40 results
Algorithmic Approach to Acute Interstitial Nephritis
When to suspect AIN? (not sensitive)
 • AKI, AKD, rapidly progressive
Algorithmic Approach ... When to suspect AIN ... rapidly progressive CKD ... triad (<10%): fever ... #Algorithm #nephrology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Serum-ascites-albumin-gradient (SAAG ... suggests higher SBP ... • If AKI/CKD ... Summary #Hepatology #SAAG ... #paracentesis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... if other signs (fever ... PMNs Timing of paracentesis ... • Early (<12h) paracentesis ... Day 3 repeat paracentesis
Paracentesis on POCUS

Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much
Paracentesis on ... POCUS Paracentesis ... to r/o SBP in pt ... fever; r/o SBP ... twitter.com/EUSmkh #Paracentesis
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Hx of AKI/CKD ... rhabdo/TLS) Causes ... 21% - AKI on CKD ... Nephrology #Diagnosis #Algorithm ... #Causes #Differential
Creatine Kinase - Causes of Elevated CK Levels
Acute CK Elevation (Pain > Weakness):
 • RHABDOMYOLYSIS
Creatine Kinase - Causes ... Elevation (Pain ... ), clostridial spp ... Subacute to Chronic Causes ... (Weakness > Pain
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm
Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Differential Diagnosis Algorithm ... (eGFR < 60 ml/min ... Hyperphosphatemia #CKD ... Differential #Diagnosis #Algorithm ... #Causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... Differential Diagnosis Algorithm ... Hypertension - BP ... syndrome • AKI/CKD ... Differential #Diagnosis #Algorithm
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... treat underlying cause ... Pain. ... always exclude: CKD ... Differential #Diagnosis #Algorithm
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Primary (Essential) (95%) - Onset between age
and Secondary Causes ... Differential Diagnosis Algorithm ... or when using an ... parenchymal disease - CKD ... Differential #Diagnosis #Algorithm