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diagnosis differential hypertension nephrology secondary hypokalemia potassium endocrinology low hyperthyroidism workup acute acutekidneyinjury aki altered ams anisocoria bone bony cardiology
Secondary causes of Hypertension • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
CNI, Alcohol, Cocaine ... Pseudoephedrine • Primary ... Renovascular • Primary ... : Thyroid disease ... Other low renin HTN
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
Causes of Hypertension ... Differential Diagnosis Algorithm ... Pills • Cocaine ... #Secondary #HTN ... Differential #Diagnosis #Algorithm
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... , Renovascular HTN ... secreting tumor, Primary ... Differential #Diagnosis #Algorithm ... #causes #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... either secondary or primary ... Gitelman's syndrome • Primary ... differential #diagnosis #algorithm
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
• Insomnia Primary ... Toxicosis • Iodine ... Thionamide - Iodine ... • Radioactive iodine ... hyperthyroidism #causes
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
s syndrome • Primary ... with compensatory HTN ... Scleroderma renal crises ... Drug (+): • Cocaine ... Differential #Diagnosis #causes
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... suggests extra-renal causes ... , Renovascular HTN ... ↑ Aldosterone: Primary
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Differential Diagnosis Algorithm ... Consider secondary HTN ... nervous system (ie. cocaine ... #Hypertension #HTN ... Differential #Diagnosis #Algorithm
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
Approach to Thyroid ... high T4 +/- T3 → Primary ... symmetrically enlarged thyroid ... → Radioactive Iodine ... Hyperthyroidism #algorithm
Primary Bone Tumors - Differential Diagnosis Algorithm Metastatic - Most common tumour in adults - Breast
Primary Bone Tumors ... Differential Diagnosis Algorithm ... - Prostate - Thyroid ... Differential #Diagnosis #Algorithm ... #Orthopedics #Causes
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