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Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
AKI) What to ask ... - Urine Na/K/Cl ... rhabdo/TLS) Causes ... #Diagnosis #Algorithm ... #Causes #Differential
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... Spot PC (protein ... C3, C4 - Test for ... infections are common causes ... #workup #diagnosis
Diagnostic algorithm for differentiating vestibular neuritis from stroke in patients with AVS. This sequence of testing
Diagnostic algorithm ... components: targeted neurologic ... disposition, even if the cause ... nervous system; PCP ... , Head Impulse Test
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... Spot PC (protein ... . 5) C3, C4 - Test ... infections are common causes ... disease #workup #diagnosis
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... algorithm to determine ... if stress test ... Recent PCI/stenting ... stratification #diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Antibiotics (Bactrim, PCN ... tourniquet / IVF line draw ... Cortisol+ACTH stim test ... only if no clear cause ... Ca-gluconate or 1g CaCl
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Vomiting: urine Na/Cl ... 1.6, low urine Cl ... 0.7, high urine Cl ... with urine Na/Cl ... confirmed via genetic testing
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
nerve injury (25%) TEST ... lachmans, posterior drawers ... ligament/meniscus testing ... -->>>> LINK TO ACL ... Posterior #Injury #msk