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== | ==Differential Diagnosis== | ||
''''' | |||
'''Abbreviations:''' [[Arterial blood gas|ABG]] = [[Arterial blood gas|Arterial blood gases]], [[BUN]] = [[Blood urea nitrogen]], [[Complete blood count|CBC]] = [[Complete blood count]], [[Computed tomography|CT]] = [[Computed tomography]], CRP = C - reactive protein, [[ECG]] = [[Electrocardiogram]], ESR = [[Erythrocyte sedimentation rate]], IVP = Intravenous pyelography, [[Renal function|KFT]] = [[Renal function tests|Kidney function test]], GI = Gastrointestinal, GFR = [[Glomerular filtration rate]], [[Magnetic resonance imaging|MRI]] = [[Magnetic resonance imaging]], [[PT]] = [[Prothrombin time]] | |||
{| | |||
! colspan=" | ! colspan="2" rowspan="3" style="background:#4479BA; color: #FFFFFF;" |Etiology | ||
! colspan=" | ! colspan="9" style="background:#4479BA; color: #FFFFFF;" |Clinical manifestations | ||
! colspan=" | ! colspan="11" style="background:#4479BA; color: #FFFFFF;" |Paraclinical findings | ||
! rowspan=" | ! rowspan="3" style="background:#4479BA; color: #FFFFFF;" |Comments | ||
|- | |- | ||
! colspan=" | ! colspan="9" style="background:#4479BA; color: #FFFFFF;" |Symptoms and signs | ||
! colspan=" | ! colspan="6" style="background:#4479BA; color: #FFFFFF;" |Lab findings | ||
! colspan=" | ! colspan="5" style="background:#4479BA; color: #FFFFFF;" |Imaging | ||
|- | |- | ||
! | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/ | ||
! | Lethargy | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | ||
! | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/ | ||
Confusion | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/ | |||
cramp | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/ | |||
visceral pain | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Blood indices | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Renal Funtion test | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Electrolytes | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Urine analysis | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |ABG | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Ultrasound | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |X-ray | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |CT | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |MRI | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
|- | |- | ||
! | ! rowspan="22" style="background: #DCDCDC; padding: 5px; text-align: center;" |Prerenal causes | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Alcohol poisoning]]<ref name="pmid15589492">{{cite journal |vauthors=Pletcher MJ, Maselli J, Gonzales R |title=Uncomplicated alcohol intoxication in the emergency department: an analysis of the National Hospital Ambulatory Medical Care Survey |journal=Am. J. Med. |volume=117 |issue=11 |pages=863–7 |date=December 2004 |pmid=15589492 |doi=10.1016/j.amjmed.2004.07.042 |url=}}</ref><ref name="pmid2927129">{{cite journal |vauthors=Cherpitel CJ |title=Breath analysis and self-reports as measures of alcohol-related emergency room admissions |journal=J. Stud. Alcohol |volume=50 |issue=2 |pages=155–61 |date=March 1989 |pmid=2927129 |doi= |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | + | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/- | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/- | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | + | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | +/- | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[PT]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] (isopropyl [[alcohol]]) | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Bicarbonate|HCO3]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Liver function tests|LFT]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" | - | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Thiamine]] must be given to prevent [[Wernicke's encephalopathy]] | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Aspergillosis|'''Aspergillosis''']]<ref name="pmid11880955">{{cite journal |vauthors=Marr KA, Carter RA, Crippa F, Wald A, Corey L |title=Epidemiology and outcome of mould infections in hematopoietic stem cell transplant recipients |journal=Clin. Infect. Dis. |volume=34 |issue=7 |pages=909–17 |date=April 2002 |pmid=11880955 |doi=10.1086/339202 |url=}}</ref><ref name="pmid16886149">{{cite journal |vauthors=Cornillet A, Camus C, Nimubona S, Gandemer V, Tattevin P, Belleguic C, Chevrier S, Meunier C, Lebert C, Aupée M, Caulet-Maugendre S, Faucheux M, Lelong B, Leray E, Guiguen C, Gangneux JP |title=Comparison of epidemiological, clinical, and biological features of invasive aspergillosis in neutropenic and nonneutropenic patients: a 6-year survey |journal=Clin. Infect. Dis. |volume=43 |issue=5 |pages=577–84 |date=September 2006 |pmid=16886149 |doi=10.1086/505870 |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Allergy test]], ↑[[IgE]] (>1000 IU/dl), Direct visualization of [[Hyphae|fungal hyphae]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Pulmonary infiltrates, [[Mucus|Mucus plug]], Mass in the upper lobe surrounded by a crescent of air, Solitary or multiple cavities | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Halo sign, Wedge-shaped pulmonary [[infarction]], [[Granuloma]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Polymerase chain reaction|Polymerase chain reaction (PCR)]] | ||
| | |||
