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diagnosis hyperkalemia potassium differential management pharmacology treatment atlas binders binding capsulatum casts comparison crrt diuresis diuretics encephalopathy erythematosus excretion histoplasma
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
- Up to 3 per high-power ... normal; >3 per high-power ... - Renal infection ... disorders or excreted medications ... key #diagnosis #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... transfusion • HTN and edema ... Medications 2. ... differential #diagnosis #causes ... #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Loop Diuretics; High-Ceiling ... Kidney stones caused ... Excretion #Diuresis #Nephrology ... #Pharmacology #Medications ... #Table
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... algorithm Urine Na+K / serum ... diuresis can be high ... differential #diagnosis #table ... #sodium #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
phlebotomy High ... transfusion • HTN and edema ... Medications 2. ... differential #diagnosis #causes ... #nephrology
Potassium-Binding Agents to Treat Hyperkalemia Sodium zirconium cyclosilicate (Lokelma): • Mechanism: Preferentially captures K in exchange for
obtain the desired serum ... Side Effects: Edema ... patients sensitive to high ... #Hyperkalemia #medications ... #pharmacology #table
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Immunosuppressive agents, Renal ... Diagnosis: • Infection ... Electrolyte abnormality, Medication ... the underlying cause ... with AEDs until cause
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... only if no clear cause ... Elimination (see Table ... caution in HTN & edema ... Treatment #potassium #nephrology
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
Pager Summary Indications ... Overload (pulmonary edema ... chosen to match serum ... High clearance achieved ... RRT #managment #nephrology
SLE (Systemic Lupus Erythematosus) Suspect: Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
complements and a high ... fibromyalgia) • Infections ... , and elevated serum ... APLA/LAC: • Renal ... activation and/or medications
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