9 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 ... Answer: Medullary ... Robert Jones @RJonesSonoEM ... Nephrocalcinosis #Renal ... POCUS #clinical #ultrasound
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
• softening of bones ... collection with EDTA Pathophysiology ... mineralization Symptoms ... neuropathy • Renal ... : - Renal failure
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 #symptoms
Pseudogout: pathogenesis and clinical findings
 - Idiopathic (vast majority of cases) -> Mechanism unknown
 - Familial
phosphorous in bones ... high-resolution ultrasound ... Disease #Signs #Symptoms ... #Pathophysiology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Immunosuppressive agents, Renal ... Transplantation including bone ... Etiology: • Pathophysiology ... Neurological symptoms
Rickets and Osteomalacia: Pathogenesis and Clinical Findings
 • Calcification inhibitors (excess exposure to A1, Fluoride, etidronate)
ALP) • Lack of bone ... Phosphate: renal ... D receptor => Bone ... #Osteomalacia #pathophysiology ... diagnosis #signs #symptoms
Bulimia Nervosa: Complications
GASTROINTESTINAL
 • Dehydration & inability to digest food -> Constipation
 • Recurrent vomiting exposes
hormone levels cause bones ... /Osteoporosis RENAL ... Complications #pathophysiology ... diagnosis #signs #symptoms
Anorexia Nervosa: Complications
CARDIAC ABNORMALITIES
 - Functional: Low BP, Sinus bradycardia, prolonged QT interval
 - Structural: Reduced
fasting/weight loss RENAL ... Osteoporosis - Low bone ... Complications #pathophysiology ... diagnosis #signs #symptoms