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diagnosis differential nephrology management treatment bloodsmear borrelia cancer classification clinical comparison criticalcare diuresis diuretics emergencies excretion heatstroke hyponatremia hypotension hypotensive
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Dehydration • Heart ... a.k.a. cardiorenal syndrome ... tubular necrosis (causes ... : sepsis, meds, ... obstruction) • Neurogenic
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
conditions - Neurogenic ... illness → Hypernatremia ... - AKI - Liver ... tissue damage (AKI ... differential #diagnosis #causes
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... declines > ALT) • AKI ... Hyperuricemia • Hyponatremia ... + myoglobin AKI ... per day until stable
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
iniury, Compartment syndrome ... Neuroleptic malignant syndrome ... Dermatomyositis) AKI ... per day until stable ... Management #Summary #causes
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... of hypotonic hyponatremia ... renal perfusion (Heart ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension Blood Pressure = Heart Rate x
Blood Pressure = Heart ... • Sick sinus syndrome ... muscle rupture • Acute ... • Neurogenic ... differential #diagnosis #causes
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Torsemide) • Acute ... • Hyponatremia ... Kidney stones caused ... hyperaldosteronism • Acute ... #Medications #Table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
failure): • Severe heart ... failure, acute ... findings based on cause ... tone): • Sepsis. neurogenic ... anaphylaxis, release syndrome
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
Hyperviscosity Syndrome ... • Early death Neutropenic ... triad (muffled heart ... Hyperuricemia • Acute ... coma SIADH: • Hyponatremia
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Pediculus humanus, AKA ... capitis is assc with head ... Syndrome: 3d of ... The table below ... of blood smear, acute
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