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Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 • Hypovolemia
 • Congestion
 • Medications
 •
Acute Kidney Injury ... (AKI) - Differential ... : • Hypovolemia ... Neurogenic bladder • Bilateral ... Diagnosis #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Pre-Renal: • Hypovolemia ... C3/C4, Other • ATN ... Diagnosis #nephrology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential ... ischemic changes CXR ... • Pulmonary HTN ... #NCPE #differential ... #diagnosis #cardiology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Prerenal:
 • Due to true volume loss or decreased
Acute Kidney Injury ... (AKI) - Differential ... blood volume • Hypovolemia ... interstitium • ATN ... #AKI #Differential
Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
to Acute Kidney Injury ... Cl/urea/protein/Cr ... Liano 1996) - ATN ... #Nephrology #Diagnosis ... Algorithm #Causes #Differential
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... declines > ALT) • AKI ... : BUN/Cr ↑ • Aldolase ... + myoglobin AKI ... or ATN 6.
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • Trauma/Crush injury ... transfusion • HTN ... and edema • Jaundice ... #differential #
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • Trauma/Crush injury ... transfusion • HTN ... and edema • Jaundice ... #differential #
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
evidence of organ injury ... ), pulmonary edema ... finding of organ injury ... #obstetrics #cardiology ... #differential #
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... , RTA Type IV, AI ... ) - caution in HTN ... & edema - ... Treatment #potassium #nephrology