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differential causes hyponatremia hypokalemia aki low management alkalosis metabolic kidney hypernatremia hypophosphatemia injury phosphate potassium acutekidneyinjury blood casts encephalopathy framework
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... → Refer to Nephrology ... for renal biopsy ... cystoscopy • Refer to Nephrology ... #Algorithm #Workup
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... and Differential Diagnosis ... syndrome: troponin ... #Diagnosis #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... 1) Check Urine ... #Workup #Algorithm ... #nephrology #sodium
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
- Differential Diagnosis ... Shift: • Alkalosis ... • Refeeding syndrome ... Losses Non-renal ... #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
- Differential Diagnosis ... leukemia Measure Urine ... Transcellular Shift ... FEPO4 ≥ 5% - Renal ... #phosphate #nephrology
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
sodium excretion ... and intrinsic renal ... performance for diagnosing ... acute tubular interstitial ... AcuteKidneyInjury #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Algorithm - Utilizing ... Osmolarity 2) Urine ... Sodium 4) Serum ... High Uric Acid → renal ... #Algorithm #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Na <20: Extra-renal ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
- Differential Diagnosis ... Redistribution/ Shift ... ), Hungry bone syndrome ... • Renal losses ... #nephrology #phosphate
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
t-PA, heparin Acute ... Rhabdomyolysis, Tumor lysis syndrome ... Transcellular Shift ... CKD Increased Renal ... #phosphate #nephrology
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