35 results
Adie's Pupil on Physical Exam

Adie's pupil is a neurological disorder characterized by a tonically dilated pupil
It is caused by ... viral or bacterial infection ... #PhysicalExam # ... ophthalmology #neurology ... #syndrome
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
unilateral; • Slow ... Holmes-Adie Syndrome ... dissociation • Other causes ... #PhysicalExam # ... neurology #ophthalmology
Causes of Encephalopathy - Differential Diagnosis Algorithm
Hyperacute:
 - Primary Neurologic: Vascular (IS, ICH), Seizure, Migraine, Trauma
Causes of Encephalopathy ... Differential Diagnosis Algorithm ... paraneoplastic syndromes ... (fungal, TB, parasitic ... #Causes
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Normal Acid-Base: Low ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... hyperaldosteronism • Low ... , NGT suction, Low ... Differential #Diagnosis #Algorithm ... #Nephrology #Causes
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Differential Diagnosis Algorithm ... Hypertensive: • High Al, Low ... Differential #Diagnosis #Algorithm ... #nephrology #causes ... #low #potassium
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Erythropoiesis (B12 injections ... • Refeeding syndrome ... vomiting) • Low ... #nephrology #low
Blood Culture-Negative Infective Endocarditis (BCNIE)
Definition: No etiology found after 3 separate blood cultures remain negative for
fastidious bacteria or fungi ... but important causes ... Tropheryma whipplei, Fungi ... antiphospholipid syndrome ... bacteria) and 18S ( fungi
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Tea and Toast Syndrome ... Beer Potomania - Low ... failure, nephrotic syndrome ... #causes #nephrology
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Causes of Metabolic ... Differential Diagnosis Algorithm ... Licorice • Liddle's Syndrome ... MetabolicAlkalosis #NonGap #Nephrology ... #Causes