Algorithms in Medicine @MatthewHoMD
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Matthew Ho, MD PhD https://twitter.com/MatthewHoMD
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diagnosis differential hematology gastroenterology gibleed gastrointestinal management lgib lower nephrology deficiency ferritin hypernatremia hypokalemia imaging iron leukemoid leukocytosis low macrocytic
Upper GI Bleed - Management Algorithm Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR Initial Stabilization Concern for
Upper GI Bleed - ... Management Algorithm ... Upper GI bleed ... Bleed: • Peptic ... Diagnosis #management #Algorithm
Iron Deficiency Anemia - Differential Diagnosis Algorithm Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR • Blood loss:
Iron Deficiency Anemia ... Differential Diagnosis Algorithm ... • Blood loss: GI ... bleed, GU bleed ... Iron #Deficiency #Anemia
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm Peripheral Smear concerning for malignancy?
Thrombocytosis - Elevated Platelet ... Differential Diagnosis Algorithm ... hematology for workup ... hemolysis, deficiency anemia ... Thrombocytosis #Platelets
Lower GI Bleed - Differential Diagnosis Algorithm • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Differential Diagnosis Algorithm ... MatthewHoMD #Lower #GI ... #Bleed #LGIB #GIBleed ... Differential #Diagnosis #Algorithm
Lower GI Bleed - Management Algorithm Suspected lower GI bleeding (LGIB): • Hematochezia • Melena +
Lower GI Bleed - ... Management Algorithm ... bleed) vs Stable ... #Bleed #LGIB #GIBleed ... #management #Algorithm
Approach to Hypoproliferative Macrocytic Anemia • 812, Folate Deficiency • MDS+ • Hypothyroid • Liver Disease
Hypoproliferative Macrocytic Anemia ... #Macrocytic #Anemia ... differential #diagnosis #algorithm ... #hematology #workup
Approach to Leukocytosis - Differential Diagnosis Algorithm Features of hematologic malignancy: • Symptoms: B-symptoms, bruising/bleeding, fatigue/weakness, immunosuppression
Differential Diagnosis Algorithm ... hepatomegaly • Labs: anemia ... , ↑ MCV, ↑/↓ platelets ... Differential #Diagnosis #Algorithm
Pancytopenia - Differential Diagnosis Algorithm • 12-13 g/dL, • ANC < 1800/uL, • platelet < 150,000/uL Initial
Differential Diagnosis Algorithm ... < 1800/uL, • platelet ... /uL Initial Workup ... Differential #Diagnosis #Algorithm ... #hematology #workup
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Differential Diagnosis Algorithm ... in pernicious anemia ... Non-renal losses: • GI ... Differential #Diagnosis #Algorithm
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... Hypovolemic (H2O loss): GI ... Differential #Diagnosis #Workup ... #Algorithm #nephrology
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