96 results
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Algorithm INDICATIONS ... Cortisol, Free Urine ... Cortisol, Saliva • Low ... Serum (or Cortisol Urine ... Syndrome #diagnosis #algorithm
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Uric Acid - Low ... Acid → renal salt wasting
Summary of Agents Potentially Contributing to False Positives on Urine Drug Screens (UDS)
Marijuana Metabolites
 • dronabinol,
Contributing to False ... Positives on Urine ... hemp products are low ... FalsePositives #Urine ... DrugScreening #UDS #Testing
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
uric acid >4 • Urine ... Cerebral salt wasting ... Hypothyroidism, Low ... #Hyponatremia #algorithm ... diagnosis #sodium #low
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... uric acid: - Urine ... sodium low, uric ... and uric acid low ... #Differential #Algorithm
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
Hypophosphatemia - Measurement of urine phosphate excretion - Differential Diagnosis Algorithm
 • GI loss
 • Redistribution
Measurement of urine ... Differential Diagnosis Algorithm ... Primary Renal PO4 wasting ... Hypophosphatemia #urine ... Differential #Diagnosis #Algorithm
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
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
Fecal Occult Blood Testing ... evaluation • False ... cauliflower, ETOH • False ... to unnecessary testing ... , extended LOS
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Differential Diagnosis Algorithm ... Urine Cl-: Vomiting ... , NGT suction, Low ... (late) • High Urine ... Differential #Diagnosis #Algorithm