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final path ii review - Coggle Diagram
final path ii review
Addison's disease
atypical
glucocorticoid only
eosinophilia
mild non-regen anemia
typical
hyperK
hypoNa
hypoalbumin
hypoCl
hypoglycemia
hyper Ca
lymphocytosis
lymphopenia? its NOT ADDISON'S
hperadrenocorticism
elevated ALP (96%)
lymphopenic
hyper glycemic
hypoCa
hyperCl
thrombocytosis
hyperthyroidism
ALP, AST/ALT
anemia
mild lymphocytosis
azotemia - pre-renal
mild hyperglycemia
lowered fructosamine
diabetes mellitus
hyperglycemia
glucosuria
hypercholesterolemia
liver enzymes
altered urine concentrating ability
mild hyperkalemia, hyperMg, P
kidney disease
tubular
azotemia
mild proteinuria
variable e-
altered urine concentrating ability
casts
glomerular
proteinuria trace or +/1
hypoalbuminemia
hypertensive
increased cholesterol
can lead to tubular dz
UPC is good diagnostic
acute
severe azomtemia
enlarged kidney(s)
hyperkalemic
oliguria/anuria/obstruction
chronic
polyuric
hypokalemia
non-regen anemia
smal kidneys
acid-base disorders
high AG metabolic acidosis
high AG
lactic acids
uremia
ketones
EG
low bicard
metabolic alkaosis
disproportionate hypoCl
high bicarb
mixed
high AG gap
low bicarb
disproportinate hypoCl
azotemia
pre-renal
causes
dehydration
hypovolemia
mild increases
BUN
Cr
lytes
+/-
Na
Cl
:forbidden: K increase
appropriate USG
renal
moderate to marked increases
BUN
Cr
inappropriate USG
must r/o non-kidey causes
osmoti diruesis
glucosuria
ketonuria
mannitol
fyi :forbidden: bilirubin, protein DO NOT cause osmostic diuresis
medullary washout
liver failure
Addison's
decreased aldosterone dereases, Na, impairing ability to [urine]
Di and ANDI (ac'q nephrogenic diabetes insipidus)
hypo and hyperadrenocorticism
steroid admin
hypercalcemia
hyperthyroidism
hypokalemia
endotoxins
can have hyperkalemia - oliguria/anuria
post-renal
causes
trauma
stones
high K, but variable
mild to marked BUN/Cr
USG does whatever it wants
straining
most common cause of proteinuria
hypothyroidism
hypercholesterolemia/trig
anemia- mild non-regen
+/- mild liver enzymes
protein decreased
non-selective
hemorrhage
dilutional
young age
pregnancy
PLE
+/- third space
burns
fluid overload/edematous disease
CHF
portal hypertension
oliguria/anuria
selective
albumin
infalmmation
liver dysfxn
EPI
parasites
addison's dz
globulins
FPT
congenital