30 results
Step by Step Algorithmic Approach to Pediatric Fever

Age < 21 days old (or 28 days for
sensitivity) Leukocytes ... in the urine Procalcitonin ... Pediatrics #Peds #Diagnosis ... #Management #StepByStep
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan → Indoxyl
Purple Urine Bag ... E.coli*) + alkaline urine ... Syndrome #PUBS #pathophysiology ... clinical #photo #differential ... #diagnosis
Approach to Thrombotic Microangiopathy (TMA) - Differential Diagnosis and Management Algorithm

Suspected TMA: Unexplained thrombocytopenia + MAHA
Microangiopathy (TMA) - Differential ... Diagnosis and Management ... Haptoglobin, LDH, Urine ... Haptoglobin • ↑ Urine ... #Diagnosis #Management
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
much easier to diagnosis ... with direct urine ... Failure to acidify urine ... #Management #Nephrology ... #Causes #Differential
Bandemia Overview

Normal: < 1%
Clinically significant: > 10%

Band neutrophils are slightly less mature than segmented neutrophils and
peripheral blood leukocytes ... on the left Myeloblast ... Neutrophil (Normal) Differential ... #Bandemia #differential ... CBC #hematology #pathophysiology
“Step by Step” – the new kid on the block – aims to risk stratify this
>21 days - No leukocytes ... in urine - Procalcitonin ... CRP < 20 mg/L #Diagnosis ... #Management #Pediatrics
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Rhabdomyolysis - Differential ... Diagnosis and Management ... Dermatomyositis) AKI - Pathophysiology ... hour with goal urine ... #Diagnosis #Management
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
disease - Fecal leukocytes ... Chronic #Diarrhea #management ... algorithm #workup #diagnosis ... #differential
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Pregnancy (AFLP) Pathophysiology ... infiltration) Differential ... Diagnosis: Viral ... obstetrics #obgyn #diagnosis ... #management #pathophysiology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 • Bacterial: Escherichia
Renal #Transplant #differential ... #diagnosis #kidney ... #blood #urine # ... management #treatment