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diagnosis differential nephrology radiology radiologyassistant acute clinical comparison ctchest cystic interstitial kidneyinjury lowattenuation pulmonary ain anemia cxr hepatology hepatorenal hospitalization
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
disease comes from HRCT ... On HRCT there are ... low attenuation (table ... When the cysts have ... seen and in many cases
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... (LAM): uniform cysts ... bizarre shaped cysts ... Clinical #Radiology #HRCT ... #Comparison #Table
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sensitive) • AKI ... sterile pyuria, WBC casts ... proteinuria, granular casts ... Nephritis #AIN #Algorithm
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... multiple thick walled cysts ... (LAM): regular cysts ... Clinical #Radiology #HRCT ... #Comparison #Table
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... before the typical cysts ... Clinical #Radiology #HRCT ... CTChest #Nodular #Pattern ... #Comparison #Table
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Kidney Injury (AKI ... urgent nephrology evaluation ... cases are caused ... CONSIDER INTRINSIC CAUSES ... for WBCs, RBCs, casts
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Differential Diagnosis Algorithm ... Epithelial cell casts ... Obstruction • Cast ... Differential #Diagnosis #Algorithm ... #Causes
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Bland urine (no casts ... Exclude other AKI ... causes (esp. ... liver transplant evaluation ... essential in all cases
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Renal: (AKI ... Goodpasture's cause ... hematuria, RBC casts ... • IF staining patterns
Anemia of Hospitalization - Pathophysiology Why does the Hgb/Hct drop in the first two days during hospitalization? Interestingly,
during clinical evaluations ... prolonged rest can cause ... lying down and can cause ... unnecessary diagnostic costs ... Hospitalization #causes
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