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diagnosis management differential algorithm treatment causes neurology workup aki microscopy syndrome hepatology clinical polyuria casts indications kidney magnesium phosphate acutekidneyinjury
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
Polyuria = >3L Urine ... meq/L] + [BUN mg ... /dL]/2.8 + [glucose ... mg/dL]/18 HIGH ... Diagnosis #Algorithm #nephrology
Acute Kidney Injury - RIFLE and AKIN Criteria for Diagnosis and Classification of AKI • AKIN
Acute Kidney Injury ... /dL or increase ... /dL with an acute ... /dL; or on RRT ... Classification #nephrology
Hyperglycemic Crisis - Algorithm for DKA/HHS Diagnostic criteria for DKA: • pH < 7.3 • Anion gap
< 18 mEq/L • Urine ... usually > 250 mg ... /dL Diagnostic ... usually > 600 mg ... /dL • Serum osm
Indications for Parathyroidectomy in Primary Hyperparathyroidism • All patients with symptomatic PHPT • Serum calcium 1
Serum calcium 1 mg ... /dL above upper ... nephrocalcinosis, 24h urine ... calcium > 400 mg ... /dL with increased
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Diagnosis Algorithm Urine ... Water Diuresis (Urine ... Mixed Diuresis (Urine ... obstruction • Partial Dl ... Algorithm #causes #nephrology
Albuminuria (Grades) and Risk for CKD Normal to mildly increased albuminuria: - Albumin excretion rate: < 30
excretion rate: < 30 mg ... ratio: 30-300 mg ... proteinuria: - Urine ... hypoalbuminemia (<3.0 g/dL ... classification #CKD #nephrology
Tumor Lysis Syndrome - Workup and Management Initial workup: BMP, Serum uric acid, LDH, Urine output, Consider
uric acid, LDH, Urine ... Uric acid ≥ 8 mg ... /dL • Potassium ... /dL • Calcium ... ≤ 7 mg/dL • OR
Hepatorenal Syndrome Diagnosis • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Cr of ≥ 0.3mg/dL ... rise to >2.5mg/dL ... proteinuria) • ↓ urine ... 2 HRS) • Low urine ... diagnosis #HRS #nephrology
Definitions of AKI, CKD, AKD Acute Kidney Injury (AKI): • Increase in SCr by 2 50% within
AKI, CKD, AKD Acute ... in SCr by 2 0.3 mg ... /dl (2 26.5 gmol ... Damage > 3 months Acute ... #Definitions #nephrology
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
- Checklist Urine ... believed that urine ... Urine eosinophils ... for diagnosing acute ... AcuteKidneyInjury #Nephrology
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