11 results
Approach to Acid Base Disorders - Evaluation and Differential Diagnosis
1) Start with the Anion Gap (AG).
2)
Approach to Acid ... Do you need an ABG ... Generally, for acid ... an ABG by adding ... ~0.05 to pH and
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... ABG And BMP Normal ... - Diarrhea - Renal ... Summary #Nephrology #ABG ... #bloodgas #Acid
Causes of Urinary Tract Obstruction - Differential Diagnosis Algorithm
Upper Tract - Bladder NOT distended on ultrasound,
Upper Tract - Bladder ... NOT distended on ultrasound ... • Uric acid ... on ultrasound, ... Algorithm #Causes #Urology
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
OTCs, herbals, abx ... protein/Cr - Renal ... /bladder US w/ PVR ... - CPK, uric acid ... - 45% - Pre-renal
Ureteral Stone on Renal POCUS

A 23yo male with no significant PMHx presents with acute LLQ pain,
Ureteral Stone on Renal ... Bladder ultrasound ... DC home (w/ op urology ... in setting of renal ... POCUS #clinical #ultrasound
Types of Urinary Diversion Procedures
Ileal Conduit:
 • Technically simpler, fewer complications, and well understood. No bladder
No bladder retraining ... covered with band-aid ... No bag. ... Postop bladder training ... Comparison #Management #Urology
Bilateral Ureteral Jets on Bladder POCUS
Continuous B/L ureteric jets in young euvolemic pt with nonspecific abd.
Ureteral Jets on Bladder ... with nonspecific abd ... Ureteral #Jets #Bladder ... POCUS #clinical #ultrasound ... #urology
Urinoma and Calyceal rupture on Renal Ultrasound
Sudden onset Rt flank pain.  Patient has right distal
Calyceal rupture on Renal ... Ultrasound Sudden ... stone seen on sag bladder ... #Ultrasound #kidney ... #clinical #urology
1
Formation of organic acids
Lactate, dissociated fatty acids, acetic acids, etc.
Metabolism
H formationt
4
Hyperkalemia
ЗНСО,
Na
2
Mineralization
3
Hypoventilation
CO;
POA
3-
HCO;
6
CO, output # with expiration
Diarrhea
5
H*-
Proximal tubule
Renal
Formation of organic acids ... , acetic acids, ... Proximal tubule Renal ... Hypoaldo- steronism Arg ... 8 [Co] HO pH
#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea
#ICUCard RENAL ... (Na U(U/P Cr) Renal ... AG S 8-16 mEq ... 50mmHg (acute I pH ... on FIO2 < 50% pH