271 results
Intrinsic Renal Disease - Differential Diagnosis
Vascular:
 • Macrovascular: Renal artery occlusion, Fibromuscular disease
 • Microvascular: TTP/HUS,
, Amyloidosis, MPGN ... • Nephritic: RPGN ... , IgA, Alport, MPGN
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN
 • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
Glomerulonephritis (MPGN ... Complement-Mediated MGPN ... , CFHR5 neph) MPGN ... immune deposits on EM ... Glomerulonephritis #MPGN
Rapidly Progressive Glomerulonephritis (RPGN)
RPGN has three primary pathophysiologic causes differentiated by immunofluorescence

Immune Complex Mediated (granular staining):
Glomerulonephritis (RPGN ... ) RPGN has three ... StanfordChiefs #RPGN
Rapidly Progressive Glomerulonephritis (RPGN) 
 - Loss of kidney function over a short period of tirne
Glomerulonephritis (RPGN ... staining on IF • No EM ... Glomerulonephritis #RPGN
Acanthocyte on Urine Microscopy

Not a spaceship, not a UFO, just an acanthocyte caught “flying” in dark
presentation of RPGN
Cryoglobulinemia Classification Types

Type 1: Monoclonal IgM (rarely IgG/lgA)
 • Raynaud phenomenon, Digital ulcers/gangrene, Livedo reticularis, Hyperviscosity
Liver, kidney (MPGN
Papillary Muscle Rupture on POCUS

See the "cracking whip"?  This is what papillary muscle rupture looks
Muscle Rupture on POCUS ... See the "cracking ... Sam Ghali, M.D. ... Echocardiogram #POCUS
Intubation Confirmation on POCUS

See the round, shadowing structures?
1. ET Tube in Trachea
2. NG Tube in Esophagus

-
Confirmation on POCUS ... See the round ... Esophagus - Sam ... #Confirmation #POCUS
Femoral DVT on POCUS

That crazy moment when you're putting in a femoral arterial line in a
Femoral DVT on POCUS ... you happen to see ... Sam Ghali, M.D. ... #Femoral #DVT #POCUS
This is what a shoulder dislocation looks like on US before and after reduction. Focus on
Focus on the joint ... Sam Ghali @EM_RESUS ... #Clinical #POCUS