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nephrology diagnosis akd aki algorithm causes chronic definitions differential hepatology hepatorenal hrs hrsaki hrsckd hrsnaki hyperkalemia k kidney kidneydisease management
Definitions of AKI, CKD, AKD Acute Kidney Injury (AKI): • Increase in SCr by 2 50% within
): • GFR < 60 ... • AKI, OR • GFR ... • Decrease in GFR ... ): • GFR ≥ 60 ... #kidneyinjury
Effects of Prostaglandins and NSAIDs on the Kidney Effects of Prostaglandins on the Kidney: • The vasodilatory
perfusion of remaining nephrons ... maintaining baseline GFR ... setting of modest GFR ... GFR > 30 and complete ... avoidance with GFR
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Criteria HRS-AKI (Acute ... e.g. diuretics, NSAIDs ... haematuria, Normal renal ... months - eGFR ... - eGFR < 60ml
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
kidney function (eGFR ... 3 months Pre-Renal ... eosinophiluria) • Drugs (NSAlDs ... ) • Multiple myeloma ... Hyperphosphatemia #CKD
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
K+, ACEi/ARBs, NSAIDs ... esp w oliguria / GFR ... Labs: BMP (Assess GFR ... status to improve GFR ... sufficient if intact GFR
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