blue diaper syndrome ... Bag Syndrome - ... UTI caused by (Proteus
Cushing Syndrome Testing Algorithm INDICATIONS FOR TESTING: • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension) Testing:
Cushing Syndrome ... Suspected Cushing syndrome ... Cortisol, Free Urine ... Serum (or Cortisol Urine ... Adrenocorticotropic Hormone • MRI
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Doppler ultrasound; MRA ... test (with 24-h urine ... CT or MRI scan of ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Proteinuria (Negative urine ... • Fanconi's syndrome ... Proteinuria (Positive urine ... Diagnosis #Algorithm #Causes
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic ... Diagnosis Algorithm Urine ... diuretic use Urine ... BP = Bartter's Syndrome ... , Gitelman's Syndrome
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