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diagnosis acute adrenal aki checklist cobalamin cva deficiency differential endocrinology hypomagnesemia hypomg insufficiency ischemic kidneyinjury laboratory magnesium management nephrology neurology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
urgent nephrology evaluation ... : Hypovolemia, Low ... PROBLEM ~80% of AKI cases ... CONSIDER INTRINSIC CAUSES ... KidneyInjury #simplified #workup
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... renal tubular dysfunction ... Differential #Diagnosis #Low ... Magnesium #Table #Classification ... #Causes #Workup
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... medications, pancreatic dysfunction ... total body stores Evaluation ... leukopenia and/or low ... pit, low retic
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... A) Initial Evaluation ... angiography • +/- Vit B12 ... Ruled out other causes ... #CVA #stroke #workup
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
secretion because the dysfunctional ... aldosterone - Low ... in cases in which ... Insufficiency #Evaluation ... endocrinology #workup
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