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Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Injury ( AKI ) - Prerenal ... • Sepsis • Blood ... Kidney #Injury #Prerenal
Prerenal Acute Kidney Injury - Diagnostic Schema Hypovolemia Hypervolemia Hypotension Vessels #Prerenal #Acute #Kidney #Injury #AKI #Diagnosis
Prerenal Acute Kidney ... Vessels #Prerenal
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
Diagnosis Framework PRERENAL ... Glomerular (red blood ... eosinophils/white blood
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Prerenal: • Due to true volume loss or decreased
Diagnosis Framework Prerenal ... effective arterial blood
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis - Prerenal - ATN - AIN -
Urinalysis - Prerenal
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Classification Prerenal ... rhabdo, prolonged prerenal
Black and Bloody Stools - Melena and Hematochezia Melena - Refers to passage of black, tarry (sticky
Black and Bloody ... Occult blood tests ... least 60 mL of blood ... transit is slow, blood ... Red Blood in the
Hemothorax on Lung POCUS with Spine Sign GSW to left chest. Perisplenic window focusing on lower
Hemothorax on Lung POCUS ... area of clotted blood ... Note that clotted blood ... Hemothorax #Lung #POCUS
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 Fractional Excretion of Sodium - FENa Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
< 1% suggests prerenal
Liver Abscess on POCUS 24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on POCUS ... rigors &DCed. 2/2 blood ... Abscess #Hepatic #POCUS
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