18 results
Normal prominent medullary pyramids on renal POCUS
No hydronephrosis. Has prominent medullary pyramids. They can appear markedly
Normal prominent medullary ... pyramids on renal ... Has prominent medullary ... Robert Jones @RJonesSonoEM ... POCUS #clinical #ultrasound
Medullary Nephrocalcinosis on Renal POCUS

Female with right flank pain.  Diagnosis and cause?  
Answer: Medullary
on Renal POCUS ... Diagnosis and cause ... Robert Jones @RJonesSonoEM ... Nephrocalcinosis #Renal ... POCUS #clinical #ultrasound
Hypercalcemia of Malignancy - Pathophysiology
PTH-mediated
 • Parathyroid cancer
 • Ectopic production: Small cell lung cancer, ovarian
of Malignancy - Pathophysiology ... D - Increased renal ... resorption in the bone ... Cell of lung, Renal ... #Differential #Diagnosis
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
- Differential Diagnosis ... 3 months Pre-Renal ... Family history, ultrasound ... kidney disease • Medullary ... #Differential #Diagnosis
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Most cases diagnosed ... collection with EDTA Pathophysiology ... neuropathy • Renal ... : - Renal failure ... Difficulty walking Diagnosis
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
Lymphohistiocytosis (HLH) Pathophysiology ... Auto-amplification loop Diagnosis ... , Biological + Bone ... /ml, ↑ LDH • Bone ... marrow: Medullary
Paget’s Disease: Complications
Abnormal Osteoclasts cause excessive bone turnover -> Incr bone resorption, Incr (abnormal) bone formation

MSK
cause excessive bone ... Pathologic fractures Renal ... , Incr renal [Ca2 ... PagetsDisease #pathophysiology ... #diagnosis #signs
Pseudogout: pathogenesis and clinical findings
 - Idiopathic (vast majority of cases) -> Mechanism unknown
 - Familial
phosphorous in bones ... high-resolution ultrasound ... Signs #Symptoms #Pathophysiology ... #Diagnosis
Urothelial Thickening on Renal POCUS
Teenager (female) with flank pain and fever.  POCUS to evaluate for
Thickening on Renal ... Findings/diagnosis ... abnormal echogencity, renal ... Robert Jones @RJonesSonoEM ... POCUS #clinical #ultrasound
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Immunosuppressive agents, Renal ... Transplantation including bone ... Etiology: • Pathophysiology ... factor PRES Diagnosis ... Differential Diagnosis