60 results
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Management of Pediatric ... Kidney Stones Acute ... • Try retrieve stone ... Stent: < 2 cm stone ... URS: Ureteric stone
Medications for Recurrent Calcium Oxalate (CaOx) Stones
HYPERCALCIURIA
 • Thiazides: HCT, Indapamide, Chlorthalidone
 • Consider after first
Oxalate (CaOx) Stones ... Consider after first stone ... - Single kidney ... - Large stone ... ABNORMALITIES (or all
Proximal Ureteral Stone on POCUS
Acute flank pain.
2 cm obstructing stone in proximal ureter. Can't just managed
Proximal Ureteral Stone ... on POCUS Acute ... cm obstructing stone ... EmergOmBur #Ureteral #Stone ... kidney #clinical
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
- Highest • Bone ... Intestine - Other causes ... Intestine • Kidney ... Renal disease - Bone ... duct stricture/Stones
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Algorithm Vascular Causes ... Obstruction: Biliary stone ... cardiac muscle, RBC, kidney ... cardiac muscle, kidneys ... placenta, kidneys
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
X-rays useful tor stone ... identify non-calculus causes ... Combines calcific stone ... for non-calculus causes ... Calculi #Renal #Kidney
Scarf Sign (Normal) on Physical Exam

The scarf sign is used to assess developmental age and muscle
age and muscle tone ... infant with normal tone ... clinical #video #hypotonia ... hypotonic #peds #pediatrics ... #tone #normal
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... on POCUS Here’ ... s a similar case ... but there is a stone ... BileDuct #CBD #Stone
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal POCUS ... AAA.... but left kidney ... Infected stone. ... Hydronephrosis #POCUS
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Algorithm Severe ALT ... • Pregnancy - AFLP ... HELLP Moderate ALT ... Common Bile Duct Stone ... Diagnosis #Algorithm #Causes