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nephrology diagnosis differential algorithm treatment hyperkalemia metabolic alkalosis hypokalemia acidosis blood clinical distal hematology high hyponatremia kidney low microscopy product
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute Managment ... Monitoring for extra-renal ... ascorbic acid Dr ... #Pediatrics #nephrology
Distal Renal Tubular Acidosis (RTA) Type 1 Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Failure to acidify urine ... pH <5.5 - Dr ... Distal #Diagnosis #Management ... #Nephrology #Causes
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Fluids Shift potassium ... (if preserved renal ... Hemodialysis By Dr ... #Hyperkalemia #management ... #potassium #nephrology
Sulfa Crystals on Urine Microscopy Sulfa Crystal! Drug-induced crystalluria is a cause of acute renal failure
Sulfa Crystals on Urine ... crystalluria is a cause ... of acute renal ... Especially sulfonamides are ... crystalluria #clinical #nephrology
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 Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... suggests extra-renal ... causes • Laxative ... Distal RTA, DKA Dr ... #nephrology #low
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - Failure to acidify urine in collecting duct
Hyperkalemic Distal Renal ... Failure to acidify urine ... collecting duct due ... Hyperkalemic #Diagnosis #Management ... #Nephrology #RenalTubular
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... loss (Diarrhea) Renal ... Diagnosis #Algorithm #causes ... #potassium #low ... #nephrology
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
UOP/weights - Urine ... rhabdo/TLS) Causes ... ATN - 45% - Pre-renal ... mostly ATN and pre-renal ... AcuteKidneyInjury #AKI #Nephrology
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
and concentrated urine ... are seen in acute ... tubulointerstitial nephritis, renal ... edgarvlermamd - Nephrology ... Microscopy #Diagnosis #Nephrology
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
Causes of Polyuria ... Nephrogenic DI (Renal ... Polyuria Mimics (↑ urine ... bladder") - Dr ... #nephrology
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