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differential algorithm aki management hyponatremia injury kidney syndrome workup metabolic nephrotic treatment alkalosis potassium table casts hyperkalemia microscopy nephritic proteinuria
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... repeat testing • Acute ... • Evidence of glomerular ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology
Causes of acute kidney injury (AKI). AKI is classified into pre-renal, renal, and post-renal causes. Renal
Causes of acute ... GBM, Glomerular ... #Diagnosis #AKI ... #Acute #Kidney # ... #Sites #Nephrology
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
- Differential Diagnosis ... → Diagnostic of ... #Differential #Diagnosis ... #causes #urology ... #nephrology #renal
Atlas of Urine Microscopy Findings • Epithelial cells - Normal • Renal tubular cells - Acute
tubular cells - Acute ... - Diagnostic of ... protein indicating acute ... Microscopy #Atlas #key #diagnosis ... #nephrology #casts
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
Causes of HyperKalemia ... - Differential Diagnosis ... glycosides • High acute ... blockers - MCW Nephrology ... #Causes
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
patients with hypokalemia ... • Cell shift: Hypokalemic ... syndrome #hypokalemia ... differential #algorithm #diagnosis ... #nephrology
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
the patient have glomerular ... hematuria (RBC casts ... dysmorphic RBCs in urine ... Comparison #Algorithm #Nephrology ... #Diagnosis
Acute Kidney Injury (AKI) - Differential Diagnosis Framework PRE-Renal AKI: • Hypovolemia • Congestion • Medications •
Acute Kidney Injury ... - Differential Diagnosis ... PRE-Renal AKI: • Hypovolemia ... • Vascular • Glomerular ... #nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... - Differential Diagnosis ... • Drugs Glomerular ... #Proteinuria #Nephrology ... #Algorithm #Causes
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach to Acute ... require urgent nephrology ... common culprits: Hypovolemia ... IMPROVEMENT If the urine ... #nephrology
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