11 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
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
Modalities for Renal ... non-invasive - High ... obstruction - Able ... identify non-calculus causes ... for non-calculus causes
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 ... Differential #Diagnosis #Table ... #Causes #Sodium
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... - Hyperosmolar states ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... ≥100): SIADH, Renal ... diuresis can be high ... differential #diagnosis #table ... #sodium #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... - Hyperosmolar states ... differential #diagnosis #causes ... #potassium #high ... #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Loop Diuretics; High-Ceiling ... insipidus • Kidney stones ... caused by Ca2+ ... #Pharmacology # ... Medications #Table
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
and necrosis in states ... shift • Saline Causes ... densa receives high ... • Saline May Cause ... NS #comparison #pharmacology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
15 suggests ↓ renal ... only if no clear cause ... Elimination (see Table ... acidosis) • Low K diet ... Treatment #potassium #nephrology