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nephrology diagnosis differential algorithm acute hyponatremia kidneyinjury table casts diuresis diuretics effects excretion glomerulonephritis htn hypertension hypotonic injury kidney lactated
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
dipstick, urine microscopy ... osmolarity If cause ... Interstitial nephritis ... syndrome: troponin ... #causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... GI losses • Renal ... Cirrhosis • Nephrotic ... GFR, AKI/CRF Hormonal
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... GI losses • Renal ... Cirrhosis • Nephrotic ... GFR, AKI/CRF Hormonal
Causes of Acute Kidney Injury (AKI) - Differential Diagnosis Algorithm Acute Kidney Injury (AKI) - Acute increase
Causes of Acute ... at least 50% Renal ... • Hepatorenal syndromes ... polyangiitis /microscopic ... Acute Interstitial Nephritis
Urinary Casts and Disease Associations Hyaline - May be nonspecific; seen in normal individuals or during severe
tubulointerstitial nephritis ... , renal tuberculosis ... Fatty - Nephrotic ... syndrome ("Maltese ... #Differential #Microscopy
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Common causes of ... Kidney Injury AKI ... inhibitors, hepatorenal syndrome ... Acute Interstitial Nephritis ... #causes #Acute
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
multi-drug resistance) Renal ... Glomerulonephritis • Nephritic ... syndrome • AKI ... Excess: • Conn's syndrome ... HTN #Secondary #Nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... Losses (AKI, Post-AKI ... failure, Cirrhosis, Nephrotic ... syndrome) • ADH ... table #sodium #nephrology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
Saline (NS) - Comparison ... shift • Saline Causes ... AKI: - Tubuloglomerular ... • Saline May Cause ... #pharmacology #
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... declines > ALT) • AKI ... + myoglobin AKI ... fluid/Lactated ringers ... #treatment #nephrology
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