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diagnosis nephrology differential algorithm causes acute hyponatremia injury kidney kidneyinjury ain anasarca classification edema generalized htn hypotonic interstitial physiologic postrenal
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... Acute Interstitial Nephritis ... sensitive) • AKI ... #Interstitial #Nephritis ... #nephrology #diagnosis
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
• NSAlDs • AKI ... /CKD • Nephrotic ... • Right heart failure ... pericarditis • Portal hypertension ... Oncotic Pressure • Nephrotic
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Dehydration • Heart failure ... disease - Hypertensive ... tubular necrosis (causes ... : sepsis, meds, ... Acute interstitial nephritis
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Differential Diagnosis Algorithm ... Glomerulonephritis • Nephritic ... syndrome • AKI ... HTN #Secondary #Nephrology ... Differential #Diagnosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... Congestive heart failure ... Cirrhosis • Nephrotic ... • Reduced GFR, AKI
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... Congestive heart failure ... Cirrhosis • Nephrotic ... • Reduced GFR, AKI
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Causes of Acute ... Kidney Injury ( AKI ... • Prolonged hypotension ... Interstitial nephritis ... #Differential #Nephrology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Differential Diagnosis Algorithm ... Emboli Systemic Hypotension ... Acute Interstitial Nephritis ... #KidneyInjury #Nephrology ... #Causes
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Common causes of ... Kidney Injury AKI ... HEMODYNAMIC • Cardiac failure ... • Prolonged hypotension ... Acute Interstitial Nephritis
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Physiologic Approach ... time you have a case ... normal volume-based algorithm ... perfusion (Heart failure ... , Cirrhosis, Nephrotic
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