36 results
Asterixis (flapping tremor) in uremia on Physical Exam
Asterixis (flapping tremor) in a patient with AKI, azotemia
flapping tremor) in uremia ... and confusion = uremia ... Immediate RRT planned ... #PhysicalExam #neurology ... #uremia #clinical
Continuous Renal Replacement Therapy (CRRT) - Overview
Types of CRRT
 • CVVHD - Continuous Veno-Venous hemodialysis -
refractory) U: uremia ... — most common, uremic ... bleeding. uremic ... #Indications #Nephrology ... #Management
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
U: Symptomatic Uremia ... mental status, uremic ... Corrects uremia, ... Gently corrects uremia ... #managment #nephrology
Algorithmic Approach to Anemia - Differential Diagnosis Framework by MCV

Microcytic (MCV < 80) "TAILS":
 • Thalassemia
Algorithmic Approach to Anemia ... - Differential ... B12 deficiency, Orotic ... MCV #Algorithm #Differential ... #Diagnosis #hematology
Red Blood Cell (RBC) Morphology Atlas
 • Microcytic - Iron-deficiency anemia, Thalassemia, Sideroblastic anemia, Lead poisoning
Iron-deficiency anemia ... Sideroblastic anemia ... Schistocytes - Hemolytic uremic ... key #diagnosis #differential ... #hematology
Differential diagnosis of schistocytes / fragmentation hemolysis:
 • Thrombotic microangiopathies (TMA)
    - TTP
Differential diagnosis ... toxin-mediated hemolytic-uremic ... macroangiopathic hemolytic anemia ... #schistocytes #differential ... #diagnosis #hematology
Algorithm for the Treatment of Uremic Pruritus
Nonpharmacologic Treatments:
 • Daily topical emollient
 • Avoidance of extremes
the Treatment of Uremic ... Treatments of Uremic ... #Pruritus #uremia ... Algorithm #Treatment #management ... #nephrology
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 • IHD (Intermittent HD):  3-5 hr
HD machine • CRRT ... machine CRRT ... Corrects uremia, ... Gently corrects uremia ... #managment #nephrology
Reticulocyte Production Index = (Retic %) x (Hct / 45) / Maturation Factor
The maturation factor is
Production Index = (Retic ... appropriately)- Retic ... appropriately) - Retic ... Production #Index #hematology ... #anemia #differential
Warm Antibody Autoimmune Hemolytic Anemia 
1) DIAGNOSE AIHA
 • Anemia: macrocytic > normocytic, ↑ reticulocytes
 •
Autoimmune Hemolytic Anemia ... DIAGNOSE AIHA • Anemia ... • Blood smear: Differential ... #diagnosis #management ... #treatment #rheumatology