13 results
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Urinary Chloride • Cl ... Kidney loss of Cl ... - Loss of Cl ... Cystic fibrosis) • Cl ... #causes #urinary
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... hyperaldosteronism • Low Urine Cl ... NGT suction, Low Cl ... • High Urine Cl ... #Nephrology #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Cl- responsive ... Kidney loss of Cl ... • Loss of Cl- ... Cystic fibrosis Cl ... the indicated causes
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... - Metabolic alkalosis ... decarboxylation/gas ... muscle cells • Gas ... metabolic alkalosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
(AG) = {Na - (Cl ... D D-lactate (short ... bowel syndrome, ... Diarrhea - Renal tubular ... bloodgas #Acid #Base #Gas
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... reported this all ... his PCP with valacyclovir ... Orbital Apex Syndrome ... ophthalmology #physicalexam
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
Acidosis (Check Blood Gas ... Likely Metabolic Alkalosis ... Contraction Urine Cl ... Barter, or Gitelman Syndrome ... #algorithm #diagnosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... hyperaldosteronism • Low Urine Cl ... NGT suction, Low Cl ... • High Urine Cl ... #Nephrology #Causes
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
Reller Criteria has ... Bouza Criteria has ... nephrotoxicity from a short ... empiric acyclovir to all ... would cause harm
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Local causes include ... Systemic causes ... Commonly affects all ... seen in Reiter's syndrome ... Clinical #Signs #PhysicalExam