| | |||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cholera|'''Cholera''']]<ref name="pmid19842974">{{cite journal |vauthors=Weil AA, Khan AI, Chowdhury F, Larocque RC, Faruque AS, Ryan ET, Calderwood SB, Qadri F, Harris JB |title=Clinical outcomes in household contacts of patients with cholera in Bangladesh |journal=Clin. Infect. Dis. |volume=49 |issue=10 |pages=1473–9 |date=November 2009 |pmid=19842974 |pmc=2783773 |doi=10.1086/644779 |url=}}</ref><ref name="pmid4809112">{{cite journal |vauthors=Cash RA, Music SI, Libonati JP, Snyder MJ, Wenzel RP, Hornick RB |title=Response of man to infection with Vibrio cholerae. I. Clinical, serologic, and bacteriologic responses to a known inoculum |journal=J. Infect. Dis. |volume=129 |issue=1 |pages=45–52 |date=January 1974 |pmid=4809112 |doi= |url=}}</ref><ref name="pmid4809112">{{cite journal |vauthors=Cash RA, Music SI, Libonati JP, Snyder MJ, Wenzel RP, Hornick RB |title=Response of man to infection with Vibrio cholerae. I. Clinical, serologic, and bacteriologic responses to a known inoculum |journal=J. Infect. Dis. |volume=129 |issue=1 |pages=45–52 |date=January 1974 |pmid=4809112 |doi= |url=}}</ref><ref name="pmid21696312">{{cite journal |vauthors=Harris JB, Ivers LC, Ferraro MJ |title=Case records of the Massachusetts General Hospital. Case 19-2011. A 4-year-old Haitian boy with vomiting and diarrhea |journal=N. Engl. J. Med. |volume=364 |issue=25 |pages=2452–61 |date=June 2011 |pmid=21696312 |doi=10.1056/NEJMcpc1100927 |url=}}</ref> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Leukocytosis]], ↑[[Hematocrit|HCT]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]], ↑[[Ca]], ↑[[Mg]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Lactate]], ↓[[Bicarbonate|HCO3]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Stool PCR, Stool culture, Serotyping | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Congestive heart failure]] (CHF)<ref name="pmid17724259">{{cite journal |vauthors=Solomon SD, Dobson J, Pocock S, Skali H, McMurray JJ, Granger CB, Yusuf S, Swedberg K, Young JB, Michelson EL, Pfeffer MA |title=Influence of nonfatal hospitalization for heart failure on subsequent mortality in patients with chronic heart failure |journal=Circulation |volume=116 |issue=13 |pages=1482–7 |date=September 2007 |pmid=17724259 |doi=10.1161/CIRCULATIONAHA.107.696906 |url=}}</ref><ref name="pmid15687312">{{cite journal |vauthors=Fonarow GC, Adams KF, Abraham WT, Yancy CW, Boscardin WJ |title=Risk stratification for in-hospital mortality in acutely decompensated heart failure: classification and regression tree analysis |journal=JAMA |volume=293 |issue=5 |pages=572–80 |date=February 2005 |pmid=15687312 |doi=10.1001/jama.293.5.572 |url=}}</ref> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | + | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Anemia]], [[Leukocytosis]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]], ↑[[Potassium|K]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Lactate]], ↓[[Bicarbonate|HCO3]], | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[BNP]], ↑[[Troponin]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Cardiomegaly]], [[Pulmonary hypertension]], [[Pleural effusions]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Pulmonary edema]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Valvular heart disease]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Decreased [[ejection fraction]] in [[echocardiography]], Heart function and damage in nuclear imaging | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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| | |||
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|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Dehydration]]<ref name="pmid15187057">{{cite journal |vauthors=Steiner MJ, DeWalt DA, Byerley JS |title=Is this child dehydrated? |journal=JAMA |volume=291 |issue=22 |pages=2746–54 |date=June 2004 |pmid=15187057 |doi=10.1001/jama.291.22.2746 |url=}}</ref><ref name="pmid9220501">{{cite journal |vauthors=Vega RM, Avner JR |title=A prospective study of the usefulness of clinical and laboratory parameters for predicting percentage of dehydration in children |journal=Pediatr Emerg Care |volume=13 |issue=3 |pages=179–82 |date=June 1997 |pmid=9220501 |doi= |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]], ↑[[Potassium|K]], ↓[[Chloride|Cl]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Ketone]]s and [[glucose]], ↑Urine specific gravity | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Lactate]], ↓[[Bicarbonate|HCO3]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Hypoglycemia]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
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|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Diarrhea]] and/or [[vomiting]]<ref name="pmid2178747">{{cite journal |vauthors=Carpenter DO |title=Neural mechanisms of emesis |journal=Can. J. Physiol. Pharmacol. |volume=68 |issue=2 |pages=230–6 |date=February 1990 |pmid=2178747 |doi= |url=}}</ref><ref name="pmid22454468">{{cite journal |vauthors=Bresee JS, Marcus R, Venezia RA, Keene WE, Morse D, Thanassi M, Brunett P, Bulens S, Beard RS, Dauphin LA, Slutsker L, Bopp C, Eberhard M, Hall A, Vinje J, Monroe SS, Glass RI |title=The etiology of severe acute gastroenteritis among adults visiting emergency departments in the United States |journal=J. Infect. Dis. |volume=205 |issue=9 |pages=1374–81 |date=May 2012 |pmid=22454468 |doi=10.1093/infdis/jis206 |url=}}</ref> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Leukocytosis]] with predominant [[neutrophilia]], ↑ [[ESR]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Ketones]], Organic acids, [[Porphobilinogen]], [[Aminolevulinic acid]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Stool [[anion gap]], Stool pH < 5.5, Stool culture, Serotyping, Enzyme immunoassay ([[rotavirus]] or [[adenovirus]]), [[Liver function tests|LFT]], [[Amylase]], [[Lipase]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Normal | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Drugs]]/[[Toxin|toxins]]<ref name="pmid1883120">{{cite journal |vauthors=Toto RD, Mitchell HC, Lee HC, Milam C, Pettinger WA |title=Reversible renal insufficiency due to angiotensin converting enzyme inhibitors in hypertensive nephrosclerosis |journal=Ann. Intern. Med. |volume=115 |issue=7 |pages=513–9 |date=October 1991 |pmid=1883120 |doi= |url=}}</ref><ref name="pmid4715199">{{cite journal |vauthors=Bismuth C, Gaultier M, Conso F, Efthymiou ML |title=Hyperkalemia