Algorithms in Medicine @MatthewHoMD
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Matthew Ho, MD PhD https://twitter.com/MatthewHoMD
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Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup Algorithm ... • Calculate SAAG ... #Diagnosis #Algorithm ... #gastroenterology
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
Pulmonary Function Testing (PFT) Interpretation Algorithm

Restrictive Lung Disease:
 • Chest wall or neuromuscular disorders
 • Interstitial
Pulmonary Function ... Interpretation Algorithm ... Lung Disease Obstructive ... #Pulmonary #Function ... Interpretation #Algorithm
Approach to Diarrhea - Differential Diagnosis and Workup Algorithm

Acute Diarrhea (MINT):
 • Medications
 • Infections: Inflammatory
to Diarrhea - Differential ... Diagnosis and Workup Algorithm ... #Diarrhea #Differential ... #Diagnosis #Algorithm ... #gastroenterology
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Microangiopathy (TMA) - Differential ... and Management Algorithm ... hemosiderin, Hepatic function ... Microangiopathy #TMA #Differential ... Diagnosis #Management #Algorithm
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Bleed - Management Algorithm ... UGIB #GIBleed #Differential ... Diagnosis #management #Algorithm ... gastrointestinal #gastroenterology
Lower GI Bleed - Differential Diagnosis Algorithm

 • Structural: Diverticulosis, Hemorrhoids, Post-polypectomy, Polyps & malignancy, Anal
Lower GI Bleed - Differential ... Diagnosis Algorithm ... LGIB #GIBleed #Differential ... #Diagnosis #Algorithm ... gastrointestinal #gastroenterology
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Hyperbilirubinemia - Differential ... Diagnosis Algorithm ... direct #bilirubin #Differential ... #Diagnosis #Algorithm ... #gastroenterology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... GI losses (NG suction ... #Hypokalemia #Differential ... #Diagnosis #Algorithm
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
Dysphagia - Differential ... Diagnosis Algorithm ... #Dysphagia #Differential ... #Diagnosis #Algorithm ... Oropharyngeal #Esophageal #gastroenterology