16 results
Asterixis (flapping tremor) in uremia on Physical Exam
Asterixis (flapping tremor) in a patient with AKI, azotemia
tremor) in uremia ... and confusion = uremia ... Immediate RRT planned ... #PhysicalExam #neurology ... #uremia #clinical
Asterixis due to Uremia on Physical Exam

29 year old male came in due to decreasing sensorium
Uremia on Physical ... gap metabolic acidosis ... and uremia with ... #Uremia #PhysicalExam ... #nephrology #clinical
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
(AIEOU): • A: Acidosis ... U: Symptomatic Uremia ... daily dialysis): ~12 ... Corrects uremia, ... Gently corrects uremia
The Inhibited Pathway caused by N2O, leading to a decrease in the active form of Vitamin
Inhibited Pathway caused ... deficiency. ... The classic clinical ... of pernicious anemia ... #Pathophysiology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... autoantibodies (pernicious anemia ... Worsening macrocytic anemia ... wt loss • If anemia ... - CBC, PBS - anemia
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Aplastic Anemia ... • Aplastic anemia ... Immune Aplastic Anemia ... Clinical Presentation ... and petechiae Causes
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
fatigue despite clinical ... , Anemia • Prevalence ... Crohn's > UC Anemia ... restricted diet/deficiency ... /other causes
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 • IHD (Intermittent HD):  3-5 hr
(Sustained low efficiency ... daily dialysis): ~12 ... Corrects uremia, ... Gently corrects uremia ... #managment #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
HCO3)} Normal = 12 ... Delta: Delta = (AG-12 ... Renal failure (uremia ... Acetazolamide Causes ... Diagnosis #Summary #Nephrology
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
• Pernicious anemia ... /B12 deficiency ... collection with EDTA Pathophysiology ... respiratory failure • Neurologic ... Phosphatase: • Other causes