Ravi Singh K @rav7ks
1.2M 757 370
Academic Hospitalist and Associate Program Director @SinaiBmoreIMRes, Medicine clerkship director GW School of Medicine and Health Sciences RMC at Sinai, Hopkins Medicine Clerkship Site Director, Clinical reasoning,Simulation and POCUS enthusiast - https://twitter.com/rav7ks
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diagnosis differential management hematology hepatology neurology pulmonary syndrome oncology treatment alkaline geriatrics nephrology phosphatase abscess als amyotrophic arterial ascorbicacid barre
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
Cardiovascular Causes ... - Asthma - COPD ... syndrome Other Causes ... Guillain Barre - ALS ... Hematology: - Anemia
Low Alkaline Phosphatase - Hypophosphatasia Is Low Alkaline Phosphatase Of Clinical Importance? ALP enzyme- Discovered in 1923 Low
Most cases diagnosed ... nephrocalcinosis • CPPD ... • Pernicious anemia ... collection with EDTA Pathophysiology ... Phosphatase: • Other causes
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Differential Diagnosis Algorithm ... Vascular Causes ... disease - If ALP ... both are normal, ALP ... differential #diagnosis #algorithm
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
• Asthma • COPD ... PVFM) Cardiac Causes ... Hematologic Causes ... Tachypnea: • Anemia ... Metabolic Causes
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm ALP: - Enzymes that catalyze hydrolysis of organic phosphate
Alkaline Phosphatase (ALP ... Differential Diagnosis Algorithm ... ALP: - Enzymes ... Intestine - Other causes ... Differential #Diagnosis #Algorithm
Causes of Orthopnea - Differential Diagnosis Framework • Fear and Anxiety • Pleural Effusion • Ascites
Causes of Orthopnea ... • Ascites • COPD ... - CNS lesion: ALS ... Differential #Diagnosis #Causes
Causes of Nausea and Vomiting - Differential Diagnosis Framework Chemoreceptor Trigger Zone/Area Postrema: • Drugs: - Chemo agents -
Causes of Nausea ... Metabolic: - Uremia ... Hypercalcemia - AIP ... Malignancy #nausea ... differential #diagnosis #causes
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology Pulse pressure is the difference between the systolic blood
Diagnosis and Pathophysiology ... Physiologic Causes ... iron deficiency anemia ... • Mitchell et al ... Differential #Diagnosis #Pathophysiology
Hypophosphatemia and Hypoxia - Pathophysiology ↓ Phosphate leads to ↓ red cell 2,3-DPG and a reduction
and Hypoxia - Pathophysiology ... Phosphate is a cause ... phosphorus is seen in COPD ... patients with COPD ... respiratory #hypoxia #pathophysiology
Anemia of Hospitalization - Pathophysiology Why does the Hgb/Hct drop in the first two days during hospitalization? Interestingly,
- Pathophysiology ... prolonged rest can cause ... lying down and can cause ... Hospitalization #causes ... #pathophysiology
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