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nephrology differential algorithm acute nephrotic hyponatremia kidneyinjury classification diseases glomerulonephritis injury kidney nephritis proteinuria syndrome table testing workup disease hyperkalemia
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
the patient have glomerular ... hematuria (RBC casts ... dysmorphic RBCs in ... #Syndrome #Comparison ... #Diagnosis
Causes of Acute Kidney Injury - Differential Diagnosis Framework Pre-Renal Post-Renal Intrinsic Renal: • Tubules (ATN) • Glomerular:
Causes of Acute ... ) • Glomerular ... : Nephrotic, Nephritic ... Interstitium (AIN ... drtonydang @CMC_IM #AKI
Spectrum of Glomerular Diseases Nephrotic - Mechanism: • Injury to podocytes • Changed architecture: Scanning. Deposition of
Spectrum of Glomerular ... proliferation • Breaks in ... differential #spectrum #diagnosis ... #nephrology #nephritic ... #nephrotic #comparison
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis - Prerenal - ATN - AIN -
Kidney Injury (AKI ... - AIN - UTI ... #Urinalysis #diagnosis ... #table #comparison ... #nephrology
Glomerular Diseases - Nephritic and Nephrotic Syndromes Nephritic syndrome—due to GBM disruption. Hypertension. t BUN and creatinine.
Glomerular Diseases ... RBC casts in urine ... may be in nephrotic ... #Proteinuria #Nephrology ... #Diagnosis
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Acute Interstitial Nephritis ... When to suspect AIN ... sensitive) • AKI ... #Interstitial #Nephritis ... #nephrology #diagnosis
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
- TTP/HUS • Glomerular ... tubular necrosis (causes ... Acute interstitial nephritis ... (AIN) Postrenal ... Classification #diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... /Post-op • Neurologic ... Cirrhosis • Nephrotic ... • Reduced GFR, AKI
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... /Post-op • Neurologic ... Cirrhosis • Nephrotic ... • Reduced GFR, AKI
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Prerenal: • Due to true volume loss or decreased
Kidney Injury (AKI ... damage to the glomeruli ... contrast dye) • AIN ... acute interstitial nephritis ... #nephrology
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