51 results
UROLITHIASIS 

80% of stones are composed of calcium oxalate or phosphate. Others include uric acid (9%),
staghorn or large calculus ... is related to low ... uric acid levels, low ... urine pH, and low ... flankpain #PCN #calculus
Types of Renal Calculi

Calcium oxalate
 - Interstitial apatite plaque, Low urine volume, Increased urinary calcium excretion,
Types of Renal Calculi ... apatite plaque, Low ... collecting duct plaque, Low ... and intestine, Low ... #Types #Renal #stones
Causes of Nephrolithiasis - Differential Diagnosis Algorithm
Radio-opaque - Calcium-containing - 90% of stones
Radiolucent - Non-calcium 10%
Differential Diagnosis Algorithm ... overproduction • Low ... solubility: • Low ... Nephrolithiasis #Nephrology ... Differential #Diagnosis #Algorithm
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Pediatric Kidney Stones ... • Try retrieve stone ... Stent: < 2 cm stone ... protein - Low ... Management #Pediatrics #nephrology
Ureteral Calculus on Bladder POCUS
Echogenic calculus seen in the lower ureter. Twinkle artifact +. Ureteric jet
Ureteral Calculus ... POCUS Echogenic calculus ... obstruction to the flow ... #Ureteral #Calculus ... POCUS #Ultrasound #stone
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... - Urine sodium low ... and uric acid low ... #Differential #Algorithm ... #Diagnosis #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Uric Acid - Low ... Differential #Diagnosis #Algorithm ... #nephrology #sodium ... #low #uricacid
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia Diagnostic Algorithm ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Normal Acid-Base: Low ... Differential #Diagnosis #Algorithm ... causes #potassium #low ... #nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... vomiting) • Low ... Differential #Diagnosis #Algorithm ... #nephrology #low