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POCUS Infrarenal Ballooning AAA - Transverse View

Dr. Michael Schick @UltrasoundStuff - UC Davis Emergency Medicine

#Clinical	#POCUS #Abdomen
POCUS Infrarenal ... AAA #Aneurysm #Infrarenal
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 • Dehydration: Diuretics
 • Altered intrarenal autoregulation: ACEIs / ARBs,
Diuretics • Altered intrarenal ... cyclosporine, tacrolimus) Intrarenal
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Framework PRERENAL: - Intrarenal ... retroperitoneal fibrosis - Intrarenal
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
hepatorenal syndrome) Intrarenal
Pathophysiology of Hepatorenal Syndrome - Dilation of splanchnic arteries initially compensated by increased CO eventually decompensates
failure due to intrarenal
Diagnostic Criteria for Scleroderma Renal Crisis 

1. New onset blood pressure >150/85 mm Hg OR increase
within the walls of intrarenal
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
midodrine + albumin Intrarenal
Diagnoses to Consider in Patients with Flank Pain and Costovertebral Angle Tenderness
Physicians should consider other disorders
Intrarenal and perinephric