53 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... • Labs: CBC, cr ... , anti-CCP • CXR ... infiltrates) → high ... differential #diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... Reduced GFR, AKI/CRF ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Diagnosis Algorithm Syndrome ... Pain/Post-op • Neurologic ... • Drugs • Pulmonary ... Reduced GFR, AKI/CRF ... #Hyponatremia #Nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
underlying cause (CHF ... cirrhosis, nephrotic syndrome ... Stress, Nausea, Pulmonary ... Algorithm #diagnosis #nephrology
MRI Brain Sequence Comparison: T1 vs T2 vs FLAIR
T1:
 - CSF is Dark
 - Grey Matter
vs FLAIR T1: - CSF ... is White T2: - CSF ... is Bright - Grey ... Brain #Comparison #clinical ... radiology #diagnosis #neurology
Locked-In Syndrome on Physical Exam

56 year-old male with acute onset altered sensorium. Suffered a cardiac arrest
Locked-In Syndrome ... Brief CPR and intubated ... #LockedIn #Syndrome ... #PhysicalExam #clinical ... #video #neurology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... common • Imaging: CXR ... - pulmonary opacities ... sepsis), PE, DAH, CHF ... Differentiation #Syndrome
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Shift: Refeeding Syndrome ... Tumor Genesis Syndrome ... Inappropriately High ... Carboxymaltose, CAR-T ... Diagnosis #Algorithm #nephrology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... during a period of CHF ... (right). ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Refeeding Syndrome: Pathogenesis and clinical findings

Patients at Risk of Refeeding Syndrome:
 - Little or no nutritional
Refeeding Syndrome ... Pathogenesis and clinical ... - Significant weight ... overload -> - CHF ... - Pulmonary