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Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
Kidney Injury (AKI ... rhabdo/TLS) Causes ... Liano 1996) - ATN ... CKD— 13% (mostly ATN ... Diagnosis #Algorithm #Causes
Intern Pocket Cards - Inpatient Blood Pressure Management Guide
ß-blockers:
 • Metoprolol, Carvedilol, Labetalol
 • Bradycardia, heart
Valsartan • AKI ... ER, Diltiazem, Amlodipine ... Spironolactone • AKI ... pocketcardset #HTN
Causes of Acute Kidney Injury - Differential Diagnosis Framework 
Pre-Renal
Post-Renal
Intrinsic Renal:
 • Tubules (ATN)
 • Glomerular:
Causes of Acute ... : • Tubules (ATN ... drtonydang @CMC_IM #AKI ... #KidneyInjury #Causes
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Kidney Injury (AKI ... PROBLEM ~80% of AKI ... cases are caused ... etiologies due to ATN ... LorinskyMD #AKI
Antihypertensive Drugs - Summary
Diuretics:
 • Thiazide type: Chlorothiazide, Hydrochlorothiazide
 • Thiazide-like: Chlorthalidone, Indapamide, Metolazone
 • Loop
Dihydropyridines: Amlodipine ... , felodipine, Nifedipine ... #hypertension #htn
Pharmacologic Treatments of Chronic Hypertension in Pregnancy
Central alpha-agonists
 - Methyldopa
 - Clonidine
Combined alpha- and beta-blocker
 -
preparation) - Amlodipine ... #Pharmacology #HTN
Causes of acute kidney injury (AKI). AKI is classified into pre-renal, renal, and post-renal causes. Renal
Causes of acute ... kidney injury (AKI ... AKI is classified ... and post-renal causes ... Renal causes of
Secondary causes of Hypertension
 • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
Secondary causes ... Anti VEGF agents, TKI ... Hyperaldosternism (low renin HTN ... Other low renin HTN ... causes: Cushing's
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Secondary Causes ... Consider secondary HTN ... Nephritic syndrome • AKI ... RAS Metabolic Causes ... #Hypertension #HTN
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... C3/C4, Other • ATN ... Medicine @SCVMCMed #AKI ... Diagnosis #nephrology #causes