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differential nephrology acute hyponatremia injury kidney acutekidneyinjury aniongap cardiology ckd dermatology fatigue hepatology hepatorenal hrs hyperkalemia intercellularshift interstitial kidneydisease metabolicacidosis
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... When to suspect AIN ... sensitive) • AKI ... #Algorithm #nephrology ... #diagnosis
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... - Differential Diagnosis ... Pigment, Protein) • AIN ... #nephrology #causes ... #algorithm
Guide to Acute Kidney Injury (AKI) What to ask/look for: - HPI, PMH, full ROS
rhabdo/TLS) Causes ... Liano 1996) - ATN ... CKD— 13% (mostly ATN ... #Nephrology #Diagnosis ... #Algorithm #Causes
Acute Kidney Injury - Classification Prerenal: • Dehydration • Heart failure (a.k.a. cardiorenal syndrome) • Liver failure
Kidney Injury - Classification ... tubular necrosis (causes ... prolonged prerenal AKI ... interstitial nephritis (AIN ... #diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... stimulus to ADH • Pain ... • Reduced GFR, AKI ... #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... stimulus to ADH • Pain ... • Reduced GFR, AKI ... #Algorithm #Causes
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Causes of Fatigue ... Algorithm Endocrine ... Infectious • Endocarditis ... Pulmonary Disease Neurologic ... #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 Decreased ... (eGFR < 60 ml/min ... #Algorithm #Causes
Causes of Metabolic Acidosis with Elevated Anion Gap - Differential Diagnosis Algorithm Elevated Anion Gap > 12
Causes of Metabolic ... Algorithm Elevated ... Anion Gap > 12 (Gain ... secretion • AKI ... #Algorithm #Causes
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
• Caused by splanchnic ... causes (esp. ... Classification: ... Syndrome #Hepatology #Nephrology ... #Diagnosis
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