9 results
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... IMPROVEMENT If the urine ... CONSIDER INTRINSIC CAUSES ... etiologies due to ATN ... workup #diagnosis #nephrology
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
UOP/weights - Urine ... rhabdo/TLS) Causes ... Liano 1996) - ATN ... CKD— 13% (mostly ATN ... AcuteKidneyInjury #AKI #Nephrology
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... Casts • Hyaline ... tubular necrosis (ATN ... #Urine #Microscopy ... #nephrology #interpretation
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
Causes of Secondary ... disease - Renal ultrasound ... Duplex Doppler ultrasound ... test (with 24-h urine ... Screening #Workup #table
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... Weakness - Dark urine ... hour with goal urine ... hyperkalemia or ATN ... #treatment #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
hour with goal urine ... per day until stable ... hyperkalemia or ATN ... Management #Summary #causes
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... differential #diagnosis #table ... #sodium #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... lysis) ± Urine ... only if no clear cause ... Elimination (see Table ... Treatment #potassium #nephrology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... importantly, bedside ultrasound ... the determined cause ... cardiology #treatment #table