21 results
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Compartment Syndrome, Medications ... , Infection, Autoimmune ... Differential #Diagnosis #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 • Hypovolemia
 • Congestion
 • Medications
 •
Acute Kidney Injury ... Congestion • Medications ... Immune-mediated, Infection-mediated ... Acute #Kidney #Injury ... Differential #Diagnosis #nephrology
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Acute Kidney Injury ... disease - Post-infectious ... prolonged prerenal AKI ... • Medications ... Classification #diagnosis #nephrology
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... (AKI) - Management ... preload → IV Fluids ... → No specific treatment ... Foley catheter • Medications
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
to Acute Kidney Injury ... there a dialysis indication ... require urgent nephrology ... Trial isotonic fluids ... workup #diagnosis #nephrology
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
Acute tubular injury ... horsfall protein indicating ... acute tubular injury ... disorders or excreted medications ... key #diagnosis #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Statins - ETOH - Infection ... declines > ALT) • AKI ... + myoglobin AKI ... Treatment: ... #nephrology
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
people with sepsis, AKI ... CONCENTRATION MEDICATIONS ... for removal of fluids ... Early nephrologv ... improved survival in AKI
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Indications Treatment ... • HIV/HCV co-infection ... • Acute HBV infection ... with severe liver injury ... #Indications #management
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 • Bacterial: Escherichia
: Secondary to infections ... Prostate cancer • Medications ... urine #management #treatment ... #nephrology