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diagnosis differential nephrology classification injury kidney criticalcare overview shock treatment algorithm cancer diuresis diuretics emergencies encephalopathy excretion medications neurology oncologic
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Abdominal Compartment Syndrome ... Nephrolithiasis) • Neurogenic ... Diagnosis #nephrology #causes
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... tubular necrosis (causes ... : sepsis, meds, ... obstruction) • Neurogenic
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... Torsemide) • Acute ... • Hyponatremia ... Kidney stones caused ... Diuresis #Nephrology #Pharmacology
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... • Hepatorenal syndrome ... ureteral stent(s) • Neurogenic ... Medications → Stop meds
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... Summary Causes ... Hyperuricemia • Hyponatremia ... + myoglobin AKI ... #causes #treatment
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
Hyperviscosity Syndrome ... • Early death Neutropenic ... Hyperuricemia • Acute ... renal failure ... coma SIADH: • Hyponatremia
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... • Other: AI, ... liver failure, neurogenic ... Classification #diagnosis #management ... #differential #causes
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
depressed) • Renal ... • Other: AI, ... liver failure, neurogenic ... Classification #diagnosis #management ... #differential #causes
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Immunosuppressive agents, Renal ... , ADEM, Acute toxic ... the underlying cause ... until cause identified ... #diagnosis #management
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Hypocomplementemia • Can cause ... cirrhosis: 3%-20% Renal ... Distal (Type I) renal ... lubricants • Pharmacologic ... Rheumatology #Diagnosis #Management
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