7 results
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... up an ischemic CVA ... Evaluate underlying cause ... • TTE +/- TEE (high ... #CVA #stroke #workup
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... urinary losses: • High ... consumption • Low ... differential #potassium #nephrology ... #low
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... reabsorption) Workup ... only if no clear cause ... acidosis) • Low ... Treatment #potassium #nephrology
Digoxin Pharmacology and Pathophysiology
1) Na/K ATPase Pump - Digoxin works by directly binding to and inhibiting
Pump - Digoxin works ... intracellular calcium causes ... - Hyperkalemia ( ... high potassium levels ... (or low potassium
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
WBC count cause ... visual changes, stroke ... AKI, acute limb ischemia ... values: Elevated K, ... , Elevated Cr, Low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... diuresis can be high ... Present (Uosm ≥100): Hypovolemia ... table #sodium #nephrology
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Pragmatic diagnostic algorithm ... urine Na/Cl > 1.6, low ... urine Na/Cl < 0.7, high ... Tubulopathy: urine K/ ... #nephrology