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differential hyperkalemia acute casts hypernatremia hyponatremia hypotonic intercellularshift interpretation k kidneyinjury management physiologic potassium proteinuria simplified sodium treatment urine workup
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
dialysis indication (e.g ... require urgent nephrology ... Nephrotoxic drugs (e.g ... Assess UA w/ microscopy ... #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... • Hypertonic saline ... Polyuria scheme) e.g ... Hypernatremia #Nephrology ... #Algorithm #Causes
Causes of Proteinuria - Differential Diagnosis Algorithm Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... polyangiitis (GPA) / microscopic ... Protein deposition (eg ... #Proteinuria #Nephrology ... #Algorithm #Causes
Urine Microscopy - Casts Acellular Casts • Hyaline Casts - Consists of only precipitated Tamm-Horsfell protein without
Urine Microscopy ... Casts • Hyaline ... colored compounds (e.g ... #nephrology #interpretation ... #diagnosis
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... #differential #diagnosis ... #table #sodium ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
K-sparing diuretics, Saline ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... Treatment #potassium #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... • Low EABV (e.g ... renal failure • AKI ... IntercellularShift #Nephrology ... #Algorithm #Causes
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