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Differential Diagnosis in Acute Renal Failure

#Diagnosis #Differential #AKI #Acute #RenalFailure #KidneyInjury #Algorithm #Nephrology

** GrepMed Recommended Text:
Renal Failure ... Differential #AKI #Acute ... #RenalFailure #KidneyInjury ... #Algorithm #Nephrology ... GrepMed Recommended Text
Causes of Acute Kidney Injury - Differential Diagnosis Framework 
Pre-Renal
Post-Renal
Intrinsic Renal:
 • Tubules (ATN)
 • Glomerular:
Kidney Injury - ... Framework Pre-Renal ... Post-Renal Intrinsic ... Renal: • Tubules ... #KidneyInjury #
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... UNa > 20: • Renal ... Bicarbonaturia with renal ... UNa > 20: • Acute ... or chronic renal
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Kidney Injury (AKI ... Acute Kidney Injury ... at least 50% Renal ... Sjögren) Post-Renal ... #KidneyInjury #
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Acute Kidney Injury ... UA) - Tubular (renal ... - Diaqnosis: Renal ... ultrasonography, urinalysis, renal ... - Diagnosis: Renal
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... High Uric Acid → renal ... salt wasting By ... #nephrology #sodium
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... thromboembolism, renal ... tumors INTRINSINC RENAL ... Tubular Injury/ ... #KidneyInjury #
Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal

PRE-RENAL 
Impaired perfusion: 
•
Kidney Injury ( ... ) - Prerenal, Renal ... Postrenal PRE-RENAL ... Vascular occlusion RENAL ... Infection POST-RENAL
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... Framework Pre-Renal ... Hypercalcemia, Renal ... Medications Intra-Renal ... Autoimmune Post-Renal
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Na <20: Extra-renal ... Urine Na >30: Renal ... Cerebral salt wasting ... Urine Na > 30: Renal ... #algorithm #diagnosis