14 results
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
Adrenal hematoma ... on FAST exam Adult ... Diagnosis/differential ... FAST #Positive #trauma ... #clinical #ultrasound
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Adult form: Less ... collection with EDTA Pathophysiology ... respiratory failure • Neurologic ... neuropathy • Renal ... : - Renal failure
Varicocele: Pathogenesis and clinical findings
Primary:
 - Anatomically: the left spermatic vein drains into the left renal
Pathogenesis and clinical ... into the left renal ... Effect: The left renal ... blood in left renal ... Secondary: - Renal
Perinephric fluid on POCUS

Differential Diagnosis: Calyceal rupture due to obstruction (eg, ureteral stone, crossing vessels, compression
Differential Diagnosis ... , renal cyst rupture ... pyelonephritis, & renal ... #renal #kidney ... #clinical
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis: • Trauma ... HYPOTENSION → renal ... vasoconstriction → decreased renal ... perfusion → renal ... Cast formation: Renal
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... may precede the neurologic ... Immunosuppressive agents, Renal ... Etiology: • Pathophysiology ... #management #neurology
Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS

Adult female with right flank pain, fever, leukocytosis, soft
Pyelonephritis on POCUS Adult ... Right renal sag ... Diagnosis/differential ... #Sign #POCUS #clinical ... #ultrasound #renal
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Recent history of trauma ... protein C and S Pathophysiology ... organ damage Clinical ... Bleeding (64%) • Renal ... #Coagulation #diagnosis
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Inappropriate renal ... Inappropriate renal ... kidney disease Renal ... Imaging: - Normal Renal ... Ultrasound - No
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
Hospitalization - Pathophysiology ... the Journal of Clinical ... mL in a 70 kg adult ... deficiencies • Renal ... • Anemia of renal