Algorithms in Medicine @MatthewHoMD
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Matthew Ho, MD PhD https://twitter.com/MatthewHoMD
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diagnosis gastroenterology bleed gastrointestinal gibleed management ascites hepatology lgib nephrology albumin anemia deficiency dysphagia esophageal ferritin gradient hematology hypernatremia hypokalemia
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Ascites Differential ... Albumin Gradient (SAAG ... ) SAAG ≥ 1.1: ... tamponade • IVC obstruction ... MatthewHoMD #Ascites #Differential
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
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Ascites - Differential ... Diagnosis and Workup Algorithm ... • Calculate SAAG ... MatthewHoMD #Ascites #Differential ... #Diagnosis #Algorithm
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 ... UGIB #GIBleed #Differential ... Diagnosis #management #Algorithm
Lower GI Bleed - Management Algorithm Suspected lower GI bleeding (LGIB): • Hematochezia • Melena +
Lower GI Bleed - ... Management Algorithm ... Suspected lower ... MatthewHoMD #Lower ... GIBleed #management #Algorithm
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Non-renal losses: • GI ... #Hypokalemia #Differential ... #Diagnosis #Algorithm
Iron Deficiency Anemia - Differential Diagnosis Algorithm Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR • Blood loss:
Deficiency Anemia - Differential ... Diagnosis Algorithm ... • Blood loss: GI ... Deficiency #Anemia #Differential ... #Diagnosis #Algorithm
Dysphagia - Differential Diagnosis Algorithm Oropharyngeal Dysphagia Esophageal Dysphagia • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Diagnosis Algorithm ... esophagitis • Lower ... #Dysphagia #Differential ... #Diagnosis #Algorithm
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - Differential ... Diagnosis Workup Algorithm ... Hypovolemic (H2O loss): GI ... Hypernatremia #Differential ... Diagnosis #Workup #Algorithm
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Response Management Algorithm ... Air Movement - Lower ... Hypoxemia #Hypoxia #differential ... Diagnosis #Management #Algorithm
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