NephSim (www.nephsim.com) @Neph_Sim
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nephsim.com is a free educational tool that uses interactive cases, media, and infographics to teach nephrology topics including glomerular diseases, acid/base disorders, kidney transplant, electrolyte abnormalities, dialysis, & more! https://twitter.com/Neph_Sim
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Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
- Urinalysis/microscopy ... rhabdo/TLS) Causes ... AcuteKidneyInjury #AKI #Nephrology ... #Diagnosis #Algorithm ... #Causes #Differential
Hyperkalemia Differential Diagnosis Algorithm

#Hyperkalemia #Differential #Diagnosis #Algorithm #PseudoHyperkalemia #Nephrology #Causes
Differential Diagnosis Algorithm ... Differential #Diagnosis #Algorithm ... PseudoHyperkalemia #Nephrology ... #Causes
Nephrotic Syndrome - Primary vs Secodary - Differential Diagnosis Algorithm

#Nephrotic #Syndrome #Differential #Diagnosis #Algorithm #Primary #Secondary
Differential Diagnosis Algorithm ... Differential #Diagnosis #Algorithm ... Primary #Secondary #Nephrology ... #Causes
Urine Microscopy - Kidney Stones and Crystals 

Uric Acid, Cystine, Hippurate, Cloth Fiber, Tyrosine, CaOx, CaP,
Urine Microscopy ... Neph_Sim #Urine #Microscopy ... #Stones #Key #Nephrology
Urine Microscopy Instructions - How to spin urine

1. Collect a fresh urine sample (5 – 10
Urine Microscopy ... the better, as casts ... the slide on the microscope ... #Urine #Microscopy ... Procedure #Urinalysis #Nephrology
Urine Microscopy and Casts - Image Atlas Key

- Squamous Epithelial Casts
- Transitional Epithelial Cells
- Renal Tubular
Urine Microscopy ... and Casts - Image ... Squamous Epithelial Casts ... JoseTesser) #Urine #Microscopy ... #Casts #Atlas #
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Differential #Diagnosis #Algorithm ... #Nephrology #Causes
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypotonic HypoNatremia Algorithm ... #Hyponatremia #Algorithm ... #Diagnosis #Nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Differential Diagnosis Algorithm ... Differential #Diagnosis #Algorithm ... #nephrology
Polyuria - Differential Diagnosis Algorithm
Polyuria = >3L Urine output / 24 hours
Urine osmolality = 2 (Na
Differential Diagnosis Algorithm ... Differential #Diagnosis #Algorithm ... #nephrology