in acute digitalis poisoning: prognostic significance and therapeutic implications |journal=Clin. Toxicol. |volume=6 |issue=2 |pages=153–62 |date=1973 |pmid=4715199 |doi=10.3109/15563657308990513 |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]], ↑[[Creatine kinase|CK]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Potassium|K]], ↓[[Magnesium|Mg]], ↓[[Ca]], ↓[[Phosphate|P]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Ingested drug, [[Glucose]], [[Aminoacid]], [[Phosphate]], [[Ketone]], [[Hyaline cast]], [[RBC]] | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Lactate]], [[Metabolic acidosis]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Toxicology]], Rapid [[immunoassay]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Nephropathy]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Radioopaque substances, Ingested drug packets | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | |||
| | |||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Esophageal varices|'''Esophageal varices bleeding''']]<ref name="pmid6970703">{{cite journal |vauthors=Graham DY, Smith JL |title=The course of patients after variceal hemorrhage |journal=Gastroenterology |volume=80 |issue=4 |pages=800–9 |date=April 1981 |pmid=6970703 |doi= |url=}}</ref><ref name="pmid20638742">{{cite journal |vauthors=de Franchis R |title=Revising consensus in portal hypertension: report of the Baveno V consensus workshop on methodology of diagnosis and therapy in portal hypertension |journal=J. Hepatol. |volume=53 |issue=4 |pages=762–8 |date=October 2010 |pmid=20638742 |doi=10.1016/j.jhep.2010.06.004 |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Normocytic normochromic anemia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Velocity and direction of [[portal]] flow | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Abnormal opacities outside of[[esophageal]] wall, Posterior [[mediastinal]] or intraparenchymal mass, Dilated [[azygous vein]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Entire portal venous system | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Portrays [[esophageal varices]] as flow voids | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Portal hypertension and [[esophageal varices]] in [[positron emission tomography]], Flexible [[endoscope]], [[Barium swallow]] of snake-like filling defects | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | |||
| | |||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Heart disease]]<ref name="pmid2030718">{{cite journal |vauthors=LaCroix AZ, Lang J, Scherr P, Wallace RB, Cornoni-Huntley J, Berkman L, Curb JD, Evans D, Hennekens CH |title=Smoking and mortality among older men and women in three communities |journal=N. Engl. J. Med. |volume=324 |issue=23 |pages=1619–25 |date=June 1991 |pmid=2030718 |doi=10.1056/NEJM199106063242303 |url=}}</ref><ref name="pmid19581259">{{cite journal |vauthors=Mahle WT, Newburger JW, Matherne GP, Smith FC, Hoke TR, Koppel R, Gidding SS, Beekman RH, Grosse SD |title=Role of pulse oximetry in examining newborns for congenital heart disease: a scientific statement from the AHA and AAP |journal=Pediatrics |volume=124 |issue=2 |pages=823–36 |date=August 2009 |pmid=19581259 |doi=10.1542/peds.2009-1397 |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[ESR]] and [[CRP]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Throat culture]], Rapid streptococcal antigen test, Hyperoxia test, [[Pulse oximetry]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Cardiomegaly]], [[Dextrocardia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Ventricular dysfunction]], Left and right ventricular [[hypertrophy]], Valvular disease in [[echocardiography]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hemorrhage]]<ref name="pmid21098468">{{cite journal |vauthors=Achneck HE, Sileshi B, Parikh A, Milano CA, Welsby IJ, Lawson JH |title=Pathophysiology of bleeding and clotting in the cardiac surgery patient: from vascular endothelium to circulatory assist device surface |journal=Circulation |volume=122 |issue=20 |pages=2068–77 |date=November 2010 |pmid=21098468 |doi=10.1161/CIRCULATIONAHA.110.936773 |url=}}</ref><ref name="pmid3487361">{{cite journal |vauthors=Gralnick HR, Rick ME, McKeown LP, Williams SB, Parker RI, Maisonneuve P, Jenneau C, Sultan Y |title=Platelet von Willebrand factor: an important determinant of the bleeding time in type I von Willebrand's disease |journal=Blood |volume=68 |issue=1 |pages=58–61 |date=July 1986 |pmid=3487361 |doi= |url=}}</ref> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Normocytic normochromic anemia]], ↑[[PT]], ↑[[PTT]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Sodium|Na]], ↑[[Chloride|Cl]], ↓[[Ca]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Metabolic acidosis]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Peritoneal cavity fluid in [[FAST]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Bilateral opacities in the lung field, [[Hemothorax]], Hemoperitoneum, Ruptured [[abdominal aortic aneurysm]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Intrathoracic, intra-abdominal, and retroperitoneal [[bleeding]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Source of [[bleeding]] in the upper GI in [[Esophagogastroduodenoscopy|EGD]], [[Angiography]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hemolysis]]<ref name="pmid3814817">{{cite journal |vauthors=Liesveld JL, Rowe JM, Lichtman MA |title=Variability of the erythropoietic response in autoimmune hemolytic anemia: analysis of 109 cases |journal=Blood |volume=69 |issue=3 |pages=820–6 |date=March 1987 |pmid=3814817 |doi= |url=}}</ref><ref name="pmid7365971">{{cite journal |vauthors=Marchand A, Galen RS, Van Lente F |title=The predictive value of serum haptoglobin in hemolytic disease |journal=JAMA |volume=243 |issue=19 |pages=1909–11 |date=May 1980 |pmid=7365971 |doi= |url=}}</ref> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Thrombocytopenia|Thrombocytopenia,]] [[Microcytic anemia|Microcytic hypochromic anemia]], ↑RDW, ↑[[Reticulocyte|Retic]] count | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[LDH]], ↓[[Haptoglobin]], ↑Unconjugated [[bilirubin]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Hepatomegaly]],[[Splenomegaly]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | |||
