13 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
3) Now, look at ... the gas. ... Obstructive Lung Disease ... Neuromuscular Disease ... #Evaluation #workup
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... (AG) = {Na - (Cl ... restrictive lung disease ... #Summary #Nephrology ... #Acid #Base #Gas
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
• Normal/low ... poisoning Normal acid-base ... and potassium acid ... urine #Algorithm #nephrology ... #differential #diagnosis
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Spot PC (protein ... in monitoring low-level ... glomerular #testing #workup ... #diagnosis #glomerulonephritis ... nephrotic #nephritic #nephrology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
, low complements ... Classification: ... Differential Diagnosis ... , lymphopenia, low ... La, anti-Jo-1, SCL
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
Spot PC (protein ... in monitoring low-level ... same information as ... #workup #diagnosis ... initial #testing #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
• Metabolic alkalosis ... disequilibrium syndrome • Diagnosis ... Bumetanide, Ethacrynic acid ... specific bleeding disorders ... Excretion #Diuresis #Nephrology
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
other neurological disorders ... Ab (>1000u/ml) ... antibody that works ... limb or joint disorders ... Baclofen • Severe Disease
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
Rheumatology Workup ... • Serum uric acid ... metabolic or endocrine disorders ... chest wall, and low ... #diagnosis #testing
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... tourniquet / IVF line draw ... (Assess GFR), ±VBG ... acidosis) • Low ... Treatment #potassium #nephrology