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diagnosis nephrology causes aki management renal classification hepatology algorithm blood lactate urine acidosis acutekidneyinjury cancer cardiology chemistry dehydrogenase diuresis diuretics
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... a.k.a. cardiorenal syndrome ... ) • Liver failure ... a.k.a. hepatorenal syndrome ... #Kidney #Injury
Acute Kidney Injury (AKI) in Patients with Cancer Cancer Related • Hypercalcemia • Intravenous contrast •
Acute Kidney Injury ... LC deposition disease ... malignancies Treatment ... #Kidney #Injury ... Cancer #Oncology #Differential
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... - Differential ... Liver Injury: ... vein: Budd-chiari syndrome ... #differential #
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential ... inhibitors, hepatorenal syndrome ... Tubular Injury/ ... #Diagnosis #nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Hematuria - Differential ... • 1ml blood/liter ... Immune mediated injury ... of glomerular disease ... #Differential #
Hematuria in Post-Renal Transplant Patient Prevalence up to 12% in the postrenal transplant patient • Bacterial: Escherichia
, Busulfan • Disease ... (Goodpasture's syndrome ... Renal #Transplant #differential ... urine #management #treatment ... #nephrology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
of cholestatic disease ... disease: > 2 ... Cardiac muscle, Kidneys ... • Gilbert's syndrome ... chemistry #diagnosis #differential
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... • Hepatorenal syndrome ... Treat underlying liver ... disease, ? ... #Kidney #Injury
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Torsemide) • Acute ... heart failure, liver ... hyperaldosteronism • Acute ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... Injury (AKI) ... - TTE/liver fxn? ... - Pre-renal disease ... Algorithm #Causes #Differential
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