28 results
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
sodium excretion ... and intrinsic renal ... performance for diagnosing ... acute tubular interstitial ... AcuteKidneyInjury #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Osmolarity 2) Urine ... Osmolarity 3) Urine ... Sodium 4) Serum ... High Uric Acid → renal ... #Algorithm #nephrology
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... repeat testing • Acute ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Na <20: Extra-renal ... Na >30: Renal losses ... Na > 30: Renal ... Hyponatremia #algorithm #diagnosis ... #sodium #low #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... and Differential Diagnosis ... cardiac imaging #Acute ... #Differential #Diagnosis ... #nephrology #causes
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... much easier to diagnosis ... with direct urine ... Failure to acidify urine ... #Management #Nephrology
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
tubular cells - Acute ... Red cell casts - Diagnostic ... protein indicating acute ... Microscopy #Atlas #key #diagnosis ... #nephrology #casts
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Algorithm 1) Check Urine ... mOsm/kg - Implies renal ... Workup #Algorithm #nephrology ... #sodium
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Kidney Stones Acute ... Surgical Rx: • ACUTE ... protein - Low sodium ... Monitoring for extra-renal ... #Pediatrics #nephrology
Hyperkalemic Distal Renal Tubular Acidosis (RTA) Type 4 - 

Failure to acidify urine in collecting duct
Hyperkalemic Distal Renal ... Failure to acidify urine ... #Hyperkalemic #Diagnosis ... #Management #Nephrology