13 results
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
Diagnostic algorithm ... arterial hypertension ... arterial hypertension ... #Diagnosis #Peds ... Workup #Algorithm
Diagnostic Criteria for Scleroderma Renal Crisis 

1. New onset blood pressure >150/85 mm Hg OR increase
Crisis 1. ... with accelerated hypertension ... anuria - Flash pulmonary ... of intrarenal arteries ... #Crisis #Diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... • Drugs • Pulmonary ... GI losses • Renal ... Hypo-osmolar urine
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... • Drugs • Pulmonary ... GI losses • Renal ... Hypo-osmolar urine
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
, 300 mg/24 hr urine ... ratio ≥ 0.3, or Urine ... severe RUQ pain, renal ... doubling of Cr), pulmonary ... ↑ in anti HTN meds
“Step by Step” – the new kid on the block – aims to risk stratify this
investigations and treatments ... risk of serious bacterial ... leukocytes in urine ... CRP < 20 mg/L #Diagnosis ... Management #Pediatrics #Peds
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome • Diagnosis ... Torsemide) • Acute pulmonary ... nephrotic syndrome • Hyponatremia ... Tolvaptan) • Treatment ... and euvolemic hyponatremia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Weakness - Dark urine ... Hyperuricemia • Hyponatremia ... injured muscles - HYPOTENSION ... hour with goal urine
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
crisis may precede ... Immunosuppressive agents, Renal ... epilepticus Treatment ... underlying cause • Treatment ... Seizures: Treat with AEDs
Scleroderma Renal Crisis (SRC)

Clinical Presentation of Scleroderma Renal Crisis:
1) Acute kidney injury
2) Abrupt onset of hypertension
3)
Abrupt onset of hypertension ... onion-skinning" of arteries ... Biopsy to confirm diagnosis ... , add other BP meds ... #nephrology #diagnosis