74 results
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
loss of secondary teeth ... respiratory failure • Neurologic ... neuropathy • Renal ... : - Renal failure ... fractures • Dental
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... Normal Acid-Base: Low ... loss (Diarrhea) Renal ... causes #potassium #low ... #nephrology
NSAIDS and their effects on the Kidney - Pathophysiology

Arachidonic Acid metabolites into alternative pathways that modify
and decreased renal ... blood flow: Pre ... renal AKI Idiosyncratic ... KidneyDisease #nephrology ... pathophysiology #renal
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
urinary sediment, renal ... cryoglobulins, hepatitis serology ... , HIV serology, ... renal biopsy • ... eosinophiluria, renal
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Medications Renal ... Losses Non-renal ... vomiting) • Low ... Diagnosis #Algorithm #nephrology ... #low #potassium
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
in the urine - Renal ... Renal Loss of HCO3 ... - Renal insufficiency ... Hypoaldosteronism - Renal ... Diagnosis #Workup #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Na <20: Extra-renal ... Urine Na >30: Renal ... Hypothyroidism, Low ... Urine Na > 30: Renal ... #nephrology
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
suggest intrinsic renal ... Timing: early (distal ... Diagnosis #EM #IM #Urology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
→ Refer to Nephrology ... for renal biopsy ... and referral to Urology ... cystoscopy • Refer to Nephrology ... Algorithm #Workup #urology
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Differential Diagnosis Renal ... hypomagnesemia Renal ... Hypercalcemia, Post renal ... diagnosis #causes #nephrology ... #magnesium #low