19 results
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
confirmed the diagnosis ... critical for the metabolism ... and gut, which causes ... #clincial #peds ... #infant #NEJM #
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Acute Kidney Injury ... - Classification ... tubular necrosis (causes ... : sepsis, meds, ... #diagnosis #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... causes • Laxative ... syndrome, Congenital adrenal ... #Hypokalemia #diagnosis ... differential #potassium #nephrology
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
- Differential Diagnosis ... unloading • Kidney ... metabolic acidosis ... #Differential #Diagnosis ... Pathophysiology #Nephrology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
broad - Advanced kidney ... syndrome ("Maltese cross ... edgarvlermamd - Nephrology ... Differential #Microscopy #Diagnosis ... #Nephrology
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis
Causes of High-anion Gap Acidosis:
 • Lactic acidosis
Non-anion Gap Metabolic ... Chronic progressive kidney ... aniongap #NonGap #Metabolic ... #differential #diagnosis ... #causes #nephrology
Classification of Diabetes Insipidus

Central or neurogenic diabetes insipidus:
 - Congenital - Structural malformations affecting the hypothalamus
Classification of ... Obstructive uropathy, Metabolic ... causes (e.g., hypokalemia ... #Types #Nephrology ... #Diagnosis #Differential
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... K release with intact ... infusions) - Metabolic ... #causes #potassium ... #high #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Agents Regulating Renal ... resistance • Metabolic ... disequilibrium syndrome • Diagnosis ... stones caused by ... Excretion #Diuresis #Nephrology
Scleroderma Renal Crisis (SRC)

Clinical Presentation of Scleroderma Renal Crisis:
1) Acute kidney injury
2) Abrupt onset of hypertension
3)
kidney injury ... Biopsy to confirm diagnosis ... , add other BP meds ... • Refractory cases ... #nephrology #diagnosis