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diagnosis differential causes hyperkalemia potassium acute high management cancer diuresis diuretics elevation excretion hepatology hepatorenal hrs kidneyinjury lactate lactic medications
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Acute Kidney Injury ... - Classification ... ) • Liver failure ... #Injury #Classification ... #diagnosis #nephrology
Acute Kidney Injury (AKI) in Patients with Cancer Cancer Related • Hypercalcemia • Intravenous contrast •
Acute Kidney Injury ... malignancies Treatment ... #Injury #AKI #Cancer ... Differential #Diagnosis #Classification ... #Nephrology
Causes of HyperKalemia - Differential Diagnosis Increased extracellular K+: • Tissue injury • Hemolysis • Rhabdomyolysis •
: • Tissue injury ... • Tumor lysis syndrome ... • Metabolic acidosis ... Elimination: • AKI ... blockers - MCW Nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
causes of Acute Kidney ... Injury AKI - Differential ... HEMODYNAMIC • Cardiac failure ... inhibitors, hepatorenal syndrome ... Differential #Diagnosis #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Inhibitors of Na+K+ ... Epithelial Channels (K+ ... Aldosterone Antagonists, K+ ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... - Renal Failure ... , RTA Type IV, AI ... Definitive in ESRD or failure ... #potassium #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
- Compartment syndrome ... declines > ALT) • AKI ... + myoglobin AKI ... nephrotoxicity to kidney ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Trauma/Crush injury ... - Tumor lysis syndrome ... - Metabolic acidosis ... insufficiency/Failure ... potassium #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Trauma/Crush injury ... - Tumor lysis syndrome ... - Metabolic acidosis ... insufficiency/Failure ... potassium #high #nephrology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
liver or renal injury ... perfusion - shock->treatments ... before beginning treatment ... - Compartment syndrome ... #typea #typeb #classification
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