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diagnosis differential algorithm hyperkalemia hyponatremia management nephrotic testing treatment acute aki blood disease glomerulonephritis hematuria hypotonic initial intercellularshift k kidneyinjury
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... • Evidence of glomerular ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... if cause not identified
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
require urgent nephrology ... common culprits: Hypovolemia ... IMPROVEMENT If the urine ... KidneyInjury #simplified #workup ... #diagnosis #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 24-hour urine collection - Quantify proteinuria.
disease 24-hour urine ... Serum or urine for ... infections are common causes ... #testing #workup ... nephrotic #nephritic #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... : SIADH, Renal Sodium ... Present (Uosm ≥100): Hypovolemia ... #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... hypotension) Decreased Glomerular ... • NSAlDs #Hyperkalemia ... IntercellularShift #Nephrology
Recommended initial testing for patients being evaluated for glomerular disease 1) 24-hour urine collection - Quantify proteinuria.
disease 1) 24-hour urine ... Serum or urine for ... infections are common causes ... #workup #diagnosis ... initial #testing #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... reabsorption) Workup ... lysis) ± Urine ... only if no clear cause ... Treatment #potassium #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... Measure urine osmolality ... the underlying cause ... Treatment #management #nephrology ... #sodium
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