{"id":954,"date":"2020-03-05T08:02:58","date_gmt":"2020-03-05T08:02:58","guid":{"rendered":"http:\/\/randomedicale.com\/2020\/03\/05\/cest-fonctionnel-et-organique\/"},"modified":"2020-03-05T08:02:58","modified_gmt":"2020-03-05T08:02:58","slug":"cest-fonctionnel-et-organique","status":"publish","type":"post","link":"https:\/\/randomedicale.com\/blog\/2020\/03\/05\/cest-fonctionnel-et-organique\/","title":{"rendered":"C\u2019est fonctionnel ou organique ?"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">C\u2019est une belle journ\u00e9e, tu es bien, tout est paisible. <\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/randoecni.wordpress.com\/wp-content\/uploads\/2020\/03\/dormeur-du-val-rimbaud-poeme-1024x8212617181708661231827-1.jpg?w=1024\" alt=\"\" class=\"wp-image-952\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Quand soudain\u2026 ? <\/h2>\n\n\n\n<h2 class=\"wp-block-heading\"><em><strong>Une insuffisance r\u00e9nale aigue appara\u00eet! <\/strong><\/em><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Tu restes calme, tu \u00e9limines <strong>l\u2019OAP<\/strong>, tu v\u00e9rifies qu\u2019il n\u2019y ait pas <strong>d\u2019hyperkali\u00e9mie<\/strong>, l\u2019ECG est rassurant, ton \u00e9cho est de qualit\u00e9 et ne montre <strong>pas de dilatation des cavit\u00e9s py\u00e9localicielles<\/strong>. Tout baigne.<\/h3><h3>Quand soudain\u2026arrive la fameuse question :<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u00ab\u00a0C\u2019est fonctionnel ou organique ?\u00a0\u00bb <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><br \/>Tu te souviens de tes cours : \u00ab <em>a oui, il y a un tableau qui me permet de faire la diff\u00e9rence \u00bb<\/em><br \/>Le tableau en question :<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/randoecni.wordpress.com\/wp-content\/uploads\/2020\/03\/screenshot_20200305_0844043362136580131420307.jpg?w=1024\" alt=\"\" class=\"wp-image-950\" \/><figcaption>(College de n\u00e9phrologie) <\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><br \/>Tu vomis.\ud83e\udd2e<br \/><br \/><strong><em>Et bien on va faire plus simple. Plus rapide. <\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br \/>Prenons la formule :<br \/>Si c\u2019est fonctionnel,<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br \/>Ur\u00e9e (mmol)\/cr\u00e9at(mmol) &gt;100<br \/>&lt;=&gt;(ur\u00e9e\/cr\u00e9at)x cr\u00e9at&gt; 100x cr\u00e9at<br \/>&lt;=&gt;ur\u00e9e &gt;100 cr\u00e9at<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br \/>Hors sur tes r\u00e9sultats du labo <em>l\u2019ur\u00e9e s\u2019exprime en umol et la cr\u00e9at en mmol<\/em>. donc \u00e7a nous donne<br \/>Ur\u00e9e (umol)x 1000&gt; 100x cr\u00e9at (mmol)<br \/>&lt;=&gt;(ur\u00e9e (umol) x1000 )\/100&gt;(100x(cr\u00e9at(mmol))\/100<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br \/><strong>&lt;=&gt;ur\u00e9e (umol) x10&gt; cr\u00e9at<\/strong><\/h2>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\"><br \/><br \/>Donc en gros si tu veux pas te prendre la t\u00eate, <strong>tu prends tes r\u00e9sultats de labo<\/strong> et tu fais :<\/p>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\"><br><strong>Ur\u00e9e x10 &gt; cr\u00e9at = IRA fonctionnelle<\/strong><br>(rappelles toi que quand tu es en IRA fonctionnelle tu es d\u00e9shydrat\u00e9, donc tes urines sont tr\u00e8s concentr\u00e9es en ur\u00e9e).<\/p>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\"><br \/><strong><em>Ca ne t\u2019autorise pas \u00e0 ne pas apprendre ce foutu tableau<\/em><\/strong>. Surtout que des questions peuvent tomber. Mais si t\u2019es aux urgences et que tu ne veux pas te prendre la t\u00eate, ou que le QCM c\u2019est juste savoir si c\u2019est organique ou fonctionnel \u00e7a peut te servir et te faire gagner du temps.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/randoecni.wordpress.com\/wp-content\/uploads\/2020\/03\/highresrollsafe-17265824584230239039.jpg?w=800\" alt=\"\" class=\"wp-image-953\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\"><br \/><br \/>Courage<br \/><em>Vous \u00eates parfaits <\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br \/>Rando ECNi. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u2019est une belle journ\u00e9e, tu es bien, tout est paisible. Quand soudain\u2026 ? Une insuffisance r\u00e9nale aigue appara\u00eet! Tu restes calme, tu \u00e9limines l\u2019OAP, tu v\u00e9rifies qu\u2019il n\u2019y ait pas d\u2019hyperkali\u00e9mie, l\u2019ECG est rassurant, ton \u00e9cho est de qualit\u00e9 et ne montre pas de dilatation des cavit\u00e9s py\u00e9localicielles. Tout baigne. Quand soudain\u2026arrive la fameuse question [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-954","post","type-post","status-publish","format-standard","hentry","category-tous-les-articles"],"_links":{"self":[{"href":"https:\/\/randomedicale.com\/blog\/wp-json\/wp\/v2\/posts\/954","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/randomedicale.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/randomedicale.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/randomedicale.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/randomedicale.com\/blog\/wp-json\/wp\/v2\/comments?post=954"}],"version-history":[{"count":0,"href":"https:\/\/randomedicale.com\/blog\/wp-json\/wp\/v2\/posts\/954\/revisions"}],"wp:attachment":[{"href":"https:\/\/randomedicale.com\/blog\/wp-json\/wp\/v2\/media?parent=954"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/randomedicale.com\/blog\/wp-json\/wp\/v2\/categories?post=954"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/randomedicale.com\/blog\/wp-json\/wp\/v2\/tags?post=954"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}