Algorithms in Medicine @MatthewHoMD
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Matthew Ho, MD PhD https://twitter.com/MatthewHoMD
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diagnosis ascites hematology hepatology management nephrology aa albumin anemia cava deficiency endocrinology ferritin gastroenterology headache hypernatremia hypokalemia hypothyroid hypothyroidism hypoxemia
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Ascites Differential ... Ascites Albumin Gradient ... tamponade • IVC obstruction ... • Nephrotic syndrome ... Serum #Albumin #Gradient
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient Normal A-a Gradient: • ↓ Atmospheric pressure • Hypoventilation: CNS
Hypoxemia Differential ... Diagnosis Algorithm ... by A-a Gradient ... Hypoxemia #Hypoxia #Differential ... #Diagnosis #Algorithm
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
Algorithm for Suspected SVC Syndrome SVC syndrome suspected: Facial/arm/neck edema, distended neck/chest veins, facial plethora, dyspnea, cough,
Algorithm for Suspected ... SVC Syndrome ... SVC syndrome suspected ... Grading: 0: Asymptomatic ... #Algorithm #diagnosis
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... • Refeeding syndrome ... #Hypokalemia #Differential ... #Diagnosis #Algorithm
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - Differential ... Diagnosis Workup Algorithm ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Hypernatremia #Differential
Iron Deficiency Anemia - Differential Diagnosis Algorithm Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR • Blood loss:
Deficiency Anemia - Differential ... Diagnosis Algorithm ... Gastrectomy, WHDA syndrome ... Deficiency #Anemia #Differential ... #Diagnosis #Algorithm
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
to Headaches - Differential ... Diagnosis Algorithm ... papilledema • Horner syndrome ... #Headache #Differential ... #Diagnosis #Algorithm
Algorithmic Approach to Hypothyroidism - Differential Diagnosis and Management Framework Central Hypothyroidism (Secondary or tertiary) ↓TSH, ↓FT4
Algorithmic Approach ... Hypothyroidism - Differential ... Euthyroid sick syndrome ... Hypothyroidism #Differential ... #Diagnosis #algorithm
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm Peripheral Smear concerning for malignancy?
Platelet Count - Differential ... Diagnosis Algorithm ... Kawasaki, Nephrotic syndrome ... Thrombocytosis #Platelets #Differential ... #Diagnosis #Algorithm
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