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differential nephrology aki kidney algorithm workup hematuria rheumatology acidosis acutekidneyinjury atlas blood casts elevation hypertension indications key kidneyinjury lactate lactic
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... - Small vessel vasculitis ... - TTP/HUS • Glomerular ... glomerulonephritis ... necrosis (causes
Causes of Hematuria - Differential Diagnosis Algorithm Red blood cells on urine microscopy. Must exclude false positives
- Differential Diagnosis ... blood cells on urine ... • Calculi Glomerular ... epithelial side of glomerular ... endothelial side of glomerular
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
tubular injury ... red - cells Non-glomerular ... Dysmorphic red cells - Glomerular ... glomerular disease ... renal disease
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Causes of Acute ... Glomerulonephritis ... Small-vessel vasculitis ... Interstitial nephritis ... • Inflammatory disease
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
or dipstick) Glomerular ... of Glomerular Bleeding ... of glomerular hematuria ... Suggestive of glomerular ... disease Renal
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... clinical context and signs ... • Glomerulonephritis ... / Vasculits: ANCA ... • Interstitial nephritis
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
Acute Kidney Injury ... Diuretics if heart failure ... INTRINSIC: - Glomerular ... Management: Avoiding nephrotoxic ... #Kidney #Injury
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Common causes of ... Acute Kidney Injury ... HEMODYNAMIC • Cardiac failure ... Glomerulonephritides ... Interstitial Nephritis
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
tract, and often causes ... - Skin, glomeruli ... : - Kidneys: glomerular ... purpura: strong sign ... #rheumatology #classification
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
GN • Active Urine ... formation along glomerular ... (Dense deposit disease ... MPGN #nephrology #diagnosis ... #renal
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