Algorithms in Medicine @MatthewHoMD
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Matthew Ho, MD PhD https://twitter.com/MatthewHoMD
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Pulmonary Function Testing (PFT) Interpretation Algorithm

Restrictive Lung Disease:
 • Chest wall or neuromuscular disorders
 • Interstitial
Function Testing (PFT ... Lung Disease Obstructive ... Function #Testing #PFT ... #PFTs #Interpretation
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Albumin Gradient (SAAG ... ) SAAG ≥ 1.1: ... tamponade • IVC obstruction ... budd-chiari SAAG ... Albumin #Gradient #SAAG
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
• Calculate SAAG
Approach to Elevated aPTT / PT - Differential Diagnosis Algorithm

aPTT: Intrinsic / Final
PT: Extrinsic / Final

By
Elevated aPTT / PT ... Intrinsic / Final PT ... Elevated #aPTT #PT
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
antiglobulin test, PT ... hemosiderin • PT
Pancytopenia - Differential Diagnosis Algorithm
 • 12-13 g/dL,
 • ANC < 1800/uL,
 • platelet < 150,000/uL

Initial
iron studies, PT
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
, LET, lipase, PT
Stoma Indications, Output and Complications

Stoma Types:
 • End ileostomy
 • Loop ileostomy
 • End colostomy
 •
digestion • Bowel obstruction