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differential nephrology algorithm management acute hypertension hyponatremia kidney kidneyinjury secondary acidosis encephalopathy high hyperkalemia injury medications potassium rhabdomyolysis treatment agitation
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
- Differential Diagnosis ... at least 50% Renal ... syndromes • Drugs ... (E. coli) • Drugs ... Nephritis • Drugs
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Metabolic • Renal ... Pulmonary Disease Neurologic ... Anti-Depressants • Drug ... Alcohol) • Drug ... Malnutrition / Drug
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
with compensatory HTN ... Acute GN • Acute/Chronic ... crises Drug ... inhibitors Drug ... #causes
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... - Differential Diagnosis ... artery stenosis • Drugs ... eosinophiluria) • Drugs ... KidneyDisease #Nephrology
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 ... - Differential Diagnosis ... 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 ... - Differential Diagnosis ... trauma • Drugs ... GI losses • Renal ... • Reduced GFR, AKI
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