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diagnosis differential management renal algorithm replacement therapy workup cell chronic continuous disorders encephalopathy fatigue hypokalemia indications intercellularshift managment modalities modes
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
derangements (hyperkalemia ... , hypercalcemia, ... Dialyzer is rigid case ... HD machine • CRRT ... #managment #nephrology
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup History: - Prior platelet count, family
l MD SOAP) - Risks ... function test, ANA (e.g ... (CVID, WAS), (neurologic ... changes), high MCV anemia ... #Workup #hematology
Continuous Renal Replacement Therapy (CRRT) - Overview Types of CRRT • CVVHD - Continuous Veno-Venous hemodialysis -
Replacement Therapy (CRRT ... electrolytes (essentially hyperkalemia ... refractory) U: uremia ... dose = 20-25 mL/kg ... #Indications #Nephrology
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Causes of Fatigue ... Liver Failure • Hypercalcemia ... Neoplastic / Hematologic ... • Anemia • ... Pulmonary Disease Neurologic
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Intercellular Shift ... Transcellular Shift ... • Cell Lysis (e.g ... IntercellularShift #Nephrology
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... Transcellular Shifts ... megaloblastic anemia ... #Causes #differential ... #diagnosis #nephrology
Scleroderma Renal Crisis (SRC) Clinical Presentation of Scleroderma Renal Crisis: 1) Acute kidney injury 2) Abrupt onset of hypertension 3)
Scleroderma Renal Crisis ... microangiopathic hemolytic anemia ... • Refractory cases ... #rheumatology # ... nephrology #diagnosis
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Hypertensive crisis ... may precede the neurologic ... Blood transfusion, Hypercalcemia ... the underlying cause ... diagnosis #management #neurology
Solitary Cell Plasmacytoma What? • Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma) • In 3%
red bone marrow, e.g ... • No CRAB - no anemia ... , hypercalcemia, ... #Plasmacytoma #Oncology ... Diagnosis #Workup #Hematology
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