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diagnosis differential causes acute hyponatremia hyperkalemia arb hypotonic initiation injury intercellularshift interstitial k kdigo kidney kidneyinjury management monitoring nephritis physiologic
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... When to suspect AIN ... sensitive) • AKI ... associated with AIN ... #Algorithm #nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach ... require urgent nephrology ... common culprits: Hypovolemia ... KidneyInjury #simplified #workup ... #diagnosis #nephrology
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 ... Present (Uosm ≥100): Hypovolemia ... #nephrology
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
Hyperkalemia: ... Consider: diuretics, sodium ... - Review for causes ... of AKI - Correct ... Initiation #monitoring #algorithm
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... Pre-Renal: • Hypovolemia ... Pigment, Protein) • AIN ... Differential #Diagnosis #nephrology ... #causes #algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Differential Diagnosis Algorithm ... Malignancy True hypovolemia ... • Reduced GFR, AKI ... #Hyponatremia #Nephrology ... Differential #Diagnosis #Algorithm
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Differential Diagnosis Algorithm ... Malignancy True hypovolemia ... • Reduced GFR, AKI ... #Hyponatremia #Nephrology ... Differential #Diagnosis #Algorithm
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... renal failure • AKI ... ENaC blockers • AIN ... Aldosterone • ACEi ... IntercellularShift #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Medications: K+, ACEi ... , RTA Type IV, AI ... reabsorption) Workup ... only if no clear cause ... Treatment #potassium #nephrology
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