12 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
and Workup Step ... Assess volume status ... - burns - fevers ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... thirst, Lack of access ... #Differential # ... #Algorithm #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
- Differential ... • Decreased level ... consciousness • No access ... ICU patients • Fever ... #Nephrology #Differential
Causes of Cystic Renal Mass - Differential Diagnosis Algorithm
Benign - Anechoic on ultrasound, Well-demarcated on ultrasound/CT,
Causes of Cystic Renal ... Mass - Differential ... Carcinoma - Abscess ... - Fever and leukocytosis ... Cystic #RenalMass #Nephrology
Renal Pelvis Stone on POCUS

A patient presents with fever and RLQ pain.  Coronal plane showing
on POCUS A patient ... presents with fever ... & right kidney, ... the setting of fever ... nephrolithiasis #clinical #ultrasound
Acquired Cystic Kidney Disease (ACKD) Screening and Management
 • Asymptomatic dialysis/renal transplant patient, aged >60 years,
Acquired Cystic Kidney ... life expectancy → Ultrasound ... , lumbar pain, fever ... Acquired #Cystic #Kidney ... surveillance #radiology #nephrology
Renal Abscess on POCUS
Left flank pain. On ABX Day 5 for pyelo. She has hx of
Renal Abscess on ... Differential would ... include renal abscess ... #Abscess #kidney ... #ultrasound
Nephrolithiasis with Hydronephrosis on POCUS

This patient had a fever to 102F.  There’s a proximal ureteral
Hydronephrosis on POCUS ... patient had a fever ... the setting of fever ... #clinical #ultrasound ... #kidney #renal
Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS

Adult female with right flank pain, fever, leukocytosis, soft
right flank pain, fever ... Diagnosis/differential ... perinephric/psoas abscess ... #clinical #ultrasound ... #renal
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... approach to the differential ... Assess volume status ... #Differential # ... Treatment #management #nephrology