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diagnosis differential nephrology acute injury algorithm casts crystals glucosuria heat heatstroke hyponatremia hypotonic illness leucocyteesterase management nitrite physiologic rhabdomyolysis rheumatology
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
• Clarity Dipstick ... Acute Kidney Injury ... (AKI) FE Na < ... 1% Urine sodium ... #hematuria
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... - Classification ... tubular necrosis (causes ... obstruction) • Neurogenic ... #Acute #Kidney
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... dipstick, urine ... osmolarity If cause ... • Cardio-renal syndrome ... imaging #Acute #Kidney
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... : SIADH, Renal Sodium ... Cirrhosis, Nephrotic syndrome ... diagnosis #table #sodium
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Weakness - Dark urine ... Hyperuricemia • Hyponatremia ... + myoglobin AKI ... nephrotoxicity to kidney
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... heat illness → Hypernatremia ... involvement: Muscles, Kidneys ... Rhabdomyolysis - AKI
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
multiplex • Hematuria ... tract, and often causes ... Polyarteritis Nodosa: - Kidneys ... Kidneys -> glomerulonephritis ... #rheumatology #classification
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