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Uremic Asterixis on Physical Exam

Dr. Arvind Canchi @arvindcanchi

#Uremia #Asterixis #PhysicalExam #clinical #video #neurology #nephrology
Uremic Asterixis ... arvindcanchi #Uremia
AEIOU - Mnemonic of Acute Indications for Dialysis 
A - Acidosis - pH < 7.1
E -
Heart Failure U - Uremia ... - Uremic Pericarditis ... , Uremic Encephalopathy
Indications for Emergent Hemodialysis

Indications: "AEIOU" 
 A - Acidosis ( pH < 7.1 ) 
 E
diuresis U - Uremic ... pericarditis, uremic ... Theophylline U - Uremia
Algorithm for the Treatment of Uremic Pruritus
Nonpharmacologic Treatments:
 • Daily topical emollient
 • Avoidance of extremes
the Treatment of Uremic ... Treatments of Uremic ... 2.5 mcg/d) #Uremic ... #Pruritus #uremia
Diuretic Electrolyte Excretion Effects 
Diuresis, Na+, K+, Mg2+, Ca2+, Cl-, HCO3-, Uric Acid
 - Thiazide Type
+, Cl-, HCO3-, Uric ... #pharmacology #comparison
Comparison of Pathologic Breathing Patterns
Biot's respiration aka ataxic respiration:
 - Periodic breathing: hyperpnea (or normopnea) and
Comparison of Pathologic ... ketoacidosis) U = Uremia ... pulmonary #diagnosis #comparison
Crystalluria Guide - Various Crystals on Urine Microscopy 
 - Triple Phosphate
 - Uric Acid
 -
Triple Phosphate - Uric ... Urine #Microscopy #comparison
Sequential Approach to the Uremic Patient with Pruritus 

Optimize dialysis adequacy 
Use biocompatible membranes for HD
Approach to the Uremic ... antagonists, naltroxono, tacro ... Pruritus #Uremic ... #Uremia #Pruritis
Continuous Renal Replacement Therapy (CRRT) - Overview
Types of CRRT
 • CVVHD - Continuous Veno-Venous hemodialysis -
refractory) U: uremia ... — most common, uremic ... bleeding. uremic
Algorithm for workup of thrombocytopenia based on observation of the peripheral blood film. 
TTP/HUS indicates thrombotic
purpura/hemolytic uremic