Ravi Singh K @rav7ks
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Academic Hospitalist and Program Director @SinaiBmoreIMRes, Medicine clerkship director GW School of Medicine and Health Sciences RMC at Sinai, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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Differential Diagnosis for Transient Confusion -  6 S Approach:

• Sugar
• Syncope
• Seizure
• Stroke
• Substances
• Sleepiness

#AMS
Differential Diagnosis ... Transient #confusion #differential ... #diagnosis #neurology
Unilateral Fixed Dilated Pupil - Differential Diagnosis Framework
If Altered Mental Status - Consider Oculomotor (3rd cranial
Dilated Pupil - Differential ... Diagnosis Framework ... Dilated #Pupil #differential ... #diagnosis #neurology
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Localization #Coma #Neurology ... #differential # ... diagnosis
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Diagnosis Framework ... disorder (Cardiac, pulmonary ... #Weakness #Differential ... #Diagnosis #neurology
BEE Syndromes - Immune-mediated conditions affecting the brain, eye, and ear

Visual or auditory symptoms in conjunction
important, as early diagnosis ... BEE #Syndromes #neurology ... #inflammatory #differential ... #diagnosis
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... Diagnosis Framework ... #Hematuria #Differential ... #Diagnosis #causes ... #urology #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Acidosis (NAGMA) - Differential ... Diagnosis Framework ... Metabolic #NAGMA #Differential ... #Diagnosis #Workup ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Diagnosis Framework ... #hyperkalemia #differential ... #diagnosis #causes ... potassium #high #nephrology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Diagnosis Framework ... Neurogenic Ptosis - Neurologic ... Syndrome #Ptosis #neurology ... #Differential #
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... Lung Abscess Differential ... Lung #Abscess #pulmonary ... #differential # ... causes #management