32 results
Hyperaldosteronism Testing Algorithm
INDICATIONS FOR TESTING:
Suspicion of primary aldosteronism - Manifestations: hypertension, hypokalemia, metabolic alkalosis
ORDER: Aldosterone/Renin Activity
Hyperaldosteronism Testing ... Algorithm INDICATIONS ... FOR TESTING: Suspicion ... hypokalemia, metabolic alkalosis ... Hyperaldosteronism #Algorithm
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Causes of Metabolic Alkalosis ... Differential Diagnosis Algorithm ... Urine chloride ... diuretic use Urine ... #Metabolic #Alkalosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... Differential Diagnosis Algorithm ... hyperaldosteronism • Low Urine ... (late) • High Urine ... Primary #Metabolic #Alkalosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Differential Diagnosis Algorithm ... hyperaldosteronism • Low Urine ... (late) • High Urine ... Differential #Diagnosis #Algorithm
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Metabolic Alkalosis ... Urinary Chloride Algorithm ... responsive metabolic alkalosis ... Urine chloride is ... #Algorithm #nephrology
Summary of Agents Potentially Contributing to False Positives on Urine Drug Screens (UDS)
Marijuana Metabolites
 • dronabinol,
Contributing to False ... Positives on Urine ... (High Rate of False ... FalsePositives #Urine ... DrugScreening #UDS #Testing
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... FOR TESTING: • ... Cortisol, Free Urine ... Serum (or Cortisol Urine ... Syndrome #diagnosis #algorithm
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Likely Metabolic Alkalosis ... Urine CI < 20 ... Volume Contraction Urine ... Elevated #metabolic #alkalosis ... #algorithm #diagnosis
Urine Drug Screens - Common drugs that may cause false positive tests 

Amphetamines:
Bupropion, Labetalol, Methylphenidate, Phenylephrine,
Urine Drug Screens ... that may cause false ... Diphenhydramine #Urine ... FalsePositive #Testing
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... present on repeat testing ... including overnight testing ... Proteinuria (Negative urine ... Differential #Diagnosis #Algorithm