22 results
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Urinalysis/microscopy ... ATN - 45% - Pre-renal ... mostly ATN and pre-renal ... Atheroemboli — 1% ... #Algorithm #Causes
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Workup Step 1 ... Step 2. ... Diagnosis #Workup #Algorithm ... #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Diagnosis Algorithm ... water retention 1) ... Serum Osmolarity 2) ... High Uric Acid → renal ... #nephrology #sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Workup Step #1 ... history Step #2 ... ASanchez_PS and Dr ... #Management #Algorithm ... #Sodium #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... +K / serum Na >1 ... ≥100): SIADH, Renal ... Losses (AKI, Post-AKI ... table #sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... mOsm/kg - Implies renal ... mechanism 2) ... #nephrology #sodium
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
) 1) IS THIS AN ... require urgent nephrology ... 2) HISTORY/PHYSICAL ... Assess UA w/ microscopy ... workup #diagnosis #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Renal artery stenosis ... Liddle - Dr. ... #Differential #Algorithm ... Causes #Workup #Nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Framework and Management ... declines > ALT) • AKI ... Hyperuricemia • Hyponatremia ... + myoglobin AKI ... causes #treatment #nephrology
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Epilepticus - Management ... PEDS Benzo Dose 1 ... Intubation - Dr ... #treatment #algorithm ... peds #pediatrics #neurology