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differential algorithm acute management hyperkalemia potassium hyponatremia kidney rhabdomyolysis table treatment urine alkalosis disorders high injury kidneyinjury seizures summary abg
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
When to suspect AIN ... sensitive) • AKI ... (<10%): fever, rash ... #Algorithm #nephrology ... #diagnosis
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
Causes of Seizures ... - Differential Diagnosis ... vasoconstriction syndrome ... Neurocysticercosis, PML • Metabolic ... #neurology
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
Causes of HyperKalemia ... • Tumor lysis syndrome ... • Metabolic acidosis ... Elimination: • AKI ... blockers - MCW Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... /Post-op • Neurologic ... • Reduced GFR, AKI ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... /Post-op • Neurologic ... • Reduced GFR, AKI ... #Hyponatremia #Nephrology
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK Glycols - ethylene and propylene glycol Oxoproline
- Differential Diagnosis ... with short bowel syndrome ... salicylate toxicity causes ... underexcretion of acids in ... GOLDMARK #mnemonic #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... - Differential Diagnosis ... Abdominal Compartment Syndrome ... Pigment, Protein) • AIN ... #nephrology #causes
Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
Syndrome What? ... Systemic (toxic/metabolic ... (Many causes!) ... * (most common cause ... #diagnosis #neurology
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
- Differential Diagnosis ... DM (visit 2), Diagnosis ... • AKI/CKD Mineralocorticoid ... Unilateral RAS Metabolic ... HTN #Secondary #Nephrology
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
a.k.a. cardiorenal syndrome ... tubular necrosis (causes ... interstitial nephritis (AIN ... Classification #diagnosis ... #nephrology
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