9 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... Assess volume status ... - burns - fevers ... HYPERVOLEMIC • CHF • liver ... #Algorithm #Nephrology
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Pain / Exercise, Fever ... Beta-Agonists, ↑ work ... Failure, Renal ... Lactic #Acidosis #Differential
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... or renal injury ... / hypoxemia -> focus ... assessment - assess ... Acidosis #Elevation #Differential
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... ) D D-lactate ... - Diarrhea - Renal ... Anxiety, pain, fever ... Diagnosis #Summary #Nephrology
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
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
Urothelial Thickening on Renal POCUS
Teenager (female) with flank pain and fever.  POCUS to evaluate for
Thickening on Renal ... POCUS Teenager ... flank pain and fever ... infarction/abscess ... #ultrasound
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Muscle swelling - Fever ... Isotonic fluid/Lactated ... Rhabdomyolysis #Differential ... causes #treatment #nephrology
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... weeks ago, no fevers ... ppx, WBC 12.5, lactate ... Point of Care Ultrasound ... #abdominal #abscess