52 results
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
- Low sodium diet ... Monitoring for extra-renal ... Protein diet ... Protein diet ... Management #Pediatrics #nephrology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Treat with a high ... solute/protein diet ... • Renal Failure ... Diagnosis #Algorithm #causes ... #nephrology
Renal Tubular Acidosis (RTA) 
Type 1 - Failure of secretion
Type 2 - Bicarbonate wasting
Type 4 -
Renal Tubular Acidosis ... proximal features and high ... salt diet #Renal ... classification #nephrology
Causes of Nephrolithiasis - Differential Diagnosis Algorithm
Radio-opaque - Calcium-containing - 90% of stones
Radiolucent - Non-calcium 10%
Causes of Nephrolithiasis ... Hyperuricosuria • High ... salt intake • High ... Nephrolithiasis #Nephrology ... Diagnosis #Algorithm #Causes
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
Modalities for Renal ... non-invasive - High ... for ureteric and renal ... identify non-calculus causes ... for non-calculus causes
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
algorithm Decreased renal ... Potassium-rich diet ... Normal, Renin High ... hypoplasia Aldosterone high ... Diagnosis #algorithm #nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
thrombosis • Renal ... Hematuria: • Stone ... Cystitis • Bladder stones ... #urology #nephrology ... #renal #urine #
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... perspiration Renal ... Differential #Diagnosis #Causes ... #nephrology #sodium ... #high
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Causes of Metabolic ... Chloridorrhea Renal ... • Penicillins Renal ... MetabolicAlkalosis #NonGap #Nephrology ... Diagnosis #Algorithm #Causes
Hyperuricemia - Differential Diagnosis Algorithm
Primary - Over-production
     • Increased turnover of nucleotides
Primary
Drug-induced • High ... purine diet Secondary ... Diabetic acidosis - Renal ... • Chronic renal ... endocrinology #causes