Infection associated glomerulonephritis. Patient presents with Acute Kidney Injury (AKI) and active urine sediment in the context of a current or recent infection. Pathophysiology and Clinical Presentation Antigen antibody immune complexes form with the antigen from the infection and the antibody from the immune response. These immune complexes deposit in the glomeruli
Hyperkalemia can be classified as mild, moderate and severe as well as acute and chronic. Severe hyperkalemia will be acute as it will require immediate treatment. This article will address treatment strategies based on the severity of hyperkalemia. Treatment of Hyperkalemia Treatment Options Stabilization of cardiac cell membrane Redistribution from extracellular to intracellular
Nephrologists generally use the physiologic approach to diagnosing acid base disorders. Check out this article for an overview of the physiologic approach. Understanding Acid Base Disorders | BCNephro However, there are two other approaches to diagnosis of acid base disorders. Base Excess Physicochemical (Stewart) The Base Excess is routinely reported with blood gas
What is rhabdomyolysis? Rhabdomyolysis is a condition where there is muscle necrosis with release of intracellular muscle contents into the systemic circulation. Most notably: CK (creatine kinase): detected in blood Myoglobin: detected in urine Others AST/ALT If severe: Potassium, Phosphorus, Urate, Lactic acid In rhabdomyolysis the CK is markedly elevated. When is the
Treatment of Kidney Stones. Once we know or deduce the type of kidney stone, the next focus is treatment. In a patient with recurrent nephrolithiasis, treatment is secondary prevention. That is prevention of stone growth or new stone forming. Acute stones that are passing are typically managed by urology as they may require
