8 results
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
- Under-excretion ... (AML) • Chronic ... Hyperparathyroidism • Diabetic ... Renal • Chronic ... endocrinology #causes
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis - Urinary ... metabolic acidosis • Chronic ... metabolic acidosis • Diabetic ... D-lactic acidosis • Chronic ... the indicated causes
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Regulating Renal Excretion ... irrigation • Management ... Kidney stones caused ... Acute myocardial infarction ... Diuretics #Renal #Excretion
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
Usually middle-aged diabetic ... outlet obstruction, chronic ... present or signs of infection ... present • UA and Urine ... also important Management
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
Causes of Metabolic ... acute reversal of chronic ... after renal tubule diuretic ... > 20 meq/L • Primary ... /carbenoxolone ingestion
Causes of Hyperkalemia
l. Pseudohyperkalemia
  A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis
  B.
Causes of Hyperkalemia ... Inadequate excretion ... Diabetes, diabetic ... Chronic kidney disease ... Primary adrenal
IDSA - Approach to Treating a Patient With Diabetic Foot Osteomyelitis
When to consider a trial of
a Patient With Diabetic ... Foot Osteomyelitis ... destruction has not caused ... tissue wound or primary ... #nonoperative #management
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
85% • < 50% in chronic ... MUCORMYCOSIS • Risk: Diabetes ... extrapulmonary disease (osteomyelitis ... antibodies • Urinary ... Fungal #Diagnosis #Management