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Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Framework and Workup ... Gap - UAG and Urine ... gap - UA with urine ... ammonium concentration ... Differential #Diagnosis #Workup
Ammonium Urate Crystals on Urine Microscopy Very much like a black sea urchin in these particular examples Dr.
Ammonium Urate Crystals ... on Urine Microscopy ... @JoseTesser #Ammonium ... clinical #nephrology #urine
Urine Osmolar Gap Calculation Urine Osmolar Gap represents ammonium salts = Measured Urine Osmolality - (2 x
Urine Osmolar Gap ... Calculation Urine ... Gap represents ammonium ... salts = Measured Urine ... + Urea/2.8) Urine
Urine Anion Gap in NAGMA NA + K - Cl = surrogate for Urine NH4+ NH4+ is excreted
Urine Anion Gap ... surrogate for Urine ... negative AG implies ↑ ammonium ... ThePeanutKidney #Urine
Distal Renal Tubular Acidosis (RTA) Type 1 Totally scuppers the kidney's acidification mechanism. Will be
diagnosis with direct urine ... ammonium assay. ... Failure to acidify urine
Urine Microscopy Crystals Uric Acid crystals: - Formation promoted by acidic urine - Seen in tumor lysis
Urine Microscopy ... promoted by acidic urine ... promoted by alkaline urine ... disease Magnesium ammonium ... independent of urine
Types of Renal Calculi Calcium oxalate - Interstitial apatite plaque, Low urine volume, Increased urinary calcium excretion,
apatite plaque, Low urine ... duct plaque, Low urine ... - Magnesium, ammonium ... phosphate: alkaline urine ... Infection with ammonia-producing
Laboratory Testing in Hemolytic Anemia Intravascular vs Extravascular Hemolysis Reticulocytes Unconjugated bilirubin LDH Peripheral smear Haptoglobin Urine hemosiderin Urine hemoglobin Carboxyhemoglobin #Hemolytic #Anemia #Laboratory #Testing #workup
Haptoglobin Urine ... hemosiderin Urine ... Laboratory #Testing #workup
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... Symptoms of UTI, urine ... WBCs, or urine ... → Urine culture ... Diagnosis #Algorithm #Workup
Amyloidosis - Workup and Diagnostic Algorithm • Serum Immunofixation and Serum Free Light Chains • Biopsy
Amyloidosis - Workup ... • Serum and urine ... IFE and 24-h urine ... #Amyloidosis #Workup
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