Dr. Satya Patel @SatyaPatelMD
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https://twitter.com/SatyaPatelMD | Hospitalist @LosAngelesVA | Anesthesiology Intern APD @UCLAHealth | Interested in medical education, curriculum design, and QI | https://bit.ly/pocketcardset
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Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
Hypercortisolism (Cushing ... Differential Diagnosis Algorithm ... pituitary adenoma (Cushing ... Hypercortisolism #Cushings ... Differential #Diagnosis #Algorithm
Cushing Syndrome - Likelihood Ratios of Physical Exam Findings
Moon facies LR +1.6
Central obesity LR +3.0
Generalized obesity
Cushing Syndrome ... SatyaPatelMD #Cushings
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... #Hyponatremia #Algorithm ... #diagnosis #sodium
Orthostatic Hypotension Management Algorithm
 • Hypovolemic?  Yes → Resuscitate
 • Volume Overloaded? No → Fludrocortisone
Hypotension Management Algorithm ... → Decrease in sodium ... Hypotension #Management #Algorithm
Phosphate Electrolyte Repletion
Oral: Neutra-Phos, Neutra-Phos-K, K-Phos Neutral (Na and K Phos)
Intravenous: Potassium Phosphate, Sodium Phosphate

Satya Patel
Potassium Phosphate, Sodium
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
#Hyponatremia #algorithm ... #diagnosis #sodium
Algorithm for Evaluation for ACS In Patients with Chest Pain In The Emergency Department

https://bit.ly/chestpainalgorithm

#ACS #ChestPain #algorithm
Algorithm for Evaluation ... ACS #ChestPain #algorithm
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
promoting passive sodium
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
ACS Evaluation Algorithm ... Algorithm that ... Evaluation #diagnosis #Algorithm
Acute Coronary Syndrome (ACS) Algorithm

Satya Patel, MD @SatyaPatelMD

#Acute #Coronary #Syndrome #ACS #Algorithm #Chest #Pain #diagnosis #cardiology
Syndrome (ACS) Algorithm ... Syndrome #ACS #Algorithm