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differential aki causes acute high hyperkalemia kidney potassium rheumatology acutekidneyinjury albuminuria algorithm blood cancer criticalcare definitions erythematosus grades hematuria lupus
Definitions of AKI, CKD, AKD Acute Kidney Injury (AKI): • Increase in SCr by 2 50% within
Kidney Injury ( ... AKD): • AKI, OR ... /AKD/CKD • No ... #nephrology #acute ... #kidneyinjury
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
of Acute Kidney Injury ... Diagnosis HEMODYNAMIC ... • Primary GNs: Disease ... causes #Acute #KidneyInjury ... #nephrology
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
to Acute Kidney Injury ... /CKD - Recent ... - Pre-renal disease ... on CKD— 13% (mostly ... #Nephrology #Diagnosis
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... - Classification ... Acute #Kidney #Injury ... #Classification ... #diagnosis #nephrology
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... and Differential ... Medications, Spinal Cord Injury ... , Severe Valve Disease ... • Blood Loss, GI
Acute Kidney Injury (AKI) in Patients with Cancer Cancer Related • Hypercalcemia • Intravenous contrast •
LC deposition disease ... Minimal change disease ... #Differential #Diagnosis ... #Classification ... #Nephrology
Albuminuria (Grades) and Risk for CKD Normal to mildly increased albuminuria: - Albumin excretion rate: < 30
Risk for CKD Normal ... progressive kidney disease ... Albuminuria #Grades #classification ... #CKD #nephrology ... #diagnosis #proteinuria
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
- Differential Diagnosis ... Hyperkalemia: • CKD ... • Trauma/Crush injury ... • Addison’s disease ... potassium #high #nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
Immune mediated injury ... basement membrane disease ... of glomerular disease ... Pseudohematuria: • GI ... causes #urology #nephrology
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
- Differential Diagnosis ... neuropathy - GI ... Differential Diagnosis ... • ANA (Suggest CTD ... #rheumatology #classification
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