|- | |- | ||
! | ! align="center" style="background:#4479BA; color: #FFFFFF;" |Etiology | ||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Fatigue/ | |||
Lethargy | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Thirst | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Dizziness/ | |||
Confusion | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Muscle weakness/ | |||
cramp | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Somatic/ | |||
visceral pain | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Vomiting | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Diarrhea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Tachypnea | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Edema | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Blood indices | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Renal Funtion test | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Electrolytes | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Urine analysis | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |ABG | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Ultrasound | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |X-ray | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |CT | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |MRI | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Other | |||
! align="center" style="background:#4479BA; color: #FFFFFF;" |Comments | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Hepatorenal syndrome]]<ref name="pmid19776409">{{cite journal |vauthors=Ginès P, Schrier RW |title=Renal failure in cirrhosis |journal=N. Engl. J. Med. |volume=361 |issue=13 |pages=1279–90 |date=September 2009 |pmid=19776409 |doi=10.1056/NEJMra0809139 |url=}}</ref><ref name="pmid8550036">{{cite journal |vauthors=Arroyo V, Ginès P, Gerbes AL, Dudley FJ, Gentilini P, Laffi G, Reynolds TB, Ring-Larsen H, Schölmerich J |title=Definition and diagnostic criteria of refractory ascites and hepatorenal syndrome in cirrhosis. International Ascites Club |journal=Hepatology |volume=23 |issue=1 |pages=164–76 |date=January 1996 |pmid=8550036 |doi=10.1002/hep.510230122 |url=}}</ref> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Leukocytosis]], ↑[[PT]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Glomerular filtration rate|GFR]], ↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Proteinuria]], [[Sodium|Na]] < 10 mEq/L, [[Urine osmolality]] > [[plasma osmolality]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Alpha fetoprotein|Alpha feto-protein]], [[Cryoglobulinemia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Exclude [[hydronephrosis]] and intrinsic renal disease | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Right ventricular preload, ventricular filling pressures, and cardiac function in [[echocardiography]] | ||
| | | - | ||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Cardiomyopathy|Ischemic cardiomyopathy]]<ref name="pmid16567565">{{cite journal |vauthors=Maron BJ, Towbin JA, Thiene G, Antzelevitch C, Corrado D, Arnett D, Moss AJ, Seidman CE, Young JB |title=Contemporary definitions and classification of the cardiomyopathies: an American Heart Association Scientific Statement from the Council on Clinical Cardiology, Heart Failure and Transplantation Committee; Quality of Care and Outcomes Research and Functional Genomics and Translational Biology Interdisciplinary Working Groups; and Council on Epidemiology and Prevention |journal=Circulation |volume=113 |issue=14 |pages=1807–16 |date=April 2006 |pmid=16567565 |doi=10.1161/CIRCULATIONAHA.106.174287 |url=}}</ref><ref name="pmid15689345">{{cite journal |vauthors=Corrado D, Pelliccia A, Bjørnstad HH, Vanhees L, Biffi A, Borjesson M, Panhuyzen-Goedkoop N, Deligiannis A, Solberg E, Dugmore D, Mellwig KP, Assanelli D, Delise P, van-Buuren F, Anastasakis A, Heidbuchel H, Hoffmann E, Fagard R, Priori SG, Basso C, Arbustini E, Blomstrom-Lundqvist C, McKenna WJ, Thiene G |title=Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology |journal=Eur. Heart J. |volume=26 |issue=5 |pages=516–24 |date=March 2005 |pmid=15689345 |doi=10.1093/eurheartj/ehi108 |url=}}</ref> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Anemia]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Cr]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Sodium|Na]], ↓[[Potassium|K]], ↓[[Magnesium|Mg]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Troponin]], [[Creatine kinase]], [[Creatine kinase]] - MB, [[Brain natriuretic peptide|BNP]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Abnormal cardiac silhouette | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Biventricular volume, Wall motion abnormality, Myocardial perfusion, [[Hypertrophic cardiomyopathy]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Mid-wall [[fibrosis]] in [[MRI]] | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Ejection fraction ≤35%, Pulmonary embolism, Right ventricular dilation or [[pericardial effusion]] with tamponade in echocardiography | ||
| - | |||
