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 ... Causes of Upper GI ... Diagnosis #management #Algorithm
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... • Refeeding syndrome ... Non-renal losses: • GI ... Differential #Diagnosis #Algorithm
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... Hypovolemic (H2O loss): GI ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Diagnosis #Workup #Algorithm
Lower GI Bleed - Differential Diagnosis Algorithm

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

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

 • Blood loss:
Differential Diagnosis Algorithm ... • Blood loss: GI ... Gastrectomy, WHDA syndrome ... Differential #Diagnosis #Algorithm
Hypereosinophilia and Hypereosinophilic Syndrome

 • Secondary Hypereosinophilic Syndrome
 • Clinically Relevant HES Variants
 • When to
Hypereosinophilic Syndrome ... Hypereosinophilic Syndrome ... and Treatment Algorithm ... Hypereosinophilic #Syndrome ... diagnosis #management #algorithm
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework

Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Algorithmic Approach ... Euthyroid sick syndrome ... Differential #Diagnosis #algorithm ... #endocrinology
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Acute Coronary Syndrome ... - Management Algorithm ... Acute #Coronary #Syndrome ... ACS #Management #Algorithm
Hypoglycemia Differential Diagnosis and Management Algorithm

Features of hypoglycemia:
 • Neurogenic: Tremor, Palpitations, Anxiety, Arousal, Sweating, Hunger,
and Management Algorithm ... Diagnosis #Management #Algorithm ... #endocrinology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Suspected lower GI ... Rule out upper GI ... GIBleed #management #Algorithm