He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. alkalosis,Ĭreatinine, CRP, Dipstick Urinalysis, Laboratory Urinalysis, Liver function tests (LFTs), Pleural fluid analysis, Urea, Urea Creatinine Ratio, Uric acid, Urinalysis, Urine ElectrolytesĬhris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. HIGH: Bilirubin and Jaundice, Hyperammonaemia, Hypercalcaemia, Hyperchloraemia, Hyperkalaemia, Hypermagnesaemia,ĪCID BASE: Acid base disorders, Resp. LOW: Anaemia, Hypocalcaemia, hypochloraemia, Hypomagnesaemia, Palmar erythema, Serious skin signs in sick patients, Thickened Tethered Skin, Leg ulcers, Skin Tumour, Acanthosis Nigricansĭiabetes Insipidus, Diffuse Goitre, Gynaecomastia, Hirsutism, Hypoglycaemia, SIADH, Weight LossĪnaphylaxis, Autoimmune associated diseases, Clubbing, Parotid Swelling, Splinter haemorrhages, Toxic agents and abnormal vitals, Toxicological causes of cardiac arrestĬHEST: Atelectasis, Hilar adenopathy, Hilar enlargement on CXR, Honeycomb lung, Increased interstitial markings, Mediastinal widening on mobile CXR, Pulmonary fibrosis, Pseudoinfiltrates on CXR, Pulmonary opacities on CXR,ĪBDO: Gas on abdominal X-ray, Kidney mass,īRAIN: Intracranial calcification, Intracranial structures with contrast, Ventriculomegaly, Genital ulcers, Groin lump, Scrotal mass, Urine colour, Urine Odour, Urine transparency,Īrthritis, Shoulder pain, Wasting of the small muscles of the hand PMID 12549657Īnosmia, Ataxia, Blepharospasm, Bulbar and Pseudobulbar palsy, Central Pontine Myelinosis, Cerebellar Disease, Chorea, Cranial nerve lesions, Dementia, Dystonia, Exophthalmos, Eye trauma, Facial twitches, Fixed dilated pupil, Horner syndrome, Loss of vision, Meningism, Movement disorders, Optic disc abnormality, Parkinsonism, Peripheral neuropathy, Radiculopathy, Red eye, Retinal Haemorrhage, Seizures, Sudden severe headache, Tremor, Tunnel visionīronchial breath sounds, Bronchiectasis, High airway pressures, Massive haemoptysis, Sore throat, Tracheal displacementĪtrial Fibrillation, Bradycardia, Cardiac Failure, Chest Pain, Murmurs, Post-resuscitation syndrome, Pulseless Electrical Activity (PEA), Pulsus Paradoxus, Shock, Supraventricular tachycardia (SVT), Tachycardia, VT and VF, SVC ObstructionĪbdominal distension, Abdominal mass, Abdominal pain, Asterixis, Dysphagia, Hepatomegaly, Hepatosplenomegaly, Large bowel obstruction, Liver palpation abnormalities, Lower GI haemorrhage, Malabsorption, Medical causes of abdominal pain, Rectal mass, Small bowel obstruction, Upper GI Haemorrhage Massive and disproportionate elevation of blood urea nitrogen in acute azotemia. Feinfeld DA, Bargouthi H, Niaz Q, Carvounis CP.BUN/Cr ratio as an index of gastrointestinal bleeding mass in children. Urashima M, Toyoda S, Nakano T, Matsuda S, Kobayashi N, Kitajima H, Tokushige A, Horita H, Akatsuka J, Maekawa K.ED predictors of upper gastrointestinal tract bleeding in patients without hematemesis. Witting MD, Magder L, Heins AE, Mattu A, Granja CA, Baumgarten M.Plasma creatinine and urea: creatinine ratio in patients with raised plasma urea. INCREASED UREA:CREATININE RATIO – (Drivers Can use GPS)ĭECREASED UREA:CREATININE RATIO (I am a SIMPLE SR) become like creatinine -> ratio gets closer to 1).>100:1 – pre-renal cause (urea absorption increased compared to creatinine).40-100:1 – normal or post renal cause of AKI.Urea:Creatinine Ratio (in the setting of renal failure / elevated creatinine) Cr : Urea ratio with SI Units of µmol/L: mmol/L (providing Urea is >10mmol/L).Urea : Cr ratio ith SI Units of mmol/L: µmol/L (providing Urea is >10mmol/L). BUN : Cr ratio with US units of mg/dL : mg/dL.Therefore two ratio’s exist to compare serum Urea and Creatinine levels
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