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Differential Diagnosis of Acute Kidney Injury 

#Diagnosis #Nephrology #AKI #Acute #KidneyInjury #Causes #Differential #Workup #Algorithm #Ddxof
of Acute Kidney Injury ... #Diagnosis #Nephrology ... #AKI #Acute #KidneyInjury ... #Differential #Workup ... #Algorithm #Ddxof
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 • Tissue injury
 • Hemolysis
 • Rhabdomyolysis
 •
Causes of HyperKalemia ... : • Tissue injury ... glycosides • High ... Elimination: • AKI ... blockers - MCW Nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... Distributive Shock, HRS, Hypercalcemia ... Other • ATN: Ischemia ... Differential #Diagnosis #nephrology ... #causes #algorithm
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • Trauma/Crush injury ... burns, trauma - Ischemic ... causes #potassium #high ... #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • Trauma/Crush injury ... burns, trauma - Ischemic ... causes #potassium #high ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... , ischemia, hemolysis ... , RTA Type IV, AI ... reabsorption) Workup ... #potassium #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
declines > ALT) • AKI ... + myoglobin AKI ... perfusion → renal ischemia ... Treatment: ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... diuresis can be high ... : Hypovolemia, Hypervolemia ... table #sodium #nephrology
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
KDIGO Treatment ... algorithm for management ... of acute hyperkalemia ... depletion • Consider K+ ... #high #nephrology