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differential management nephrology causes infections infectiousdiseases treatment 1 acutekidneyinjury ain cdi cdiff chestpain clostridioides clostridium difficile evaluation fungal gastroenterology hyperkalemia
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... to Acute Interstitial ... sensitive) • AKI ... triad (<10%): fever ... #nephrology #diagnosis
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... Injury (AKI) ... - Urine Na/K/Cl ... #Nephrology #Diagnosis ... #Algorithm #Causes
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... pneumonia • Acute ... Leptospirosis Pel-Ebstein ... For every 1°F rise ... #Differential #Diagnosis
Chest Pain Diagnosis and Management Algorithm STEMI: - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... and Management Algorithm ... friction rub, Fever ... Pneumothorax: - Hx: Acute ... COPD, asthma, CF, PCP
Causes of Sudden Unexpected Death in Infancy (SUDI) - Differential Diagnosis Algorithm Congenital Anomaly / Disorder: •
Algorithm Congenital ... Arrhythmia • Neurologic ... Accidental* Other: • Acute ... 80% of SUDI • Risk ... #Peds #Pediatrics
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... Assess functional ... event, follow ACC algorithm ... Cataract Plan for Meds ... stratification #diagnosis
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook Clinical Presentation + Progression:
on ABx) → Acute ... mucus, Abd pain, Fever ... immunocompromised, IBD) • ↑Risk ... Lowest Risk: Tetracyclines ... non-toxigenic • Stool PCR
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Antibiotics (Bactrim, PCN ... , RTA Type IV, AI ... tourniquet / IVF line draw ... Treatment #potassium #nephrology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
respiratory symptoms • Fever ... MUCORMYCOSIS • Risk ... Encapsulated yeast • At risk ... Sinusitis • Brain abscess ... • Isolated fever
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