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diagnosis management differential causes nephrology alcohol rhabdomyolysis syndromes toxicology algorithm cardiology chf classification clinical criticalcare crystals elevation foamed gitelman heartfailure
Toxic Alcohol Ingestion Alcoholic ketoacidosis - Methanol - Ethylene glycol - Isopropyl Alcohol • Metabolic Acidosis •
Toxic Alcohol Ingestion ... • Metabolic Acidosis ... Gap • Serum / Urine ... diagnosis #toxicology #comparison ... #table
Urine Microscopy Crystals Uric Acid crystals: - Formation promoted by acidic urine - Seen in tumor lysis
Urine Microscopy ... in tumor lysis syndrome ... ethylene glycol ingestion ... #Microscopy #Crystals ... #comparison #table
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
• Parvovirus infection ... factor (GCSF) treatments ... abnormal under a microscope ... marrow studies Treatment ... Immunosuppressive treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Statins - ETOH - Infection ... Weakness - Dark urine ... kidney tubular cells ... hour with goal urine ... per day until stable
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
iniury, Compartment syndrome ... Neuroleptic malignant syndrome ... Statins), ETOH Infection ... hour with goal urine ... per day until stable
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Redistribution: Acidosis ... lysis) ± Urine ... Elimination (see Table ... hyperchloremic acidosis ... Drives K+ into cells
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
polyangiitis), MPA (microscopic ... Anti-GBM antibody • Urine ... : UA, Urine protein ... FINDINGS: • U/A: microscopic ... diagnosis #management #treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
excretion (e.g., urine ... e.g., uptake by cells ... perfusion - shock->treatments ... before beginning treatment ... - Compartment syndrome
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... & Dry) is the treatment ... acute coronary syndrome ... & Dry” is the treatment ... #table #foamed
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Gitelman Syndrome ... apical membrane of cells ... Hypocalciuria (spot urine ... Renal tubular acidosis ... Rhabdomyolysis Treatment
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