| | |||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Liver cirrhosis]]<ref name="pmid24076364">{{cite journal |vauthors=Ge PS, Runyon BA |title=The changing role of beta-blocker therapy in patients with cirrhosis |journal=J. Hepatol. |volume=60 |issue=3 |pages=643–53 |date=March 2014 |pmid=24076364 |doi=10.1016/j.jhep.2013.09.016 |url=}}</ref><ref name="pmid3533689">{{cite journal |vauthors=Becker CD, Scheidegger J, Marincek B |title=Hepatic vein occlusion: morphologic features on computed tomography and ultrasonography |journal=Gastrointest Radiol |volume=11 |issue=4 |pages=305–11 |date=1986 |pmid=3533689 |doi= |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Liver function tests|LFT]], [[Aspartate aminotransferase]] to [[platelet]] ratio, FibroTest/FibroSure, Hepascore, FibroSpectatio | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Portal blood flow velocity, [[Hepatic artery]] enlargement, Multifocal lesions or masses, Hepatic contour, [[Ascites]], [[Splenomegaly]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Bowel perforation]], [[Gynecomastia]], [[Azygos vein]] enlargement, [[Pleural effusion]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Morphologic changes in the liver, Collaterals and shunts, Hyperattenuating nodule of [[hepatocellular carcinoma]], [[Portal vein thrombosis]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Vacular patency, Tumor invasion, [[Portal vein thrombosis]], [[Steatosis]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Hepatic]] function and [[portal hypertension]] in nuclear imaging, [[Hepatic]] perfusion and the development of [[shunt]]s and [[tumor]]s in angiography | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Irreversible and a transplant is usually needed | ||
| | |||
| | |||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Malignant hypertension]]<ref name="pmid23102030">{{cite journal |vauthors=Johnson W, Nguyen ML, Patel R |title=Hypertension crisis in the emergency department |journal=Cardiol Clin |volume=30 |issue=4 |pages=533–43 |date=November 2012 |pmid=23102030 |doi=10.1016/j.ccl.2012.07.011 |url=}}</ref><ref name="pmid16627047">{{cite journal |vauthors=Elliott WJ |title=Clinical features in the management of selected hypertensive emergencies |journal=Prog Cardiovasc Dis |volume=48 |issue=5 |pages=316–25 |date=2006 |pmid=16627047 |doi=10.1016/j.pcad.2006.02.004 |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Microangiopathic hemolytic anemia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Sodium|Na]], ↑[[Potassium|K]], ↑[[Phosphate|P]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Proteinuria]], [[Microscopic hematuria]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Acidosis]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Cardiac enzymes]], Urinary [[catecholamines]], [[TSH]], ↑[[Renin]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Cardiomegaly, [[Pulmonary edema]], Rib notching, [[Aortic coarctation]], Mediastinal widening, [[Aortic dissection]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Left atrial enlargement and left ventricular [[hypertrophy|hypertrophy in]] [[echocardiography]] | ||
| | | - | ||
| | |||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Myocarditis]]<ref name="pmid39746742">{{cite journal |vauthors=Dec GW, Palacios IF, Fallon JT, Aretz HT, Mills J, Lee DC, Johnson RA |title=Active myocarditis in the spectrum of acute dilated cardiomyopathies. Clinical features, histologic correlates, and clinical outcome |journal=N. Engl. J. Med. |volume=312 |issue=14 |pages=885–90 |date=April 1985 |pmid=3974674 |doi=10.1056/NEJM198504043121404 |url=}}</ref> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Leukocytosis]] ([[eosinophilia]]),↑[[ESR]] and [[CRP]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Cardiac enzymes]], Viral antibodies | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Inflammatory [[edema]], Degree of scarring | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Endomyocardial biopsy]], [[Echocardiography]], [[Scintigraphy]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | |||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Peritonitis]]<ref name="pmid97980132">{{cite journal |vauthors=Such J, Runyon BA |title=Spontaneous bacterial peritonitis |journal=Clin. Infect. Dis. |volume=27 |issue=4 |pages=669–74; quiz 675–6 |date=October 1998 |pmid=9798013 |doi= |url=}}</ref><ref name="pmid22106722">{{cite journal |vauthors=Runyon BA |title=Monomicrobial nonneutrocytic bacterascites: a variant of spontaneous bacterial peritonitis |journal=Hepatology |volume=12 |issue=4 Pt 1 |pages=710–5 |date=October 1990 |pmid=2210672 |doi= |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Leukocytosis]] | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Ascitic fluid [[neutrophil]] count > 500 cells/µL | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | |||
| | |||
| | |||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Polycythemia]]<ref name="pmid90251652">{{cite journal |vauthors=Gregg XT, Prchal JT |title=Erythropoietin receptor mutations and human disease |journal=Semin. Hematol. |volume=34 |issue=1 |pages=70–6 |date=January 1997 |pmid=9025165 |doi= |url=}}</ref><ref name="pmid92925432">{{cite journal |vauthors=Kralovics R, Indrak K, Stopka T, Berman BW, Prchal JF, Prchal JT |title=Two new EPO receptor mutations: truncated EPO receptors are most frequently associated with primary familial and congenital polycythemias |journal=Blood |volume=90 |issue=5 |pages=2057–61 |date=September 1997 |pmid=9292543 |doi= |url=}}</ref> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[RBC]], ↑[[Hematocrit|HCT]], ↑[[Hemoglobin|HGB]], [[Thrombocytosis]], [[Leukocytosis]], ↑[[PT]] and [[aPTT]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Erythropoietin]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Hyperuricemia]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Splenomegaly]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Phlebotomy]] is the usual treatment | ||
| | |||
| | |||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Respiratory distress syndrome]]<ref name="pmid265428772">{{cite journal |vauthors=Hooper SB, Te Pas AB, Kitchen MJ |title=Respiratory transition in the newborn: a three-phase process |journal=Arch. Dis. Child. Fetal Neonatal Ed. |volume=101 |issue=3 |pages=F266–71 |date=May 2016 |pmid=26542877 |doi=10.1136/archdischild-2013-305704 |url=}}</ref> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Metabolic acidosis|Metabolic]] and [[Metabolic acidosis|respiratory acidosis]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Pulse oximetry]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Bilateral, diffuse, reticular granular or ground-glass appearance +/- [[Cardiomegaly]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Patent ductus arteriosus]] [[hypertrophy|in]] [[echocardiography]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | |||
