11 results
Acute Kidney Injury (AKI) in Patients with Cancer 

Cancer Related 
• Hypercalcemia 
• Intravenous contrast 
•
Kidney Injury (AKI ... Cancer Related • Hypercalcemia ... change disease • Hematologic ... #Cancer #Oncology ... Classification #Nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Kidney Injury (AKI ... AEIOU ) or anuria ... require urgent nephrology ... PROBLEM ~80% of AKI ... workup #diagnosis #nephrology
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Liver Failure • Hypercalcemia ... Neoplastic / Hematologic ... • Anemia • ... Pulmonary Disease Neurologic
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... declines > ALT) • AKI ... + myoglobin AKI ... Shift of extracellular ... #treatment #nephrology
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm
Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Intercellular Shift ... Transcellular Shift ... • Cell Lysis (e.g ... IntercellularShift #Nephrology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... Transcellular Shifts ... megaloblastic anemia ... #Causes #differential ... #diagnosis #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm

Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... • Low EABV (e.g ... renal failure • AKI ... • NSAlDs #Hyperkalemia ... IntercellularShift #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... , RTA Type IV, AI ... only if no clear cause ... Terbutaline 7 µg/kg ... Treatment #potassium #nephrology
Continuous Renal Replacement Therapy (CRRT) - Overview
Types of CRRT
 • CVVHD - Continuous Veno-Venous hemodialysis -
electrolytes (essentially hyperkalemia ... refractory) U: uremia ... Indications: • AKI ... dose = 20-25 mL/kg ... #Indications #Nephrology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Caused by splanchnic ... Exclude other AKI ... HRS-Non-AKI (formerly ... Hepatorenal #Syndrome #Hepatology ... #Nephrology #Diagnosis