19 results
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... for Pulmonary Renal ... infiltrates) → high ... #Renal #Syndrome ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Algorithm Syndrome ... Pain/Post-op • Neurologic ... trauma • Drugs ... • Pulmonary pathology ... GI losses • Renal
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Algorithm Syndrome ... Pain/Post-op • Neurologic ... trauma • Drugs ... • Pulmonary pathology ... GI losses • Renal
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
- Differential Diagnosis ... • Present in high ... Legionnaires disease • Pulmonary ... 94 and 84% Renal ... Demand ischemia • Trauma
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... phlebotomy High ... • Burns • Trauma ... - Tumor lysis syndrome ... #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
(Mannitol) • Elevated ... • Diagnosis of ... Loop Diuretics; High-Ceiling ... Torsemide) • Acute pulmonary ... #Medications #Table
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... phlebotomy High ... • Burns • Trauma ... - Tumor lysis syndrome ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
diuresis can be high ... Cirrhosis, Nephrotic syndrome ... #differential #diagnosis ... #table #sodium ... #nephrology
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Adult form: Less ... Low ALP in adult ... respiratory failure • Neurologic ... intracranial pressure - Elevated ... : - Renal failure
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... • Attempt if high ... if WBC > 5 or elevated ... Imaging: CXR- pulmonary ... Anaphylaxis, Acute Renal