Please enable JavaScript.
Coggle requires JavaScript to display documents.
AKI: assessment and Management (Blood test (Immunology (Bence Jones…
AKI: assessment and Management
History
Drugs
Occupation : sewer systems, tropical diseases, rodents
Urinary symptoms
PMHx
Examination
infection/sepsis
acute/chronic heart failure
Fluid status
bladder palpable/ abdominal masses
rashes/arthralgia - underlying systemic disease
Urinalysis
Blood
Nitrates
Leukocytes
Glucose
protein - nephritis ?
osmolality
Blood test
FBC
Eosinophilia - acute interstitial nephritis
U&E, Creatinine
Coagulation screen
DIC
Creatine kinase, myoglobinuria --> rhambomyolysis
CRP: inflammation
Immunology
Serum immunoglobbulins
Bence Jones protein
Monocloncal globulin protein in urine. Multiple myeloma of Waldenstoms macroglobinemia
ANA
SLE
Complement concentrations
low in SLE, acute postinfectious glomeruonephritis, cryoglobinaemia
Anti- GBM (antiglomerular basement membrabe antibodies) in Good pastures syndrome.
Antistreptolysion O and anti-DNase B tires: high after streptococcal infecton
Virology
Hep B and V
HIV
USS: when obstruction suspeced
CKD
Long duration
Nocturia
no acute illness
anaemia
hyperphospataemia
hypocalcaemia
reduiced reanl size and cortical thickness on renal USS
size preserved in patients
Management
Stop nephrotoxic drugs
Monitor: creatinine, sodium, potassium, calcium, phosphate, glucose
Treat underlying cause