2189 results
Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS

Adult female with right flank pain, fever, leukocytosis, soft
vitals, and dirty urine ... Right renal sag ... Urine culture-Proteus ... POCUS #clinical #ultrasound ... #renal
Pyonephrosis with large renal calculus on POCUS
Acute left flank pain with nausea and vomiting. What's the
Pyonephrosis with large renal ... Pyonephrosis from large renal ... drain infected urine ... Pyonephrosis #calculus #renal ... #ultrasound #clinical
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Common causes: • Renal ... ultrasound, Tests ... evaluate cause of renal ... Duplex Doppler ultrasound ... test (with 24-h urine
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Elevated Renin Urine ... Inappropriate renal ... Inappropriate renal ... kidney disease Renal ... Ultrasound - No
Pyonephrosis on POCUS
Pyonephrosis (pus in the collecting system) + mild hydronephrosis in a septic pt. 
Note
But that urine confirms ... Pyonephrosis #POCUS #renal ... #ultrasound #clinical
Approach to Microscopic Hematuria 

Microscopic hematuria is often incidental but may be associated with urologic malignancy.
properly collected urine ... with cystoscopy & renal ... ultrasound
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Gap - UAG and Urine ... - RenalUrine ... Renal Loss of HCO3 ... - Renal insufficiency ... Hypoaldosteronism - Renal
Renal Tubular Acidosis - Differential Diagnosis Algorithm
Decreased Serum K, Urine pH < 5.5 - Proximal RTA
Decreased
Renal Tubular Acidosis ... Decreased Serum K, Urine ... Decreased Serum K, Urine ... = Hyperkalemic Renal ... uncimchiefs #RTA #Renal
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
- Checklist Urine ... believed that urine ... differentiate between pre-renal ... and intrinsic renal ... Urine eosinophils
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
uric acid >4 • Urine ... Na <20: Extra-renal ... losses • Urine ... Na >30: Renal losses ... Na > 30: Renal