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differential nephrology algorithm acute management hypertension kidneyinjury secondary high hyperkalemia hyponatremia injury kidney potassium rhabdomyolysis treatment agitation blood cardiology chronic
Medications causing Acute Kidney Injury (AKI) Prerenal: • Dehydration: Diuretics • Altered intrarenal autoregulation: ACEIs / ARBs,
sphincter tone: • Opiates ... decongestants) • Any drug ... #Medications #Drugs ... #pharmacology # ... differential #diagnosis
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Common causes of ... systemic disease or drugs ... hypotension • Drugs ... Nephritis (AIN) • Drugs ... #nephrology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... - Differential Diagnosis ... syndromes • Drugs ... (E. coli) • Drugs ... Nephritis • Drugs
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Causes of Acute ... Kidney Injury ( AKI ... tubular necrosis • Drugs ... nephritis • Drugs ... /phimosis #Diagnosis
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Consider secondary HTN ... hypertension (multi-drug ... resistance) Renal ... Nephritic syndrome • AKI ... #Secondary #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... trauma • Drugs ... GI losses • Renal ... • Reduced GFR, AKI
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... trauma • Drugs ... GI losses • Renal ... • Reduced GFR, AKI
Secondary causes of Hypertension • Medications, Drugs, Chemo: NSAIDS, Steroids, CNI, Alcohol, Cocaine, OCP, Licorice, MAOI,
• Medications, Drugs ... Anti VEGF agents, TKI ... Pseudoephedrine • Primary Renal ... Other low renin HTN ... #differential #diagnosis
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Kidney Injury (AKI ... obstruction, Nephrotoxic drugs ... you confirmed diagnosis ... etiologies due to ATN ... simplified #workup #diagnosis
Primary and Secondary Causes of Hypertension - Differential Diagnosis Algorithm Primary (Essential) (95%) - Onset between age
- Differential Diagnosis ... Uncontrolled • Drug ... disease - CKD, AKI ... Primary #Secondary #HTN ... #Differential #Diagnosis
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