30 results
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
WBCs, or urine ... → Urine culture ... → Refer to Nephrology ... cystoscopy • Refer ... #blood #urine
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Sensory Motor Reflex ... Flexion Biceps Reflex ... Brachioradialis Reflex ... Flexion None T1 Ulnar ... differential #diagnosis #Neurology
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
diagnosis with direct urine ... Failure to acidify urine ... Distal #Diagnosis #Management ... #Nephrology #Causes
The Urine / Plasma Electrolyte Ratio - Guide to Fluid Restriction in Hyponatremia
 • U/P Ratio
The Urine / Plasma ... MD @NephroMD #Urine ... Hyponatremia #diagnosis #management ... #nephrology
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - 

Failure to acidify urine in collecting duct
Failure to acidify urine ... Hyperkalemic #Diagnosis #Management ... #Nephrology #RenalTubular
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... Saline: • If Urine ... osmolality < 538 AND UNa ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
0.9% NS • If Urine ... osmolality < 538 AND UNa ... Hypotension, Increased urine ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... or Ineffective (UNa ... solute intake, UNa ... table #sodium #nephrology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Abduction - C8-T1 (ulnar ... Adduction - C7-T1 (ulnar ... , T1 (median) Reflexes ... Myotomes #diagnosis #neurology
Boxer's Fracture - ED Management
Be sure to assess for wounds in patients with fractures of the
Fracture - ED Management ... coverage) • ED Management ... hematoma block or ulnar ... "fight bite", Keflex ... object) • Splint: Ulnar