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diagnosis differential acute hyponatremia kidneyinjury injury kidney urine workup acutekidneyinjury blood casts hematuria hypertension hypokalemia hypotonic interpretation interstitial low management
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- Urinalysis/microscopy ... Liano 1996) - ATN ... CKD— 13% (mostly ATN ... #Nephrology #Diagnosis ... #Algorithm #Causes
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... When to suspect AIN ... sensitive) • AKI ... eosinophiluria, microscopic ... #Algorithm #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Abdominal Compartment Syndrome ... C3/C4, Other • ATN ... Pigment, Protein) • AIN ... Differential #Diagnosis #nephrology ... #causes #algorithm
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Kidney Injury (AKI ... require urgent nephrology ... Assess UA w/ microscopy ... etiologies due to ATN ... workup #diagnosis #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... dipstick, urine microscopy ... osmolarity If cause ... Differential #Diagnosis #nephrology ... #causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Differential Diagnosis Algorithm ... Consider secondary HTN ... • AKI/CKD Mineralocorticoid ... #Hypertension #HTN ... #Secondary #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... • Reduced GFR, AKI ... #Hyponatremia #Nephrology ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... • Reduced GFR, AKI ... #Hyponatremia #Nephrology ... #Causes
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Differential Diagnosis Algorithm ... Acute increase in ... • Hepatorenal syndromes ... polyangiitis /microscopic ... #KidneyInjury #Nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
disease - Alport syndrome ... hematuria syndrome ... • Malignant HTN ... • Nutcracker syndrome ... #urology #nephrology
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