38 results
Retinal Detachment on Ocular POCUS
61yo male with painless visual loss right eye.  Ocular POCUS reveals...?
Great
Retinal Detachment ... on Ocular POCUS ... Ocular POCUS reveals ... Great POCUS case ... #Detachment #Ocular
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
intake, Gl loss, shift ... cells FEMg >4% = renal ... magnesium loss if renal ... differential #diagnosis #causes ... #nephrology #magnesium
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
thrombosis • Renal ... Sickle cell) • Renal ... TURP/Biopsy Renal ... #urology #nephrology ... #renal #urine #
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Redistribution/ Shift ... bone syndrome • Renal ... Diagnosis #Algorithm #causes ... #nephrology #phosphate
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal

PRE-RENAL 
Impaired perfusion: 
•
Causes of Acute ... ) - Prerenal, Renal ... Postrenal PRE-RENAL ... Vascular occlusion RENAL ... Infection POST-RENAL
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
urinary sediment, renal ... HIV serology, renal ... eosinophiluria, renal ... protein-electrophoresis, renal ... markers • Cardio-renal
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Intracellular Shift ... Renal artery stenosis ... Algorithm #Diagnosis #Causes ... #Workup #Nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
• IV Fluids Shift ... (if preserved renal ... peaks 1-2h) • Blood ... management #potassium #nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
Hypokalemia - Shift ... Extrarenal Laxatives - Renal ... pump inhibitor - Renal ... Antimicrobials Drug-induced renal ... #Causes #hypomg
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Intracellular Shift ... resistance Impaired Renal ... deficiency • Renal ... Type IV RTA • Renal ... potassium #high #nephrology