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diagnosis differential algorithm hypokalemia hyponatremia kidney acute aki low management metabolic potassium nephrotic workup alkalosis hyperkalemia injury urine glomerulonephritis hematuria
Causes of acute kidney injury (AKI). AKI is classified into pre-renal, renal, and post-renal causes. Renal
, renal, and post-renal ... Renal causes of ... vascular supply; glomerular ... GBM, Glomerular ... #Sites #Nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
of Glomerular Bleeding ... disease - Alport syndrome ... pain hematuria syndrome ... • Nutcracker syndrome ... #urology #nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
Glomerular Diseases ... Nephritic syndrome—due ... RBC casts in urine ... diabetes)) #Glomerular ... #Proteinuria #Nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... gastrointestinal K loss • Renal ... hypokalemia • Renal ... Pseudo-hyperaldosteronism: exogenous ... #nephrology #potassium
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... the patient have glomerular ... hematuria (RBC casts ... Comparison #Algorithm #Nephrology
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Phosphate Load: • Exogenous ... Fosphenytoin • Endogenous ... Rhabdomyolysis, Tumor lysis syndrome ... CKD Increased Renal ... Workup #phosphate #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
• Evidence of glomerular ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology ... if cause not identified
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
cells - Normal • Renal ... red - cells Non-glomerular ... Dysmorphic red cells - Glomerular ... Diagnostic of glomerular ... key #diagnosis #nephrology
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
multi-drug resistance) Renal ... • Nephritic syndrome ... Excess: • Conn's syndrome ... Steroids (Cushing's, exogenous ... HTN #Secondary #Nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Causes of Metabolic ... diuretics after renal ... ectopic ACTH) • Exogenous ... dehydrogenase activity ... #nephrology
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