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diagnosis nephrology algorithm alkalosis causes hematology metabolic defects inherited table abg acid acidbase acutekidneyinjury aki aniongap base bloodgas comparison disorders
Floaters - Differential Diagnosis Framework What? Vitreous Floaters: • Microscopic collagen fibers within the vitreous that tend to clump
Floaters - Differential ... shadows on the retina ... suggestive of retinal ... floaters: • Myopia ... #Floaters #Differential
Inherited Defects in Kidney Tubule Epithelial Cells Renal glucosuria - Na+-dependent glucose cotransporter Cystinuria - Amino acid transporter Bartter
Epithelial Cells Renal ... syndrome - Na-K-2Cl ... barrtin (recruits Cl ... receptor Distal renal ... Nephrology #Diagnosis #Differential
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Metabolic Alkalosis - Differential ... NGT suction, Low Cl ... • High Urine Cl ... hyperaldosteronism • High PRA: Renal ... Metabolic #Alkalosis #Differential
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Metabolic Alkalosis - Differential ... NGT suction, Low Cl ... • High Urine Cl ... hyperaldosteronism • High PRA: Renal ... Metabolic #Alkalosis #Differential
Urine Anion Gap in NAGMA NA + K - Cl = surrogate for Urine NH4+ NH4+ is excreted
NAGMA NA + K - Cl ... excreted with Cl ... RTA (nb ↑K) - Renal ... NAGMA #diagnosis #differential
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- Urine Na/K/Cl ... protein/Cr - Renal ... - 45% - Pre-renal ... mostly ATN and pre-renal ... Algorithm #Causes #Differential
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Differentials? ... (AG) = {Na - (Cl ... acidosis Step 5 - Differential ... - Diarrhea - Renal ... Base #Gas #VBG #differential
Inherited Qualitative Platelet Defects Bernard-Soulier Syndrome • Defect of adhesion due to a lack of GP Ib/IX/V
in non-muscle myosin ... cataracts, and renal ... comparison #table #differential
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm Elevated Hemoglobin: • Males: Hb > 16.5 g/dL/HCT ≥ 49% •
- Polycythemia Differential ... Hypoxia-independent: Post-renal ... Paraneoplastic (e.g., RCC ... Polycythemia #Vera #PV #Differential
Paraproteinemias Entities That Can Feature A Monoclonal Protein/M Component: • MM • WM • MGUS • MGCS • MGRS • Splenic Marginal Zone
Evans • ITP • Cl-NH ... vascular beds-renal ... , retinal, DVT, ... Hematology #Monoclonal #Differential
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