6 results
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
and Evaluation ... symptoms (HA, nausea ... , liver, renal disease ... #EM #IM #Nephro ... Differential #Algorithm #Ddxof
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Diagnosis Framework ... have had prior evaluations ... /AMI • PUD • ... bowel syndrome • Celiac ... poisoning • Celiac
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... Consider BCx, CSF evaluation ... as 5-10% bacteremic ... #Peds #EM #Classification ... SeriousBacterialIllness #Ddxof
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
insufficiency - Celiac ... • Abdominal pain ... • Back pain ... Serum DHEAS Diagnosis ... sodium, potassium, AM
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... related to IBD, celiac ... disease, other ... total body stores Evaluation ... , can consider IM
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
Evaluation of Recurrent ... diabetic, B12 deficiency ... (ALS) • Clues: ... : Joint pain, limited ... Recurrent #Falls #Diagnosis