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diagnosis differential algorithm management barre guillain hyponatremia proteinuria treatment acute classification clinical diseases gbs glomerular glomerulonephritis guillainbarre herpes hzo interpretation
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... cases are caused ... IMPROVEMENT If the urine ... for WBCs, RBCs, casts ... workup #diagnosis #nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
and Nephrotic Syndromes ... RBC casts in urine ... but in severe cases ... May be 10 (eg direct ... #Proteinuria #Nephrology
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of nephrotic sydnrome ... colored compounds (e.g ... #Urine #Microscopy ... #nephrology #interpretation
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... • Reduced GFR, AKI ... Hypo-osmolar urine ... Uosm < 100 mmol/kg ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... • Reduced GFR, AKI ... Hypo-osmolar urine ... Uosm < 100 mmol/kg ... #Hyponatremia #Nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... • Fanconi's syndrome ... sediment - WBC/RBC casts ... Protein deposition (eg ... #Proteinuria #Nephrology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO) This 81 yo male was referred to our
Orbital Apex Syndrome ... The MRI findings ... Orbital Apex Syndrome ... steroids (some cases ... #physicalexam #neurology
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 Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
Glomerulonephritis (MPGN) AKA ... GN • Active Urine ... dysmorphic RBC, RBC casts ... anti-phospholipid syndrome ... Glomerulonephritis #MPGN #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Weakness - Dark urine ... + myoglobin AKI ... Cast formation: ... #treatment #nephrology
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... Epidemiology: • 1-2 cases ... Electrodiagnostic studies - EMG ... axonal form • MRI ... management #treatment #neurology
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