10 results
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Urine Na+K / serum ... restriction alone in SIADH ... can be high or low
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... osmolarity If cause ... investigations depending on clinical ... #Workup #Algorithm
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... Dermatomyositis Clinical ... Weakness - Dark urine ... Hyperuricemia • Hyponatremia ... + myoglobin AKI
Chronic Pancreatitis

Definition: A pathologic fibroinflammatory syndrome of the pancreas in individuals with genetic, environmental, and/or other
stress. 60% of CP cases ... EUS-guided FNA (low ... sensitivity) Clinical ... diagnosis #management #gastroenterology ... #treatment
5-Oxoprolinuria
What is it:
 • Aka pyroglutamic acidosis, Intermediate in γ-glutamyl cycle
 • Amino acid transport and
What is it: • Aka ... • Concomitant acute ... high index of clinical ... 5-oxoproline (slow ... turnaround) • le urine
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
important to recognize Acute ... mental status and low ... urine output. ... the determined cause ... #differential #algorithm
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
excretion (e.g., urine ... before beginning treatment ... LV failure - Low ... cardiac output - Acute ... peritonitis - Acute
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Pediculus humanus, AKA ... Given low sensitivity ... of blood smear, acute ... often experience acute ... microscopy #pathology #clinical
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
the setting of acute ... treat the primary cause ... #diagnosis #algorithm ... echocardiogram #management #clinical ... criticalcare #foamed #treatment
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
Nausea & vomiting ... Standard treatment ... amphotericin: Severe AKI ... of K+ & Mg in urine ... T2 #MRI #Brain #clinical