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diagnosis differential injury kidney kidneyinjury acuteinterstitialnephritis acutetubulointerstitialnephritis ain allergicinterstitialnephritis anasarca blood classification corticosteroids decisionaid edema generalized hematuria hepatology hepatorenal hrs
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
to Acute Interstitial ... sensitive) • AKI ... sterile pyuria, WBC casts ... proteinuria, granular casts ... Algorithm #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
- AKI Workup Algorithm ... renal biopsy • Interstitial ... nephritis: eosinophilia ... #Workup #Algorithm ... Differential #Diagnosis #nephrology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... (AKI) - Acute increase ... Epithelial cell casts ... Interstitial Nephritis ... #Nephrology #Differential
Management of Acute Tubulointerstitial Nephritis (aka Acute Interstitial Nephritis). Simplified management algorithm for investigation and treatment
(aka Acute Interstitial ... investigation and treatment ... of Acute Interstitial ... Interstitial Nephritis ... / #Nephrology
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Urinary obstruction, Nephrotoxic ... cases are caused ... IMPROVEMENT If the urine ... for WBCs, RBCs, casts ... #simplified #workup
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... sodium retention, Urine ... • NSAlDs • AKI ... Syndrome Increased Interstitial ... • Sepsis • Acute
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... suggestive of acute ... suggestive of nephrotic ... suggestive of interstitial ... #nephrology #interpretation
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... repeat testing • Acute ... proteinuria, RBC casts ... #Workup #urology
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
tubular necrosis (causes ... : sepsis, meds, ... ) - Acute interstitial ... nephritis (AIN) ... Classification #diagnosis #nephrology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
hepatitis, or acute ... (no casts, protein ... Treatment Overview ... essential in all cases ... Syndrome #Hepatology #Nephrology
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