21 results
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
sodium • ↑ Serum potassium ... Serum DHEAS Diagnosis ... be a clue • Blood ... Check sodium, potassium ... endocrinology #diagnosis
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... causes • Laxative ... losses: • High Blood ... • Low/Normal Blood ... #Hypokalemia #diagnosis
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
calcification of both adrenal ... confirmed the diagnosis ... and gut, which causes ... #clincial #peds ... #infant #NEJM #
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
- Differential Diagnosis ... Hypotension Blood ... • Adrenal insufficiency ... Anaphylaxis • Adrenal ... #causes #Hypotensive
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... Crush injury • Blood ... • Recent IV potassium ... Blood transfusion ... #causes #potassium
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
- Differential Diagnosis ... visits, Ambulatory blood ... multi-drug resistance) Renal ... • Bilateral RAS ... • Unilateral RAS
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... Crush injury • Blood ... • Recent IV potassium ... Blood transfusion ... #causes #potassium
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
is inadequate blood ... ), RV Failure (PE ... Toxins (CCB, BB, BRASH ... Failure, Endocrine (adrenal ... Undifferentiated #Shock #diagnosis
Causes of Hyperkalemia
Pseudohyperkalemia
 - Tourniquet use
 - Hemolysis (in vitro)
 - Leukocytosis
 - Thrombocytosis
Intra- to extracellular
Causes of Hyperkalemia ... Transfusion of aged blood ... excretion - Renal ... #Hyperkalemia #Causes ... #diagnosis #differential
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
, DIC, hypoTN, renal ... maculopapular rash ... Causes purpura & ... potassium from ... #Transfusions #diagnosis