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diagnosis algorithm classification hematology chronic elevation sob approach cardiology decrease dm2 endocrinology false fatigue gout hba1c hgba1c high hyperkalemia hyperuricemia
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
Dyspnea - Differential ... failure - CAD/ACS ... Hematology: - Anemia ... Additional: - Acidosis ... #sob #differential
Diagnostic Framework for Anemia (Morphological Approach - MCV) Low MCV - <80fL - "Microcytic" • Iron deficiency
Framework for Anemia ... kidney disease, Acute ... Megaloblastic: Vitamin B12 ... morphologic #mcv #differential ... #diagnosis #causes
Overall Approach to Anemia - Differential Diagnosis Algorithm Blood Loss • Acute Bleed - Normocytic / Normochromic
Overall Approach to Anemia ... Blood Loss • Acute ... • B12/Folate ... Anemia • Anemia ... Non-lmmune #Anemia
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... Dyspnea - Differential ... Stable Angina • Acute ... Pulmonary - Other • Anemia ... • Metabolic Acidosis
Acute and Chronic Causes of Dyspnea - Differential Diagnosis Pulmonary/Chest Wall: • Acute: Trauma, COPD exacerbation, Asthma
Causes of Dyspnea ... : ACS, Acute decompensated ... Tamponade • Chronic: Anemia ... Chronic: Metabolic acidosis ... #Causes #Differential
Causes of False Elevation and Reduction in HbA1c == False Elevation == Decreased RBC turnover • Iron, B-12,
Causes of False ... , or folate deficiency ... RBC turnover • Acute ... • Hemolytic anemia ... Diagnosis #DM2 #Differential
Hyperuricemia - Differential Diagnosis Algorithm Primary - Over-production • Increased turnover of nucleotides Primary
Hyperuricemia - Differential ... Myeloid Leukemia (AML ... - Hemolytic Anemia ... • Diabetic acidosis ... endocrinology #causes
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
, Anemia • Prevalence ... Crohn's > UC Anemia ... Receptor (sTfR) to differentiate ... restricted diet/deficiency ... /other causes •
Great Mimickers - SHALLOTS Mnemonic S- Syphilis - Neurosyphilis, aortitis, gummas... Granulomas can form anywhere! Skin, mucosa,
Mimickers - SHALLOTS Mnemonic ... dermatitis, dementia, anemia ... it can manifest as ... rashes, edema, dyspnea ... #Diagnosis #Differential
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential ... cardiac output - Acute ... peritonitis - Acute ... 30mmHg) - Severe anemia ... #Elevation #Differential
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