46 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
the Anion Gap (AG ... expected based on the AG ... the change in AG ... Do you need an ABG ... approximates an ABG
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
ABG And BMP Normal ... : Anion Gap (AG ... Delta: Delta = (AG ... Pure Normal AG ... Summary #Nephrology #ABG
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
NAGMA - Chem, ABG ... or VBG - Calculate ... Anion Gap - UAG ... in the urine - Renal ... Renal Loss of HCO3
Push Dose Pressors - Mixing Instructions - Epinephrine and Phenylephrine

Epinephrine Preparation steps:
1. Add 9 mL of
Label syringe ... phenylephrine to 100 mL NS bag ... mL from this NS bag ... Label syringe
Ruptured Ectopic Pregnancy on Pelvic Ultrasound
25 y/o f w acute abd pain and vaginal bleeding. Upreg
Pregnancy on Pelvic Ultrasound ... y/o f w acute abd ... Global Ultrasound ... Pregnancy #Pelvic #Ultrasound ... obgyn #gynecology #labeled
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... (Pulmonary and renal ... testing: anti-ANCA ab ... , anti-GBM ab, ANA ... Bronchoscopy with serial BAL
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal ... echo/flat IVC/no abd ... Hydronephrosis #POCUS #Renal ... #Ultrasound #Clinical
Urine Anion Gap in NAGMA
NA + K - Cl = surrogate for Urine NH4+
NH4+ is excreted
increasing negative AG ... RTA (nb ↑K) - Renal
Normal prominent medullary pyramids on renal POCUS
No hydronephrosis. Has prominent medullary pyramids. They can appear markedly
medullary pyramids on renal ... markedly hypoechoic (labeled ... they taper toward renal ... medullary #pyramids #renal ... POCUS #clinical #ultrasound
Millicurie limit guidelines for major and minor radioactive spills.
I-131 - 1mCi
In-111 - 10 mCi
F-18 - 10
protective clothing • Bag ... disposable • Label ... absorbent paper and label