| | |||
|- | |- | ||
! | ! style="background: #DCDCDC; padding: 5px; text-align: center;" |[[Shock]]<ref name="pmid24171518">{{cite journal |vauthors=Vincent JL, De Backer D |title=Circulatory shock |journal=N. Engl. J. Med. |volume=369 |issue=18 |pages=1726–34 |date=October 2013 |pmid=24171518 |doi=10.1056/NEJMra1208943 |url=}}</ref> | ||
| style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | |||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>+/-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |<nowiki>-</nowiki> | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Hematocrit|HCT]], ↑[[PT]] and [[aPTT]], [[Eosinophilia]], [[Leukocytosis]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↓[[Glomerular filtration rate|GFR]], ↑[[Blood urea nitrogen|BUN]], ↑[[Cr]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |↑[[Lactate]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Liver function tests|LFT]], ↑[[BNP]], ↑[[Troponin]], [[D-dimer]], [[Fibrinogen]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Pulmonary embolism]], [[Pericardial effusion]], [[Cardiac tamponade]], [[Pneumothorax]], Thoracic or [[abdominal aortic aneurysm]] in RUSH (Rapid Ultrasound for Shock and Hypotension) | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |[[Pneumonia]], [[Pneumothorax]], [[Pulmonary edema]], Widened [[mediastinum]], Free air under the [[diaphragm]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Traumatic brain injury, [[Stroke]], Spinal injury, [[Pneumonia]], [[Pneumothorax]], Ruptured [[aneurysm]], [[Aortic dissection]], [[Pulmonary embolism]] | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" |Not applicable | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | | style="background: #F5F5F5; padding: 5px; text-align: center;" | - | ||
| | |||
| | |||
| | |||
|- | |- | ||
|} | |} | ||
Revision as of 15:03, 23 July 2018
Differential Diagnosis
Abbreviations: ABG = Arterial blood gases, BUN = Blood urea nitrogen, CBC = Complete blood count, CT = Computed tomography, CRP = C - reactive protein, ECG = Electrocardiogram, ESR = Erythrocyte sedimentation rate, IVP = Intravenous pyelography, KFT = Kidney function test, GI = Gastrointestinal, GFR = Glomerular filtration rate, MRI = Magnetic resonance imaging, PT = Prothrombin time
Etiology | Clinical manifestations | Paraclinical findings | Comments | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms and signs | Lab findings | Imaging | ||||||||||||||||||||
Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | |||
Prerenal causes | Alcohol poisoning[1][2] | + | - | +/- | - | +/- | + | +/- | - | - | ↑PT | ↑BUN, ↑Cr (isopropyl alcohol) | ↓Na | Not applicable | ↓HCO3 | LFT | Not applicable | Not applicable | Not applicable | Not applicable | - | Thiamine must be given to prevent Wernicke's encephalopathy |
Aspergillosis[3][4] | +/- | - | - | - | - | - | - | +/- | - | Not applicable | Not applicable | Not applicable | Not applicable | Not applicable | Allergy test, ↑IgE (>1000 IU/dl), Direct visualization of fungal hyphae | Not applicable | Pulmonary infiltrates, Mucus plug, Mass in the upper lobe surrounded by a crescent of air, Solitary or multiple cavities | Halo sign, Wedge-shaped pulmonary infarction, Granuloma | Not applicable | - | Polymerase chain reaction (PCR) | |
Cholera[5][6][6][7] | +/- | + | - | - | - | +/- | + | - | - | Leukocytosis, ↑HCT | ↑BUN, ↑Cr | ↓Na, ↑Ca, ↑Mg | Not applicable | ↑Lactate, ↓HCO3 | Stool PCR, Stool culture, Serotyping | Not applicable | Not applicable | Not applicable | Not applicable | - | - | |
Congestive heart failure (CHF)[8][9] | + | - | - | - | - | - | + | - | + | Anemia, Leukocytosis | ↑BUN, ↑Cr | ↓Na, ↑K | Not applicable | ↑Lactate, ↓HCO3, | ↑BNP, ↑Troponin | Cardiomegaly, Pulmonary hypertension, Pleural effusions | Pulmonary edema | Not applicable | Valvular heart disease | Decreased ejection fraction in echocardiography, Heart function and damage in nuclear imaging | - | |
Dehydration[10][11] | + | + | - | +/- | - | +/- | +/- | - | - | Not applicable | ↑BUN, ↑Cr | ↓Na, ↑K, ↓Cl | Ketones and glucose, ↑Urine specific gravity | ↑Lactate, ↓HCO3 | Hypoglycemia | Not applicable | Not applicable | Not applicable | Not applicable | - | - | |
Diarrhea and/or vomiting[12][13] | +/- | +/- | - | - | - | + | + | - | - | Leukocytosis with predominant neutrophilia, ↑ ESR | Not applicable | Not applicable | Ketones, Organic acids, Porphobilinogen, Aminolevulinic acid | Not applicable | Stool anion gap, Stool pH < 5.5, Stool culture, Serotyping, Enzyme immunoassay (rotavirus or adenovirus), LFT, Amylase, Lipase | Normal | Not applicable | Not applicable | Not applicable | - | - | |
Drugs/toxins[14][15] | +/- | +/- | +/- | +/- | +/- | +/- | +/- | +/- | +/- | Not applicable | ↑BUN, ↑Cr, ↑CK | ↑K, ↓Mg, ↓Ca, ↓P | Ingested drug, Glucose, Aminoacid, Phosphate, Ketone, Hyaline cast, RBC | ↑Lactate, Metabolic acidosis | Toxicology, Rapid immunoassay | Nephropathy | Radioopaque substances, Ingested drug packets | Not applicable | Not applicable | - | - | |
Esophageal varices bleeding[16][17] | +/- | - | - | - | +/- | - | - | - | - | Normocytic normochromic anemia | ↑BUN, ↑Cr | Not applicable | Not applicable | Not applicable | Not applicable | Velocity and direction of portal flow | Abnormal opacities outside ofesophageal wall, Posterior mediastinal or intraparenchymal mass, Dilated azygous vein | Entire portal venous system | Portrays esophageal varices as flow voids | Portal hypertension and esophageal varices in positron emission tomography, Flexible endoscope, Barium swallow of snake-like filling defects | - | |
