21 results
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
- Low sodium diet ... Monitoring for extra-renal ... Avoid high Protein diet ... Management #Pediatrics #nephrology ... #nephrolithiasis
Causes of Nephrolithiasis - Differential Diagnosis Algorithm
Radio-opaque - Calcium-containing - 90% of stones
Radiolucent - Non-calcium 10%
Causes of Nephrolithiasis ... Uric Acid Stones ... #RenalStones #Nephrolithiasis ... #Nephrology #Differential ... Diagnosis #Algorithm #Causes
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Framework Pre-Renal ... Hypercalcemia, Renal ... Obstruction (Tumor, Nephrolithiasis ... Differential #Diagnosis #nephrology ... #causes #algorithm
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Potomania - Low solute diet ... solute/protein diet ... • Renal Failure ... Diagnosis #Algorithm #causes ... #nephrology
Nephrolithiasis: Medications Associated with Renal Stones
 • Hypercalciuria: Furosemide, Topiramate, Vitamin D/Calcium, Glucocorticoids
 • Precipitation of
Nephrolithiasis: ... Associated with Renal ... Stones • Hypercalciuria ... #Stones #pharmacology ... differential #diagnosis #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 #
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
→ Evaluate for nephrolithiasis ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology ... if cause not identified
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
pathology (e.g. strokes ... Suppressed - Advanced renal ... Tea and toast” diet ... Diagnosis #Table #Causes
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
• Low salt in diet ... intoxication Cause ... - Diarrhea • RENAL ... gas transport, renal ... Pathophysiology #Nephrology
Causes of Hypomagnesemia
Redistribution:
 - IV glucose
 - Correction of diabetic ketoacidosis
 - IV hyperalimentation
 - Refeeding
Causes of Hypomagnesemia ... (steatorrhea) Renal ... Tubulointerstitial renal ... Hypercalcemic states ... medications #drugs #pharmacology