34 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Embolism with IVC Thrombus ... In Transit A ... most support her diagnosis ... #InTransit #clinical ... #ultrasound #echocardiogram
Acute Kidney Injury (AKI) in Patients with Cancer 

Cancer Related 
• Hypercalcemia 
• Intravenous contrast 
•
Kidney Injury (AKI ... • Intravenous contrast ... chain (LC) cast nephropathy ... Kidney #Injury #AKI ... #Differential #Diagnosis
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... - Differential Diagnosis ... hypotension) • Toxins (contrast ... Obstruction • Cast nephropathy ... #Algorithm #Causes
Causes of Acute Kidney Injury - Differential Diagnosis Framework 
Pre-Renal
Post-Renal
Intrinsic Renal:
 • Tubules (ATN)
 • Glomerular:
Causes of Acute ... - Differential Diagnosis ... Pre-Renal Post-Renal Intrinsic ... drtonydang @CMC_IM #AKI ... #KidneyInjury #Causes
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
you confirmed diagnosis ... . 5) CONSIDER INTRINSIC ... CAUSES Assess ... protein. - 80% of intrinsic ... simplified #workup #diagnosis
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Intrarenal: • Intrinsic ... tubular necrosis (causes ... sepsis, meds, contrast ... prolonged prerenal AKI ... Classification #diagnosis
Intrinsic Renal Disease - Differential Diagnosis
Vascular:
 • Macrovascular: Renal artery occlusion, Fibromuscular disease
 • Microvascular: TTP/HUS,
Intrinsic Renal ... - Differential Diagnosis ... , NSAIDs, Cast nephropathy ... Rhabdomyolysis, Contrast ... #differential #diagnosis
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
What's the diagnosis ... Thrombus in transit ... Clinical #POCUS #Echocardiogram ... PulmonaryEmbolism #Thrombus ... #Clots #InTransit
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Kidney Injury (AKI ... Nephrotoxins (NSAlDs, contrast ... rhabdo/TLS) Causes ... #Nephrology #Diagnosis ... #Algorithm #Causes
Core IM: Pearls on Contrast-Induced Nephropathy

Definition: 
 • no slam dunk criteria 
 • definition in
IM: Pearls on Contrast-Induced ... Nephropathy Definition ... 72 hours after contrast ... tubular necrosis Diagnosis ... (muddy brown casts