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Differential Diagnosis of Acute Kidney Injury 

#Diagnosis #Nephrology #AKI #Acute #KidneyInjury #Causes #Differential #Workup #Algorithm #Ddxof
of Acute Kidney ... #Nephrology #AKI ... #Acute #KidneyInjury ... #Causes #Differential ... Workup #Algorithm #Ddxof
Urine Microscopy - Casts
Acellular Casts
 • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
suggestive of acute ... in a variety of acute ... and chronic kidney ... diseases • Fatty ... interpretation #diagnosis
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Acute Kidney Injury ... white blood cell casts ... renal tubular cell casts ... or pigmented casts ... appropriate) #Acute
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Acute Kidney Injury ... - Acute tubular ... prerenal AKI) - Acute ... EricsMedicalLectures/ #AKI #Acute ... #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Simplified Approach to Acute ... Kidney Injury ( ... PROBLEM ~80% of AKI cases ... for WBCs, RBCs, casts ... LorinskyMD #AKI #Acute
Causes of acute kidney injury (AKI). AKI is classified into pre-renal, renal, and post-renal causes. Renal
Causes of acute ... and interstitial disease ... #Diagnosis #AKI ... #Acute #Kidney # ... #Sites #Nephrology
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm
Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... Algorithm Acute ... AKI) - Acute increase ... Epithelial cell casts ... polyangiitis) Acute
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
Urinary Casts and ... breakdown of cellular casts ... heme-granular casts ... are seen in acute ... 34t5DgJ #Urinary #Casts
Atlas of Urine Microscopy Findings
 • Epithelial cells - Normal
 • Renal tubular cells - Acute
tubular cells - Acute ... • White cell casts ... • Granular casts ... protein indicating acute ... #nephrology #casts
Common causes of Acute Kidney Injury AKI - Differential Diagnosis
HEMODYNAMIC
 • Cardiac failure: Impaired forward flow,
Acute Kidney Injury ... Post-infectious GN, Lupus Acute ... Drugs • Toxins Acute ... #Acute #KidneyInjury ... #nephrology