12 results
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Step 2: Does the ... patient have glomerular ... hematuria (RBC casts ... Syndrome #Comparison #Algorithm ... #Nephrology #Diagnosis
Marcus Gunn Pupil - Relative Afferent Pupillary Defect (RAPD)
Definition: Afferent loop of the pupillary light reflex
Afferent Pupillary Defect ... pupillary light reflex ... Optic nerve* (main cause ... Afferent #Pupillary #Defect ... #RAPD #neurology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... • Evidence of glomerular ... → Refer to Nephrology ... to Nephrology if ... cause not identified
Newer Syphilis Reverse Algorithm 

The advent of newer, faster 
treponemal antibody tests have 
allowed high-throughput of
Syphilis Reverse Algorithm ... as the first step ... in the algorithm ... trep antibody) Reflex ... of inflammation caused
Relative Afferent Pupillary Defect

This maneuver of intermittent light stimulus is called the alternating light test or
Afferent Pupillary Defect ... alternating light test ... the pupillary reflex ... regarding the cause ... #Neurology #Clinical
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... Differential Diagnosis Algorithm ... hydronephrosis on U/S) • Reflux ... Atherosclerosis Glomerular ... KidneyDisease #Nephrology
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
evaluated for glomerular ... C3, C4 - Test for ... infections are common causes ... of glomerular disease ... nephrotic #nephritic #nephrology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
sedation, if safe to stop ... Test downward eye ... Test if patient ... Casey Albin MD @ ... #PhysicalExam #neurology
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
evaluated for glomerular ... . 5) C3, C4 - Test ... infections are common causes ... #glomerular #disease ... initial #testing #nephrology
Efforts to standardize the approach to trauma have led to an algorithmic, thoughtless approach to trauma
have led to an algorithmic ... fantastically useful test ... critical diagnostic step ... witnessed many cases ... universal first steps