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Causes of Acute Kidney Injury ( AKI ) - Prerenal, Renal, and Postrenal PRE-RENAL Impaired perfusion: •
Causes of Acute ... Injury ( AKI ) - Prerenal ... Kidney #Injury #Prerenal
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Classification Prerenal ... tubular necrosis (causes ... rhabdo, prolonged prerenal
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
PROBLEM ~80% of AKI cases ... are caused by prerenal ... CONSIDER INTRINSIC CAUSES ... for WBCs, RBCs, casts
Acute Kidney Injury - Differential Diagnosis Framework PRERENAL: - Intrarenal vasoconstriction-hemodynamically mediated - Systemic vasodilation - Volume
Diagnosis Framework PRERENAL ... white blood cell casts ... renal tubular cell casts ... or pigmented casts ... treating underlying cause
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Prevent Prerenal ... Management #Summary #causes
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Prevent Prerenal ... Diagnosis #Management #causes
Prerenal Acute Kidney Injury - Diagnostic Schema Hypovolemia Hypervolemia Hypotension Vessels #Prerenal #Acute #Kidney #Injury #AKI #Diagnosis
Prerenal Acute Kidney ... Vessels #Prerenal
Acute Kidney Injury (AKI) - Common Patterns on Urinalysis - Prerenal - ATN - AIN -
Urinalysis - Prerenal
Retroperitoneal Space - Sagittal Anatomy • Anterior Pararenal Space • Perirenal Space • Posterior Pararenal Space Dr.
Anatomy • Anterior Pararenal ... Space • Perirenal ... Space • Posterior Pararenal
Fractional Excretion of Sodium - FENa Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
< 1% suggests prerenal
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