319 results
Uremic Asterixis on Physical Exam

Dr. Arvind Canchi @arvindcanchi

#Uremia #Asterixis #PhysicalExam #clinical #video #neurology #nephrology
Uremic Asterixis ... arvindcanchi #Uremia
AEIOU - Mnemonic of Acute Indications for Dialysis 
A - Acidosis - pH < 7.1
E -
Heart Failure U - Uremia ... - Uremic Pericarditis ... , Uremic Encephalopathy ... hemodialysis #nephrology #diagnosis
Red Blood Cell (RBC) Morphology Atlas
 • Microcytic - Iron-deficiency anemia, Thalassemia, Sideroblastic anemia, Lead poisoning
anemia, Thalassemia ... Sideroblastic anemia ... Megaloblastic anemia ... Schistocytes - Hemolytic uremic ... Morphology #Atlas #key #diagnosis
Indications for Emergent Hemodialysis

Indications: "AEIOU" 
 A - Acidosis ( pH < 7.1 ) 
 E
diuresis U - Uremic ... pericarditis, uremic ... Theophylline U - Uremia
Red Blood Cell (RBC) Morphology
Microcytic RBC: Pyridoxine deficiency, Thalassemia, Iron deficiency anemia, Chronic disease anemia (sometimes),
anemia, Chronic ... disease anemia ... Sideroblastic anemia ... Echinocyte): Artifact, Uremia ... #differential #diagnosis
Causes of False Elevation and Reduction in HbA1c

== False Elevation ==
Decreased RBC turnover 
• Iron, B-12,
-12, or folate deficiency ... Hypertriglyceridemia • Uremia ... • Hemolytic anemia ... Increase #Decrease #Diagnosis
Differential diagnosis of schistocytes / fragmentation hemolysis:
 • Thrombotic microangiopathies (TMA)
    - TTP
Differential diagnosis ... toxin-mediated hemolytic-uremic ... • Severe B12 deficiency ... macroangiopathic hemolytic anemia ... #differential #diagnosis
Anemia - Underproduction Diagnostic Algorithm
 - Iron deficiency anemia
 - Anemia of chronic inflammation
 - Anemia
Anemia - Underproduction ... Diagnostic Algorithm ... anemia - Anemia ... inflammation - Anemia ... EricsMedicalLectures/ #Anemia
Reticulocyte Production Index = (Retic %) x (Hct / 45) / Maturation Factor
The maturation factor is
particular degree of anemia ... Index < 2: • Anemia ... failure: Aplastic anemia ... Hospital-acquired anemia ... #differential #diagnosis
Iron Deficiency Anemia vs Anemia of Chronic Disease - Laboratory Testing

SUMMARY:
 - RDW, FEP, serum iron,
Iron Deficiency ... Anemia vs Anemia ... TIBC-specific for iron deficiency ... #Anemia #Chronic ... Laboratory #Testing #Comparison