10 results
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... preload → IV Fluids ... • If high preload ... Foley catheter • Medications ... #Kidney #Injury
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
tubular cells - Acute ... tubular injury ... horsfall protein indicating ... acute tubular injury ... disorders or excreted medications
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Indications Treatment ... HBe-Ag detectable, high ... HBe-Ag detectable, high ... with severe liver injury ... #Indications #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
mortality, LOS NIPPV Indications ... on chronic resp acidosis ... Post-extubation in high ... pneumothorax. esophageal injury ... NIPPV #CPAP #BPAP #indications
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • Trauma/Crush injury ... - Metabolic acidosis ... Medications 2. ... #nephrology
Blunt cerebrovascular injury (BCVI) 

Blunt cerebrovascular injury (BCVI) can have 
severe neurologic sequelae. Early diagnosis is
cerebrovascular injury ... cerebrovascular injury ... diagnosis and treatment ... diagnosis of BCVI in high-risk ... diagnosis #Imaging #Indications
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... Redistribution: Acidosis ... , rhabdo/crush injury ... STOP offending medications ... #potassium #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • Trauma/Crush injury ... - Metabolic acidosis ... Medications 2. ... #nephrology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
liver or renal injury ... before beginning treatment ... cardiac output - Acute ... peritonitis - Acute ... - HIV/HAART medications
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Loop Diuretics; High-Ceiling ... Torsemide) • Acute ... hyperaldosteronism • Acute ... Tolvaptan) • Treatment ... #Pharmacology #Medications