36 results
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Breath test for ... #Workup #Management ... Transplant #diagnosis #differential
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Causes of acute diarrhea ... Systemic disease ... #management #algorithm ... #workup #diagnosis ... #differential
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
Graves disease – ... Check pregnancy test ... affects diagnostic workup ... choices AND management ... Diagnosis #Algorithm #Workup
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... - Workup Osmotic ... hydrogen breath test ... testing for celiac disease ... #differential #
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Whipple Disease ... Diagnosis and Management ... Intermittent diarrhea ... positive T. whipplei tests ... positive T. whipplei test
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diabetes Insipidus Workup ... & desmopressin test ... Hypernatremia #Management
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
chronic kidney tests ... Test for celiac ... disease with serology ... change medical management ... Gastrointestinal #Evaluation #workup
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Presentation: • Mild disease ... , vomiting and diarrhea ... Severe pulmonary disease ... agglutination - test ... diagnosis #treatment #management
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Hypertension - Differential ... cause of renal disease ... • Renovascular disease ... #Hypertension #Differential ... Causes #Screening #Workup
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
Platelet Disorders - Differential ... Diagnosis and Workup ... PT, aPTT(liver disease ... K), H. pylori test ... thyroid function test