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Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 • Hypovolemia
 • Congestion
 • Medications
 •
Acute Kidney Injury ... (AKI) - Differential ... Congestion • Medications ... #Kidney #Injury ... #Differential #
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
Acute Kidney Injury ... - Hypertensive emergency ... disease - Acute ... tract infection • Medications ... #Kidney #Injury
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Acute Kidney Injury ... (AKI) - Differential ... Compartment Syndrome, Medications ... #Kidney #Injury ... #Differential #
Medications causing Acute Kidney Injury (AKI)
Prerenal:
 • Dehydration: Diuretics
 • Altered intrarenal autoregulation: ACEIs / ARBs,
Medications causing ... Acute Kidney Injury ... EricsMedicalLectures/ #AKI #Acute ... #Kidney #Injury ... #pharmacology #differential
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Acute Kidney Injury ... - Differential ... appropriate) #Acute ... #Kidney #Injury ... #AKI #Differential
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for ... Albumin for Management ... ascites removed • Acute ... kidney injury ( ... #Management #Cirrhosis
Outpatient Hypertension Management Algorithm
Monotherapy: 
 • Thiazide/thiazide-like 
 • ACE-I (non-black patients), 
 • ARB
Outpatient Hypertension Management ... Hypertensive Urgency/Emergency ... Hemorrhage • Acute ... Kidney Injury ... #Hypertension #Management
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
Possible Hypertensive Emergency ... patients who have acute ... , such as: - Acute ... kidney injury ( ... Diagnosis #Algorithm #CriticalCare
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Simplified Approach to Acute ... Kidney Injury ( ... 1) IS THIS AN EMERGENCY ... there a dialysis indication ... LorinskyMD #AKI #Acute
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... (AKI) - Management ... Foley catheter • Medications ... #Kidney #Injury ... #treatment #management