Nephrology Board Review

Nephrology Board Review Sidharth Shah, MD. June 2007

Make sure you know…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nephrology MKSAP: Q87 ,[object Object],[object Object],[object Object]

Nephrology MKSAP: Q87 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Nephrology MKSAP: Q87 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hyponatremia Workup ,[object Object],[object Object],[object Object],[object Object]

Hypotonic Hyponatremia Hypotonic Hyponatremia Hypovolemic Hyponatremia Euvolemic Hyponatremia ,[object Object],[object Object],Una> 20 FeNa> 1% Una< 10 FeNa< 1% Renal Losses Extra-renal Losses Uosm>100 Uosm<100 Uosm var. SIADH Adrenal Insuf Hypothyroid 1 polydipsia Low Solute Reset osmostat Una<10 FeNa<1% Una> 20 FeNa> 1% CHF Cirrohsis Nephrosis Renal Failure

Harrison’s: VIII-29 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Harrison’s: VIII-29 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Harrison’s VIII-21 ,[object Object]

Harrison’s VIII-21 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Harrison’s: VIII-50 ,[object Object]

Harrison’s: VIII-50 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cholesterol Atheroembolic Renal Disease ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Harrison’s: VIII-9 ,[object Object],[object Object]

Harrison’s: VIII-9 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Obstructive Uropathy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MKSAP Nephrology: Q23 ,[object Object]

MKSAP Nephrology: Q23 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MKSAP Nephrology: Q23 ,[object Object],[object Object],[object Object],[object Object],[object Object]

RULES Professor Fuller’s 5 Rules For Acid-Base Adapted from K.Lee presentation 9/2005

“Rules of Five” -- #1 ,[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

“Rules of Five” -- #2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

“ Rules of Five” -- #3 Why We Don’t Spark! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

“Rules of Five” -- #3 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

“Rules of Five” -- #3 ,[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

“Rules of Five” -- #3 ,[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

“Rules of Five” -- #4 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

“Rules of Five” -- #4 ,[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

“Rules of Five” -- #5 ,[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

“Rules of Five” -- #5 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

MNEMONIC for GAP ACIDOSIS “ M-U-D-P-I-L-E-S ” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

MNEMONIC for NON-GAP ACIDOSIS “ D-U-R-H-A-M ” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

Urine Anion Gap (for NG acidosis) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

MKSAP Nephrology: Q23: Revisited ,[object Object]

MKSAP Nephrology: Q23: Revisited ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MKSAP Nephrology: Q23: Revisited ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

MKSAP Nephrology: Q23: Revisited ,[object Object],[object Object],[object Object],[object Object],[object Object]

A little more fun…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

A little more fun…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

A little more fun…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

Lowering the Threshold ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

A little more fun…. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Calcium Oxalate Crystals Fluoresce under Wood’s Lamp Adapted from K.Lee presentation 9/2005

MKSAP Nephrology: Q46 ,[object Object]

MKSAP Nephrology: Q46 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MKSAP Nephrology: Q46 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Renal Tubular Acidosis ,[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from K.Lee presentation 9/2005

COMPLEMENT LEVELS Adapted from K.Lee presentation 9/2005 Normal Normal ANCA Normal Normal Paraprotein Normal Low Chol Emboli Low Low / norm. SBE Low Low Cryos Low Low SLE Low / norm. Low MPGN Low / norm. Low Post-inf GN C4 C3 DISEASE

Nephrology Board Review

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Nephrology Board Review