Notes: 0:10 WBC casts in urine: AIN or Pyelo 0:17 Uremia, When dialysis: HUS< EHEC, uremic pericarditis, platelet dysfunction, asterixis 1:46 CKD: HTN and DM 1:58 Dialysis indications: Acidosis (refractory), Electrolytes (K!), Ingestions (methanol, aspirin, lithium, ethylene glycol) , Overload (from CKD), Uremia 2:33 AIN: Allergic rxn to drugs (NSAIDs, Diuretics, Abx)- Fever, Eosinophilia, Azotemia, Rash, hematuria, WBC casts 3:22 ATN: Hypoxia or toxins (shock> pre-renal azotemia (BUN/Cr>20)) ->muddy brown casts tx: IVF 4:16 RTAs: Non-gap (NAGMA)> diarrhea and RTAs (vs HAGMA->MUD PILES) 5:23 RTA Type I- under excreted H+, kidney stONEs 5:57 RTA Type II- BIcarb not absorbed 6:11 RTA Type IV- HYPO ALDOstreone- Hyponatremia, hyperkalemia, aldosterone causes excretion of H+! 7:22 Metabolic alkalosis >check urine Cl (high? kidney problem, can't reabsorb, low? kidneys are concentrating but you are losing volume, ex. vomiting, give fluids) 7:55 Steatorrhea-> binds Ca in terminal ileum (saponification), oxalate left over, oxalate stones! in kidneys. (better to eat more Ca to have it in terminal ileum)- kidney stones? Diet: low salt, low fat, high Ca, lots of water 9:53 Cancers- Pt1: elderly male w smoking Hx, gross painless hematuria- renal cell Ca or bladder ca 10:03 Renal cell Ca- flank pain, abd mass, get CT abd, tx: nephrectomy 10:25 bladder ca (transitional cell ca due to carcinogens in cigarettes)- cystoscopy 11:01 pt2: young male with irregulaly shaped painless mass in testicle->dx: scrotal US-> may be testicular Ca, if suspicius, DO NOT BIOPSY (may seed!), tx: inguinal orchiectomy (the biopsy after removed) 11:33 Testicular pain (torsion vs. epididymitis) torsion: acute onset, cord not tender, no cremasteric reflex, worse with scrotal elevation-> dx: if unclear get doppler US (decreased blood flow), if very clear>tx: surgery (bilateral orchiopexy); epididymitis: tender cord, better when elevating scrotum, may have fever 13:54- epididymitis vs orchiitis vs prostatitis- young pt: gono/chlamydia (Ceftriaxone and Azithro) ; old pt: e.coli (fluoroquinolone)
@ardaobi294
Жыл бұрын
Thankyou so much🙏
@arfathesuperhero
8 ай бұрын
👍
@Sachianna-pm1df
4 жыл бұрын
Renal tubular acidosis explanations are short and sweet! Thank you for simplifying it!
@aryazand
5 жыл бұрын
You're explanation for RTAs and calcium oxalate stones are gold! These videos have been key part of my step 2 studying. Thanks!!
@DoctorHighYieldMD
5 жыл бұрын
No problem! All the best
@ChiragPatel-vf7ou
8 күн бұрын
Man the explanation of RTA’s! Just woww! Kudos to you man !
@Tasniaaaaaaaa
3 ай бұрын
How did I just learn more renal physiology in 15 minutes than I did in weeks worth of renal uworld problems 🙃 you're a lifesaver Dr. High Yield 🥰
@suomynonaanonymous
5 жыл бұрын
Omg thank you no one ever explained the calcium oxalate stone mechanism. I never understood why just memorized it thank you !
@MikeSmith-zo6eu
3 жыл бұрын
You never watched Pathoma lol
@suomynonaanonymous
3 жыл бұрын
@@MikeSmith-zo6eu I watched pathoma like 10x lol
@swativanaparthy6630
5 жыл бұрын
I was waiting for a renal video from you before my step 2ck..finished it two weeks back! thanks a bunch for ur videos..gonna keep reviewing them for my step 3 too 🙌🏼
@digitiminimi5730
Жыл бұрын
Thank you so much man, u're awesome!!!! Here's a mnemonic that I use for rta: 2,1,4 Low, low, more (for k+ level) No, yes, no (for renal stones which means the Ca level is also only high in rta1) Also ph level is only different in the middle one too (rta1) which is >5.5 In general the different one is rta1 other than K+ level
@MFDElk
2 жыл бұрын
Thank you for your videos which I listen to while jogging.
@Ss-pj8vn
4 жыл бұрын
You’re honestly such a boss!
@salahm6419
10 ай бұрын
It is a good description for indications of hemodialysis.
@riaghosh003
5 жыл бұрын
Thanks for uploading! All your videos are great! Can you please upload one for Haem/Onc too?
@DoctorHighYieldMD
5 жыл бұрын
Yes I'm uploading the rest of them :)
@riaghosh003
5 жыл бұрын
@@DoctorHighYieldMD thanks a million! You are AWESOME!!!!
@23dfmahghd
3 жыл бұрын
Why in type 4 RTA the urine PH is low
@suomynonaanonymous
5 жыл бұрын
Please tell us what specialty you went into
@basmaziz2379
2 жыл бұрын
Brilliant!
@mariyamn
5 жыл бұрын
thank you :)
@zeenafadhil3629
4 жыл бұрын
it is help me alot
@hadeelrushdi2469
4 жыл бұрын
Amazing
@arslan626
5 жыл бұрын
Nephrotic vs nephritic Plz
@DoctorHighYieldMD
5 жыл бұрын
Easy way to remember it is nephrotic syndrome is proteinuria 3.5+ grams/day. Nephritic syndrome is a combination of kidney based hematuria and proteinuria but
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