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Differential Diagnosis in Acute Renal Failure

#Diagnosis #Differential #AKI #Acute #RenalFailure #KidneyInjury #Algorithm #Nephrology

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Differential Diagnosis ... in Acute Renal ... #AKI #Acute #RenalFailure ... #KidneyInjury # ... Algorithm #Nephrology
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Differential Diagnosis ... Immobilization • Adrenal ... Insufficiency ... #Differential # ... Diagnosis #Algorithm #Endocrinology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis ... hyponatremia, hyperkalemia ... #Differential #Diagnosis ... #Algorithm #endocrinology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... • Reduced GFR, AKI ... insufficiency ... #Hyponatremia #Nephrology ... #Differential #
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... • Reduced GFR, AKI ... insufficiency ... #Hyponatremia #Nephrology ... #Differential #
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... ) - Differential ... Distributive Shock, HRS, Hypercalcemia ... Medicine @SCVMCMed #AKI ... #Diagnosis #nephrology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Differential Diagnosis ... Tumors: Lung, SCC, renal ... Lymphoma: NHL, CML ... #Differential # ... Algorithm #causes #endocrinology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH

Early am cortisol < 3
Adrenal Insufficiency ... Stim test is 250 mcg ... indicates normal adrenal ... #Adrenal #Insufficiency ... Stimulation #Test #Endocrinology
Causes of Hypercalcemia
Parathyroid hormone–dependent
Primary hyperparathyroidism
Familial hypocalciuric hypercalcemia
Lithium-associated
Tertiary hyperparathyroidism
Genetic disorders (e.g., multiple endocrine neoplasia type 1 or
Causes of Hypercalcemia ... thyrotoxicosis, adrenal ... insufficiency ... #Causes #Differential ... #Diagnosis #Endocrinology
Causes of Adrenal Insufficiency - Differential Diagnosis Algorithm
ACTH-Dependent (Secondary):
 • Pituitary Dysfunction
 • Hypothalamic Dysfunction
ACTH-Independent (Primary):
Insufficiency - ... Differential Diagnosis ... #Insufficiency ... #AI #Differential ... Algorithm #Causes #endocrinology