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diagnosis differential causes nephrology aki hypertension management hematology injury secondary criticalcare kidney overview shock workup acutekidneyinjury ain anasarca anemia approach
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... to Acute Interstitial ... rapidly progressive CKD ... ; oliguria • Classic ... • UA: sterile pyuria
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... Differential Diagnosis Algorithm ... Mellitus) • Mannitol ... Recovery from Acute ... Differential #Diagnosis #Algorithm
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
Guide to Acute Kidney ... - Hx of AKI/CKD ... 21% - AKI on CKD ... — 13% (mostly ATN ... Nephrology #Diagnosis #Algorithm
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Differential Diagnosis Algorithm ... diuresis (see Polyuria ... scheme) e.g., mannitol ... Differential #Diagnosis #Algorithm ... #Causes
Secondary Causes of Hypertension - Differential Diagnosis Algorithm Hypertension - BP > 140/90 (>130/80 for DM) Hypertensive urgency
Differential Diagnosis Algorithm ... Consider secondary HTN ... syndrome • AKI/CKD ... #Hypertension #HTN ... Differential #Diagnosis #Algorithm
Causes of Acute Kidney Injury - Differential Diagnosis Framework Pre-Renal Post-Renal Intrinsic Renal: • Tubules (ATN) • Glomerular:
Causes of Acute ... : • Tubules (ATN ... CMC_IM #AKI #Acute ... #KidneyInjury #Causes ... Differential #Diagnosis #Algorithm
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... Volume Overload/HTN ... Distribution: Acute ... Post-Coronary) • Acute ... Differential #Diagnosis #Algorithm
Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Differential Diagnosis Algorithm ... Hyperparathyroidism: CKD ... : Acute pancreatitis ... Differential #Diagnosis #Algorithm ... #causes
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Differential Diagnosis Algorithm ... NSAlDs • AKI/CKD ... • Sepsis • Acute ... Differential #Diagnosis #Algorithm ... #Causes
Causes of Chronic Kidney Disease - Differential Diagnosis Algorithm Decreased kidney function (eGFR < 60 ml/min/1.73 m2)
Causes of Chronic ... Differential Diagnosis Algorithm ... Interstitial (Sterile pyuria ... Hyperphosphatemia #CKD ... Differential #Diagnosis #Algorithm
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