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differential management treatment causes pulmonary syndrome acutekidneyinjury algorithm casts clinical crystals cyst dipstick emergencies glucosuria hemeonc hepatology hepatorenal hrs hyperkalemia
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- Urinalysis/microscopy ... Cl/urea/protein/Cr ... ATN - 45% - Pre-renal ... mostly ATN and pre-renal ... #Nephrology #Diagnosis
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: (AKI, proteinuria ... , hematuria) • ... Other tests: • CT ... seen on chest CT ... or gross hematuria
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
Dyspnea, Fever, Hematuria ... polyangiitis, Microscopic ... , anti-CCP • CXR ... resolution chest CT ... #nephrology
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam ... [(U Na x P Cr) / ... used with normal renal ... Kidney Injury (AKI ... casts #glucosuria #hematuria
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Differential Diagnosis ... declines > ALT) • AKI ... + myoglobin AKI ... kidney tubular cells ... causes #treatment #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... , RTA Type IV, AI ... 15 suggests ↓ renal ... Drives K+ into cells ... Treatment #potassium #nephrology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
bland urine, no hematuria ... Classification: HRS-AKI ... HRS-Non-AKI (formerly ... Syndrome #Hepatology #Nephrology ... #Diagnosis
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... Mononeuritis multiplex • Hematuria ... pulmonary and renal ... Multinucleated giant cells ... -ANCA)): Microscopic
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
suspected) - CT ... chest; CT abdomen ... “big & sticky” cells ... , hypotension, renal ... Oncology #HemeOnc #Diagnosis
Peripelvic Cyst on Renal POCUS 60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
pyelonephritis, CT ... stone WBC 12.5 Cr ... LFTs normal Diagnosed ... to help confirm diagnosis ... w release of pus
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