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diagnosis acute aki differential nephrology injury kidney management radiology retroperitoneal table treatment anatomy calculation causes classification clinical comparison ctabdomen excretion
Prerenal Acute Kidney Injury - Diagnostic Schema Hypovolemia Hypervolemia Hypotension Vessels #Prerenal #Acute #Kidney #Injury #AKI #Diagnosis
Prerenal Acute Kidney ... Vessels #Prerenal
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Injury ( AKI ) - Prerenal ... Kidney #Injury #Prerenal
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Classification Prerenal ... rhabdo, prolonged prerenal
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis - Prerenal - ATN - AIN -
Urinalysis - Prerenal
Fractional Excretion of Sodium - FENa Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
< 1% suggests prerenal
BUN/Creatinine ratio differentiate between acute and chronic renal disease. Prerenal azotemia appears when there is poor renal
Prerenal azotemia ... Prerenal acute failure
Medications causing Acute Kidney Injury (AKI) Prerenal: • Dehydration: Diuretics • Altered intrarenal autoregulation: ACEIs / ARBs,
Kidney Injury (AKI) Prerenal
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Prerenal: • Due to true volume loss or decreased
Diagnosis Framework Prerenal
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
Diagnosis Framework PRERENAL
DRESS Syndrome vs SJS/TEN DRESS • Latency: 2-8 weeks • Rash: Morbilliform • Mucosal involvement: 50% have
10% • Kidney: Prerenal
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