25 results
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Acute Kidney Injury ... cardiorenal syndrome) • Liver ... tubular necrosis (causes ... : sepsis, meds, ... interstitial nephritis (AIN
Schematic representation of the major sources of ammonia production and its excretory pathway (GI = gastrointestinal,
although hepatic causes ... namely, the many causes ... decompensated liver ... Urease producing UTI ... Reye syndrome (Peds
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... Treat underlying liver ... specific treatment • AIN ... long-term Foley • UTI ... Medications → Stop meds
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
disturbance (obstructed liver ... Highest • Bone • Liver ... Intestine - Other causes ... Intestine • Kidney ... Bone symptoms - Pain
Lower Urinary Tract Infections: Complications
 - Infection damages the urinary tract epithelium causing fibroblast proliferation and
Infection of the kidney ... barrier -> Bacteria gain ... urea which may cause ... UrinaryTractInfection #LUTI
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
Plain radiography ... accumulation in the liver ... and gut, which causes ... #clincial #peds
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
duodenal ulcer on RUQ POCUS ... RUQ abdominal pain ... anterior to the liver ... as shown in the case ... duodenal #ulcer #RUQ #POCUS
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... Pneumonia on Lung POCUS ... POCUS lung exam ... travel hx, home meds ... Progressive URI
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
synthesized in: liver ... tubule of the kidney ... Most cases diagnosed ... risk of joint pain ... Phosphatase: • Other causes
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
• Person who lives ... retro-orbital pain ... and no apparent focus ... Intense abdominal pain ... Liver enlargement