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clinical physicalexam diagnosis differential neurology algorithm management ophthalmology msk causes orthopedics ocular nephrology sports test cardiology slitlamp hematology pulmonary vascular
Causes of Low Vitamin B12 Levels Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people Autoimmune
Causes of Low Vitamin ... B12 Levels Low ... and Sjögren's syndrome ... Food-bound cobalamin ... #cobalamin #differential
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... Vit B12 - aka cobalamin ... leukopenia and/or low ... pit, low retic ... macrocytosis - Low
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Normal Acid-Base: Low ... Ureterosigmoidoscopy • HTN, Low ... SAME, Cushing Syndrome ... , Gitelman syndrom ... causes #potassium #low
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
hyperaldosteronism • Low ... , NGT suction, Low ... , Gitelman Syndrome ... Renin-secreting tumor • Low ... , Liddle syndrome
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome == Nephrotic Syndrome == Onset - Insidious Edema - ++++ Blood
Between Nephrotic Syndrome ... and Nephritic Syndrome ... == Nephrotic Syndrome ... pressure - Normal/low ... Serum albumin - Low
Syncope in 3 Steps 1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA) 2. Heart vs
Mimics: Seizure, low ... Tamponade • Fluid > low ... subclavian steal syndrome ... Rhythm > fast or slow
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
hyperaldosteronism • Low ... , NGT suction, Low ... , Gitelman Syndrome ... Renin-secreting tumor • Low ... , Liddle syndrome
When trying to differentiate between the two conditions think “FAST” with Serotonin Syndrome and “SLOW” with
with Serotonin Syndrome ... Neuroleptic Malignant Syndrome ... Serotonin Syndrome ... Neuroleptic Malignant Syndrome ... Diagnosis #Serotonin #Syndrome
Workup of Hypercalcemia - Differential Diagnosis Algorithm High or Normal PTH: • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia Low ... PTHrP: - Low ... disease, Milk Alkali Syndrome ... disease, Viral Syndromes
Serotonin Syndrome - THINK: FAST - FAST onset - FAST movements (agitation, akathisia, HYPERreflexia) - FAST
Serotonin Syndrome ... Neuroleptic Malignant Syndrome ... - THINK: SLOW ... - SLOW onset ... NeurolepticMalignant #Syndrome
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