369 results
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
ultrasound, Tests ... Duplex Doppler ultrasound ... test (with 24-h urine ... • Cushing’s syndrome ... Mineralocorticoid excess syndromes
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... Elevated Renin Urine ... Inappropriate renal ... Ultrasound - No ... dr_missyhanna #Gitelman #Syndrome
Evaluation of Secondary Hypertension
 • Primary aldosteronism - PRA, PAC
 • Renal artery stenosis - Renal
- PRA, PAC • Renal ... artery stenosis - Renal ... fT4 • Cushing syndrome ... cortisol. 24-h urine ... Mineralocorticoid excess syndromes
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
differential, urine ... dipstick, urine ... Abdominal compartment syndrome ... blood culture, urine ... syndrome: troponin
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
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Na <20: Extra-renal ... losses • Urine ... Na >30: Renal losses ... Cirrhosis, Nephrotic syndrome ... : Renal failure
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
hyperaldosteronism • Low Urine ... (late) • High Urine ... , Gitelman Syndrome ... hyperaldosteronism • High PRA: Renal ... , Liddle syndrome
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
hyperaldosteronism • Low Urine ... (late) • High Urine ... , Gitelman Syndrome ... hyperaldosteronism • High PRA: Renal ... , Liddle syndrome
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Gap - UAG and Urine ... - RenalUrine ... Renal Loss of HCO3 ... - Renal insufficiency ... Hypoaldosteronism - Renal
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 ... dysmorphic RBCs in urine ... Nephritic #Nephrotic #Syndrome