32 results
diagnosis differential management algorithm hyperkalemia hematuria casts hypokalemia kidney urology acute aki alkalosis classification hematology high low metabolic microscopy pharmacology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Investigations: full blood ... osmolarity If cause ... Differential #Diagnosis #nephrology ... #causes
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... Immune mediated injury ... #urology #nephrology ... #renal #urine # ... blood
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Treatment: 1 ... hour with goal urine ... Monitor potassium ... Management #Summary #causes ... #treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Weakness - Dark urine ... UA positive for blood ... Monitor potassium ... #treatment #nephrology
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... Fluids Shift potassium ... (if preserved renal ... peaks 1-2h) • Blood ... #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... suggests extra-renal ... causes • Laxative ... • Diarrhea A urine ... #nephrology #low
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
→ Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology ... if cause not identified ... Workup #urology #blood
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
Atlas of Urine Microscopy ... Acute tubular injury ... also be seen if urine ... acute tubular injury ... key #diagnosis #nephrology
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Causes of Acute ... Kidney Injury ( ... • Sepsis • Blood ... Acute #Kidney #Injury ... #Differential #Nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Trauma/Crush injury ... • Blood transfusion ... Blood transfusion ... differential #diagnosis #causes ... #nephrology
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