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causes hyperkalemia potassium workup acute aki algorithm high metabolic akd alkalosis definitions framework hyperphosphatemia k kidneydisease kidneyinjury management nagma nonaniongap
Definitions of AKI, CKD, AKD Acute Kidney Injury (AKI): • Increase in SCr by 2 50% within
Injury (AKI): ... • Oliguria Chronic ... (CKD): • GFR < ... • AKI, OR • GFR ... #nephrology #acute
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
- Differential Diagnosis ... function (eGFR ... ) • Multiple myeloma ... Hyperphosphatemia #CKD ... #Nephrology #Differential
Workup for Hyperphosphatemia - Differential Diagnosis Framework Rule out spurious hyperphosphatemia: paraproteinemia, hyperlipidemia, hemolysis, hyperbilirubinemia, liposomal amphotericin
Diagnosis Framework ... Shift: • Lactic acidosis ... , DKA Kidney Disease ... : • AKI, CKD ... Workup #phosphate #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... Diagnosis Baseline ... myoglobin • Myeloma ... #Injury #AKI #Workup ... #Diagnosis #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
(NAGMA) - Differential ... Diagnosis Framework ... insufficiency (GFR ... Surgical drains - Chronic ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, rhabdo/crush injury ... esp w oliguria / GFR ... Labs: BMP (Assess GFR ... status to improve GFR ... sufficient if intact GFR
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... Hyperkalemia: • CKD ... • Trauma/Crush injury ... - Metabolic acidosis ... potassium #high #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis ECF volume contracted: urine chloride concentration <20 meq/L • Gastric alkalosis:
Metabolic Alkalosis: Differential ... Diagnosis ECF ... respiratory acidosis ... markedly reduced GFR ... #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... Hyperkalemia: • CKD ... • Trauma/Crush injury ... - Metabolic acidosis ... potassium #high #nephrology
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