21 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
Evaluate underlying cause ... suspicion) • +/- bubble ... Ruled out other causes ... stroke #workup #diagnosis ... #checklist #neurology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... • Normal Acid-Base ... #Algorithm #causes ... potassium #low #nephrology
Inherited Defects in Kidney Tubule Epithelial Cells

Renal glucosuria - Na+-dependent glucose cotransporter
Cystinuria - Amino acid transporter
Bartter
Epithelial Cells Renal ... receptor Distal renal ... Defects #Kidney #Nephrology ... #Diagnosis #Differential ... #Table
Hypernatremia Classification and Features According to Volume Status
 - Hypervolemic hypernatremia - Cushing's syndrome, Primary hyperaldosteronism,
Hypernatremia Classification ... Hypodipsia - Renal ... #Features #Diagnosis ... #Comparison #Table ... #Nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based ... #differential #diagnosis ... #table #sodium ... #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... - Differential Diagnosis ... sedation, narcotics, CVA ... #Summary #Nephrology ... bloodgas #Acid #Base
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
- Differential Diagnosis ... - Diarrhea • RENAL ... gas transport, renal ... secretion • Acid-base ... Pathophysiology #Nephrology
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
- Differential Diagnosis ... DM (visit 2), Diagnosis ... based on repeat ... multi-drug resistance) Renal ... HTN #Secondary #Nephrology
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... • Measurable neurologic ... present, in which case ... #tPA #Stroke #cva ... #management #neurology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... FEPO4 ≥ 5% - Renal ... Denosumab, Estrogen based ... Fanconi syndrome, CA ... Workup #phosphate #nephrology