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Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
iniury, Compartment syndrome ... Neuroleptic malignant syndrome ... renal ischemia ... hour with goal urine ... hyperkalemia or ATN
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Compartment syndrome ... Weakness - Dark urine ... or compartment syndrome ... hour with goal urine ... hyperkalemia or ATN
Urinary Casts in the setting of renal disease
#Clinical #Nephro #Urine #Microscopy #Casts #Comparison #Chart #ATN #AIN
the setting of renal ... Clinical #Nephro #Urine ... Comparison #Chart #ATN
Evaluation of Secondary Hypertension
 • Primary aldosteronism - PRA, PAC
 • Renal artery stenosis - Renal
- PRA, PAC • Renal ... artery stenosis - Renal ... fT4 • Cushing syndrome ... cortisol. 24-h urine ... Mineralocorticoid excess syndromes
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Na <20: Extra-renal ... losses • Urine ... Na >30: Renal losses ... Cirrhosis, Nephrotic syndrome ... : Renal failure
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
differential, urine ... dipstick, urine ... Abdominal compartment syndrome ... blood culture, urine ... syndrome: troponin
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
UOP/weights - Urine ... protein/Cr - Renal ... Liano 1996) - ATN ... CKD— 13% (mostly ATN ... and pre-renal)
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria: Red/Dark urine ... 1ml blood/liter urine ... disease - Alport syndrome ... pain hematuria syndrome ... • Nutcracker syndrome
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 ... Dehydration • SIADH (syndrome ... EricsMedicalLectures/ #Urine
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Differential Diagnosis Renal ... Familial: Bartter syndrome ... and Gitelman syndrome ... hypomagnesemia Renal ... Diuretic phase of ATN