47 results
Liver Abscess
•	Pyogenic abscess, accounts for 80% of abscess.
•	Amebic abscess due to Entamoeba histolytica, accounts for 10%.
•	Fungal
Liver Abscess • ... the bacterial cases ... & antibiotic treatment ... cornerstones of treatment ... drainage- first-line treatment
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... Urinary obstruction, Nephrotoxic ... are caused by prerenal ... CONSIDER INTRINSIC CAUSES ... workup #diagnosis #nephrology
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Cirrhosis with fever ... Diverticular abscess ... with necrotic segment ... POCUS #clinical #ultrasound
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
• Most common cause ... : • 80% have fever ... decubitus - air fluid level ... hemorrhage • Treatment ... #differential #causes
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Tendineae on POCUS Echocardiogram ... Many underlying causes ... Assess for MR when ... - Arizona Ultrasound ... #Ultrasound #Clinical
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Acute Interstitial Nephritis ... triad (<10%): fever ... sterile pyuria, WBC casts ... #Interstitial #Nephritis ... AIN #Algorithm #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... • Decreased level ... consciousness • No access ... Hypernatremia #Nephrology ... Diagnosis #Algorithm #Causes
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Heart failure, liver ... failure, nephrotic ... Diagnosis #Algorithm #causes ... #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Assess volume status ... HYPERVOLEMIC • CHF • liver ... failure • nephrotic ... Workup #Algorithm #Nephrology
Staphylococcus-associated GlomeruloNephritis - Diagnosis and Management Summary
CLINICAL
 • Nephritic syndrome (Casts)
 • Marked proteinuria (may be
CLINICAL • Nephritic ... syndrome (Casts ... proteinuria (may be nephrotic ... deposits common TREATMENT ... GlomeruloNephritis #nephrology