Heart disease[18][19] | +/- | - | - | - | - | - | - | +/- | +/- | ↑ESR and CRP | ↑BUN, ↑Cr | Not applicable | Not applicable | Not applicable | Throat culture, Rapid streptococcal antigen test, Hyperoxia test, Pulse oximetry | Not applicable | Cardiomegaly, Dextrocardia | Not applicable | Not applicable | Ventricular dysfunction, Left and right ventricular hypertrophy, Valvular disease in echocardiography | - | |
Hemorrhage[20][21] | - | - | - | - | - | - | - | - | - | Normocytic normochromic anemia, ↑PT, ↑PTT | ↑BUN, ↑Cr | ↑Na, ↑Cl, ↓Ca | Not applicable | Metabolic acidosis | Not applicable | Peritoneal cavity fluid in FAST | Bilateral opacities in the lung field, Hemothorax, Hemoperitoneum, Ruptured abdominal aortic aneurysm | Intrathoracic, intra-abdominal, and retroperitoneal bleeding | Not applicable | Source of bleeding in the upper GI in EGD, Angiography | - | |
Hemolysis[22][23] | +/- | - | - | - | - | - | - | - | - | Thrombocytopenia, Microcytic hypochromic anemia, ↑RDW, ↑Retic count | Not applicable | Not applicable | Not applicable | Not applicable | ↑LDH, ↓Haptoglobin, ↑Unconjugated bilirubin | Hepatomegaly,Splenomegaly | Not applicable | Not applicable | Not applicable | - | - | |
Etiology | Fatigue/
Lethargy |
Thirst | Dizziness/
Confusion |
Muscle weakness/
cramp |
Somatic/
visceral pain |
Vomiting | Diarrhea | Tachypnea | Edema | Blood indices | Renal Funtion test | Electrolytes | Urine analysis | ABG | Other | Ultrasound | X-ray | CT | MRI | Other | Comments | |
Hepatorenal syndrome[24][25] | +/- | - | - | - | +/- | +/- | - | - | +/- | Leukocytosis, ↑PT | ↓GFR, ↑BUN, ↑Cr | ↓Na | Proteinuria, Na < 10 mEq/L, Urine osmolality > plasma osmolality | Not applicable | Alpha feto-protein, Cryoglobulinemia | Exclude hydronephrosis and intrinsic renal disease | Not applicable | Not applicable | Not applicable | Right ventricular preload, ventricular filling pressures, and cardiac function in echocardiography | - | |
Ischemic cardiomyopathy[26][27] | +/- | - | - | - | - | - | - | +/- | +/- | Anemia | ↑Cr | ↓Na, ↓K, ↓Mg | Not applicable | Not applicable | Troponin, Creatine kinase, Creatine kinase - MB, BNP | Not applicable | Abnormal cardiac silhouette | Biventricular volume, Wall motion abnormality, Myocardial perfusion, Hypertrophic cardiomyopathy | Mid-wall fibrosis in MRI | Ejection fraction ≤35%, Pulmonary embolism, Right ventricular dilation or pericardial effusion with tamponade in echocardiography | - | |
Liver cirrhosis[28][29] | +/- | - | +/- | +/- | +/- | - | - | - | +/- | Not applicable | Not applicable | Not applicable | Not applicable | Not applicable | LFT, Aspartate aminotransferase to platelet ratio, FibroTest/FibroSure, Hepascore, FibroSpectatio | Portal blood flow velocity, Hepatic artery enlargement, Multifocal lesions or masses, Hepatic contour, Ascites, Splenomegaly | Bowel perforation, Gynecomastia, Azygos vein enlargement, Pleural effusion | Morphologic changes in the liver, Collaterals and shunts, Hyperattenuating nodule of hepatocellular carcinoma, Portal vein thrombosis | Vacular patency, Tumor invasion, Portal vein thrombosis, Steatosis | Hepatic function and portal hypertension in nuclear imaging, Hepatic perfusion and the development of shunts and tumors in angiography | Irreversible and a transplant is usually needed | |
Malignant hypertension[30][31] | +/- | - | + | - | - | +/- | - | +/- | +/- | Microangiopathic hemolytic anemia | ↑BUN, ↑Cr | ↑Na, ↑K, ↑P | Proteinuria, Microscopic hematuria | Acidosis | Cardiac enzymes, Urinary catecholamines, TSH, ↑Renin | Not applicable | Cardiomegaly, Pulmonary edema, Rib notching, Aortic coarctation, Mediastinal widening, Aortic dissection | Not applicable | Not applicable | Left atrial enlargement and left ventricular hypertrophy in echocardiography | - | |
Myocarditis[32] | +/- | - | - | - | +/- | - | - | +/- | - | Leukocytosis (eosinophilia),↑ESR and CRP | Not applicable | Not applicable | Not applicable | Not applicable | Cardiac enzymes, Viral antibodies | Not applicable | Not applicable | Not applicable | Inflammatory edema, Degree of scarring | Endomyocardial biopsy, Echocardiography, Scintigraphy | Not applicable | |
Peritonitis[33][34] | +/- | - | +/- | - | +/- | +/- | +/- | - | - | Leukocytosis | Not applicable | Not applicable | Not applicable | Not applicable | Ascitic fluid neutrophil count > 500 cells/µL | Not applicable | Not applicable | Not applicable | Not applicable | - | - | |
Polycythemia[35][36] | +/- | - | - | - | - | - | - | +/- | - | ↑RBC, ↑HCT, ↑HGB, Thrombocytosis, Leukocytosis, ↑PT and aPTT | ↓Erythropoietin | Not applicable | Not applicable | Not applicable | Hyperuricemia | Splenomegaly | Not applicable | Not applicable | Not applicable | - | Phlebotomy is the usual treatment | |
Respiratory distress syndrome[37] | + | - | +/- | - | - | - | - | + | - | Not applicable | Not applicable | Not applicable | Not applicable | Metabolic and respiratory acidosis | Pulse oximetry | Not applicable | Bilateral, diffuse, reticular granular or ground-glass appearance +/- Cardiomegaly | Not applicable | Not applicable | Patent ductus arteriosus in echocardiography | - | |
Shock[38] | +/- | +/- | +/- | +/- | +/- | +/- | - | +/- | - | ↑HCT, ↑PT and aPTT, Eosinophilia, Leukocytosis | ↓GFR, ↑BUN, ↑Cr | Not applicable | Not applicable | ↑Lactate | LFT, ↑BNP, ↑Troponin, D-dimer, Fibrinogen | Pulmonary embolism, Pericardial effusion, Cardiac tamponade, Pneumothorax, Thoracic or abdominal aortic aneurysm in RUSH (Rapid Ultrasound for Shock and Hypotension) | Pneumonia, Pneumothorax, Pulmonary edema, Widened mediastinum, Free air under the diaphragm | Traumatic brain injury, Stroke, Spinal injury, Pneumonia, Pneumothorax, Ruptured aneurysm, Aortic dissection, Pulmonary embolism | Not applicable | - | - |
- ↑ Pletcher MJ, Maselli J, Gonzales R (December 2004). "Uncomplicated alcohol intoxication in the emergency department: an analysis of the National Hospital Ambulatory Medical Care Survey". Am. J. Med. 117 (11): 863–7. doi:10.1016/j.amjmed.2004.07.042. PMID 15589492.
