Algorithms in Medicine @MatthewHoMD
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Matthew Ho, MD PhD https://twitter.com/MatthewHoMD
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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 ... #Differential #Diagnosis ... #management #Algorithm
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - ... Differential Diagnosis ... Algorithm • ... #Lower #GI #Bleed ... #Differential #Diagnosis
Iron Deficiency Anemia - Differential Diagnosis Algorithm

Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR

 • Blood loss:
- Differential Diagnosis ... Algorithm Labs ... , GU bleed, Gyn ... #Differential #Diagnosis ... #Algorithm #ferritin
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... ) vs Stable Patient ... #Lower #GI #Bleed ... GIBleed #management #Algorithm
Pancytopenia - Differential Diagnosis Algorithm
 • 12-13 g/dL,
 • ANC < 1800/uL,
 • platelet < 150,000/uL

Initial
- Differential Diagnosis ... Algorithm • 12 ... /uL Initial Workup ... #Algorithm #hematology ... #workup
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... rupture Initial workup ... #Chest #Pain #Diagnosis ... #Algorithm #workup
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
Modalities for Workup ... of GI Bleed (Other ... non-therapeutic, massive bleed ... MatthewHoMD #GI #Bleed ... gastroenterology #table
Approach to Diarrhea - Differential Diagnosis and Workup Algorithm

Acute Diarrhea (MINT):
 • Medications
 • Infections: Inflammatory
- Differential Diagnosis ... and Workup Algorithm ... #Differential #Diagnosis ... #Algorithm #gastroenterology
Approach to Hypoproliferative Macrocytic Anemia

 • 812, Folate Deficiency
 • MDS+
 • Hypothyroid
 • Liver Disease
#differential #diagnosis ... #algorithm #hematology ... #workup
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... granular casts/RTE; blend ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis