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diagnosis nephrology causes aki classification hepatology lactate aclf acutekidneyinjury algorithm aniongap cancer chemistry chronic cirrhosis dehydrogenase diuresis diuretics elevated elevation
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... Dehydration • Heart failure ... cardiorenal syndrome) • Liver ... failure (a.k.a. ... #Kidney #Injury
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Liver Failure ( ... months without treatment ... disease, liver ... Kidney Failure ... Injury (DILI)
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Kidney Injury ( ... • Inflammatory disease ... #Kidney #Injury ... #Differential # ... Nephrology **
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... - Differential ... HEMODYNAMIC • Cardiac failure ... Tubular Injury/ ... #Diagnosis #nephrology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Liver Failure ( ... of cholestatic disease ... disease: > 2 ... Cardiac muscle, Kidneys ... chemistry #diagnosis #differential
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
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Torsemide) • Acute ... , liver cirrhosis ... 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
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
- Differential ... presentations and disease ... or renal injury ... peritonitis - Acute ... Injury: • Reduced
Causes of High-anion Gap and Non-anion Gap Metabolic Acidosis Causes of High-anion Gap Acidosis: • Lactic acidosis
oxoproline) • Renal failure ... (acute and chronic ... Chronic progressive kidney ... disease Ill. ... #differential #
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