- ↑ Cherpitel CJ (March 1989). "Breath analysis and self-reports as measures of alcohol-related emergency room admissions". J. Stud. Alcohol. 50 (2): 155–61. PMID 2927129.
- ↑ Marr KA, Carter RA, Crippa F, Wald A, Corey L (April 2002). "Epidemiology and outcome of mould infections in hematopoietic stem cell transplant recipients". Clin. Infect. Dis. 34 (7): 909–17. doi:10.1086/339202. PMID 11880955.
- ↑ Cornillet A, Camus C, Nimubona S, Gandemer V, Tattevin P, Belleguic C, Chevrier S, Meunier C, Lebert C, Aupée M, Caulet-Maugendre S, Faucheux M, Lelong B, Leray E, Guiguen C, Gangneux JP (September 2006). "Comparison of epidemiological, clinical, and biological features of invasive aspergillosis in neutropenic and nonneutropenic patients: a 6-year survey". Clin. Infect. Dis. 43 (5): 577–84. doi:10.1086/505870. PMID 16886149.
- ↑ Weil AA, Khan AI, Chowdhury F, Larocque RC, Faruque AS, Ryan ET, Calderwood SB, Qadri F, Harris JB (November 2009). "Clinical outcomes in household contacts of patients with cholera in Bangladesh". Clin. Infect. Dis. 49 (10): 1473–9. doi:10.1086/644779. PMC 2783773. PMID 19842974.
- ↑ 6.0 6.1 Cash RA, Music SI, Libonati JP, Snyder MJ, Wenzel RP, Hornick RB (January 1974). "Response of man to infection with Vibrio cholerae. I. Clinical, serologic, and bacteriologic responses to a known inoculum". J. Infect. Dis. 129 (1): 45–52. PMID 4809112.
- ↑ Harris JB, Ivers LC, Ferraro MJ (June 2011). "Case records of the Massachusetts General Hospital. Case 19-2011. A 4-year-old Haitian boy with vomiting and diarrhea". N. Engl. J. Med. 364 (25): 2452–61. doi:10.1056/NEJMcpc1100927. PMID 21696312.
- ↑ Solomon SD, Dobson J, Pocock S, Skali H, McMurray JJ, Granger CB, Yusuf S, Swedberg K, Young JB, Michelson EL, Pfeffer MA (September 2007). "Influence of nonfatal hospitalization for heart failure on subsequent mortality in patients with chronic heart failure". Circulation. 116 (13): 1482–7. doi:10.1161/CIRCULATIONAHA.107.696906. PMID 17724259.
- ↑ Fonarow GC, Adams KF, Abraham WT, Yancy CW, Boscardin WJ (February 2005). "Risk stratification for in-hospital mortality in acutely decompensated heart failure: classification and regression tree analysis". JAMA. 293 (5): 572–80. doi:10.1001/jama.293.5.572. PMID 15687312.
- ↑ Steiner MJ, DeWalt DA, Byerley JS (June 2004). "Is this child dehydrated?". JAMA. 291 (22): 2746–54. doi:10.1001/jama.291.22.2746. PMID 15187057.
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- ↑ Carpenter DO (February 1990). "Neural mechanisms of emesis". Can. J. Physiol. Pharmacol. 68 (2): 230–6. PMID 2178747.
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- ↑ Toto RD, Mitchell HC, Lee HC, Milam C, Pettinger WA (October 1991). "Reversible renal insufficiency due to angiotensin converting enzyme inhibitors in hypertensive nephrosclerosis". Ann. Intern. Med. 115 (7): 513–9. PMID 1883120.
- ↑ Bismuth C, Gaultier M, Conso F, Efthymiou ML (1973). "Hyperkalemia in acute digitalis poisoning: prognostic significance and therapeutic implications". Clin. Toxicol. 6 (2): 153–62. doi:10.3109/15563657308990513. PMID 4715199.
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- ↑ Achneck HE, Sileshi B, Parikh A, Milano CA, Welsby IJ, Lawson JH (November 2010). "Pathophysiology of bleeding and clotting in the cardiac surgery patient: from vascular endothelium to circulatory assist device surface". Circulation. 122 (20): 2068–77. doi:10.1161/CIRCULATIONAHA.110.936773. PMID 21098468.
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- ↑ Liesveld JL, Rowe JM, Lichtman MA (March 1987). "Variability of the erythropoietic response in autoimmune hemolytic anemia: analysis of 109 cases". Blood. 69 (3): 820–6. PMID 3814817.
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- ↑ Such J, Runyon BA (October 1998). "Spontaneous bacterial peritonitis". Clin. Infect. Dis. 27 (4): 669–74, quiz 675–6. PMID 9798013.
- ↑ Runyon BA (October 1990). "Monomicrobial nonneutrocytic bacterascites: a variant of spontaneous bacterial peritonitis". Hepatology. 12 (4 Pt 1): 710–5. PMID 2210672.
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- ↑ Hooper SB, Te Pas AB, Kitchen MJ (May 2016). "Respiratory transition in the newborn: a three-phase process". Arch. Dis. Child. Fetal Neonatal Ed. 101 (3): F266–71. doi:10.1136/archdischild-2013-305704. PMID 26542877.
- ↑ Vincent JL, De Backer D (October 2013). "Circulatory shock". N. Engl. J. Med. 369 (18): 1726–34. doi:10.1056/NEJMra1208943. PMID 24171518.