105 results
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Normal veins: Umbilicus ... respecting the umbilical ... • IVC Obstruction ... • SVC Obstruction ... #physicalexam #
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
site of venous obstruction ... and below the umbilicus ... AWAY from the umbilicus ... - IVC obstruction ... #Video #Chest #PhysicalExam
Asymmetric Umbilicus Reflex on Physical Exam

An asymmetric umbilicus reflex in a patient with scoliosis warrants an
Asymmetric Umbilicus ... An asymmetric umbilicus ... #Reflex #umbilical ... clinical #video #neurology ... #PhysicalExam #
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 • Hypovolemia
 • Congestion
 • Medications
 •
Injury (AKI) - Differential ... Retention: Internal obstruction ... , External obstruction ... Kidney #Injury #Differential ... #Diagnosis #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... - Urine sodium low ... and uric acid low ... #Hyponatremia #Differential ... Algorithm #Diagnosis #Nephrology
Beevor's Sign on Physical Exam

Beevor's sign is abnormal upward (cephalad) movement of the umbilicus with truncal
movement of the umbilicus ... Beevors #Sign #PhysicalExam ... clinical #video #umbilicus ... #neurology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Uric Acid - Low ... #Hyponatremia #Differential ... Diagnosis #Algorithm #nephrology ... #sodium #low #uricacid
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia #phosphorus #low ... diagnosis #Algorithm #differential ... #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... : Hypovolemia, Low ... volume, Urinary obstruction ... to assess for obstruction ... workup #diagnosis #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Normal Acid-Base: Low ... #Hypokalemia #Differential ... causes #potassium #low ... #nephrology