11 results
Uremic Asterixis on Physical Exam

Dr. Arvind Canchi @arvindcanchi

#Uremia #Asterixis #PhysicalExam #clinical #video #neurology #nephrology
Uremic Asterixis ... arvindcanchi #Uremia ... #Asterixis #PhysicalExam ... #clinical #video ... #neurology #nephrology
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 ... #neurology #uremia ... #clinical #video
Asterixis due to Uremia on Physical Exam

29 year old male came in due to decreasing sensorium
Asterixis due to ... Uremia on Physical ... metabolic acidosis and uremia ... #Uremia #PhysicalExam ... #nephrology #clinical
Asterixis in patient with uremia on Physical Exam

Dr. Muner Mohamed @MunerMohamed1

#Asterixis #tremor #PhysicalExam #neurology #uremia #clinical
Asterixis in patient ... with uremia on ... #tremor #PhysicalExam ... #neurology #uremia ... #clinical #video
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 • IHD (Intermittent HD):  3-5 hr
RRT Modalities in ... daily dialysis): ~12 ... Corrects uremia, ... Gently corrects uremia ... #CRRT #Modes #modalities
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
U: Symptomatic Uremia ... Modalities of RRT ... Corrects uremia, ... Gently corrects uremia ... #CRRT #Modes #modalities
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
autoantibodies (pernicious anemia ... intrinsic factor, IF) Clinical ... Worsening macrocytic anemia ... wt loss • If anemia ... - CBC, PBS - anemia
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 ... symptoms even if
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 ... • Improve the symptoms
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Phosphatase Of Clinical ... • Pernicious anemia ... /B12 deficiency ... mineralization Symptoms ... respiratory failure • Neurologic