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diagnosis nephrology acute differential algorithm classification management cancer casts dipstick diuresis diuretics excretion glucosuria heat heatstroke hematuria illness kidneyinjury leucocyteesterase
Acute Kidney Injury (AKI) in Patients with Cancer Cancer Related • Hypercalcemia • Intravenous contrast •
Acute Kidney Injury ... malignancies Treatment ... ifosfomide • Crystal ... cyclophosphamide) #Acute #Kidney ... #Injury #AKI #Cancer
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
Acute Kidney Injury ... a.k.a. cardiorenal syndrome ... tubular necrosis (causes ... obstruction) • Neurogenic ... #Acute #Kidney
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Kidney Injury (AKI ... Injury (AKI) - ... • Hepatorenal syndromes ... myeloma) • Urate crystals
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... • Hepatorenal syndrome ... ureteral stent(s) • Neurogenic ... #Injury #treatment
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 ... nephrotoxicity to kidney
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Microscopic exam • Crystals ... • Urinary casts ... Acute Kidney Injury ... (AKI) FE Na < ... #Urinalysis #crystals
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Hyponatremia ... stones caused by ... Ca2+ crystals ... Tolvaptan) • Treatment ... and euvolemic hyponatremia
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... sweat Heat Injury ... heat illness → Hypernatremia ... involvement: Muscles, Kidneys
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