Acute Kidney Injury Cases Flashcards Preview

Renal and Urinary 2 > Acute Kidney Injury Cases > Flashcards

Flashcards in Acute Kidney Injury Cases Deck (8)
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1
Q

AIN most common meds

A

Beta lactams and quinolones

2
Q

Clinical presentation of AIN

A

Eosinophiluria (Hansel stain)

May also be present in others

3
Q

Path of AIN

A

Interstitial inflammation and tubulitis with T cell and monocyte infiltrates

4
Q

Dx of AIN

A

Renal scan with gallium scintigrtaphy (Se 58-100, sp 50-60)

5
Q

AIN tx

A

If <3 weeks, mininimal IF on bx, no contraindiciation to steroid…try steroid

if kidney function improves, continues steroids for 4-6 weeks followed by a taper

6
Q

Rhabdo induced AKI patho

A

Intrarenal vasoconstriciton

Myoglobin breakdown into ROS

Direct and ishcemic tubuar injury to proximal tubules

Tubular obstrciuton

7
Q

Rhabdo renal manifestations

A

Pigmented granular casts

Elevated CK

Dipstick pos for blood but no RBCs

Hypocalcemia

8
Q

TX of rhabdol

A

Conservative hypocalcemia managmeent