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Guide to Acute Kidney Injury (AKI)

What to ask/look for: 
 - HPI, PMH, full ROS
) What to ask ... - Urine Na/K/Cl ... rhabdo/TLS) Causes ... #Nephrology #Diagnosis ... #Algorithm #Causes
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
hyperaldosteronism • Low Urine Cl ... NGT suction, Low Cl ... • High Urine Cl ... #Algorithm #Nephrology ... #Causes
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... Encephalitis, Brain Abscess ... • Metabolic: Hypoglycemia ... #Algorithm #Causes ... #neurology
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
- Differential Diagnosis ... Algorithm Cause ... may cause metabolic ... #Differential #Diagnosis ... #Nephrology #Chloride
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Cl- responsive ... Kidney loss of Cl ... alkalosis • Loss of Cl ... Cystic fibrosis Cl ... #diagnosis
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
hyperaldosteronism • Low Urine Cl ... NGT suction, Low Cl ... • High Urine Cl ... #Algorithm #Nephrology ... #Causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Antibiotics (Bactrim, PCN ... , RTA Type IV, AI ... tourniquet / IVF line draw ... only if no clear cause ... Treatment #potassium #nephrology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... Assess functional ... ADLs - Highest metabolic ... algorithm to determine ... stratification #diagnosis
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
: ~25% cases. ... Brachial Index (ABI ... drawers, and special ... -->>>> LINK TO ACL ... #Injury #msk #clinical