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Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
- Differential Diagnosis ... Dermatomyositis) AKI - Pathophysiology ... hour with goal urine ... hyperkalemia or ATN ... #Differential #Diagnosis
Fractional Excretion of Sodium - FENa
Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
Sodium (FENa) = (Urine ... / (Serum Na+ x Urine ... > 2% suggests ATN ... #calculation #diagnosis
Urine Specific Gravity - Interpretation
Specific Gravity = Density of urine / Density of water
SG close to
Urine Specific Gravity ... Gravity = Density of urine ... resistance to ADH) • ATN ... EricsMedicalLectures/ #Urine ... Interpretation #diagnosis
Urinary Casts in the setting of renal disease
#Clinical #Nephro #Urine #Microscopy #Casts #Comparison #Chart #ATN #AIN
Clinical #Nephro #Urine ... Comparison #Chart #ATN
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan → Indoxyl
Purple Urine Bag ... E.coli*) + alkaline urine ... BrighamChiefs #Purple #Urine ... Syndrome #PUBS #pathophysiology ... #differential #diagnosis
Metabolic Pathways of Purple Urine Bag Syndrome: Adopted from chart originally published in Purple Urine Bag
Pathways of Purple Urine ... published in Purple Urine ... commonly grown in the urine ... #Pathophysiology ... #PUBS #Purple #Urine
Increased Urination - Differential Diagnosis Framework - Increased Volume / Frequency
 • Increased osmotic load (Increased
- Differential Diagnosis ... load (Increased urine ... (usually low urine ... Recovery phase of ATN ... #Differential #Diagnosis
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Wasting vs SIADH - Pathophysiology ... → Increased urine ... SaltWasting #SIADH #Pathophysiology ... #diagnosis #nephrology
Muddy Brown Casts in ATN
#Clinical #Path #Nephro #Urine #Microscopy #MuddyBrownCasts #ATN
Brown Casts in ATN ... #Path #Nephro #Urine ... MuddyBrownCasts #ATN
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
UOP/weights - Urine ... Liano 1996) - ATN ... CKD— 13% (mostly ATN ... AKI #Nephrology #Diagnosis