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nephrology differential hyponatremia acute hematuria low management workup casts treatment urology alkalosis hypokalemia kidneyinjury metabolic renal acutekidneyinjury blood hyperkalemia hypernatremia
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
• Ketones • Leukocyte ... Microscopic exam ... Kidney Injury (AKI ... dipstick #nitrite #leucocyte-esterase ... #urine #UNa #casts
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... and Differential Diagnosis ... microscopy / urinary ... osmolarity If cause ... #nephrology #causes
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
General approach to AKI ... sodium excretion ... performance for diagnosing ... @PulmCrit #AKI ... AcuteKidneyInjury #Nephrology
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
- Urinalysis/microscopy ... UOP/weights - Urine ... rhabdo/TLS) Causes ... #Nephrology #Diagnosis ... #Algorithm #Causes
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... sodium and serum ... sodium low, uric ... #Differential #Algorithm ... #Diagnosis #Nephrology
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... Increased renal sodium ... retention, Urine ... • NSAlDs • AKI ... #Algorithm #Causes
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... sensitive) • AKI ... eosinophiluria, microscopic ... Nephritis #AIN #Algorithm ... #nephrology #diagnosis
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
IMPROVEMENT If the urine ... you confirmed diagnosis ... CONSIDER INTRINSIC CAUSES ... Assess UA w/ microscopy ... simplified #workup #diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Algorithm #Causes
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