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differential algorithm metabolic acute glomerulonephritis injury kidney nephrotic testing workup chloride classification disease htn hyperkalemia hypertension hyponatremia hypotonic initial intercellularshift
Causes of acute kidney injury (AKI). AKI is classified into pre-renal, renal, and post-renal causes. Renal
Causes of acute ... vascular supply; glomerular ... GBM, Glomerular ... #Diagnosis #AKI ... #Sites #Nephrology
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
- TTP/HUS • Glomerular ... tubular necrosis (causes ... prolonged prerenal AKI ... Classification #diagnosis ... #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... Diagnosis ECF ... ectopic ACTH) • Exogenous ... dehydrogenase activity ... #Causes #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... - Differential Diagnosis ... : plasma renin activity ... #Algorithm #Nephrology ... #Causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
- Differential Diagnosis ... DM (visit 2), Diagnosis ... Nephritic syndrome • AKI ... Steroids (Cushing's, exogenous ... HTN #Secondary #Nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... - Differential Diagnosis ... • Drugs Glomerular ... albuminuria) - Active ... #Proteinuria #Nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
Mesangiocapillary GN • Active ... dysmorphic RBC, RBC casts ... formation along glomerular ... Glomerulonephritis #MPGN #nephrology ... #diagnosis #renal
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Metabolic Alkalosis ... blood pressure: Active ... the indicated causes ... urine #Algorithm #nephrology ... #differential #diagnosis
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... Renal Losses (AKI ... ) RAAS Active (or ... #differential #diagnosis ... table #sodium #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
evaluated for glomerular ... disorders that activate ... infections are common causes ... testing #workup #diagnosis ... nephrotic #nephritic #nephrology
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