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AZOTEMIA , Medicosis Perfectionalis - Coggle Diagram

- - - - ↓ Cardiac output
        
        CHF
        
        Arrhythmia
        
        Surgery
      - Hypovolemia
        
        Hemorrhage
        
        3rd degree burns
        
        Vomiting/diarrhea
      - Iatrogenic
        
        Over diuresis
        
        NSAIDs
        
        Reduce
        renal perfusion
        
        ACEi / ARBs
      - Septic Shock
    - - Good Kidney!
        
        BUN:Cr > 15
        
        FeNa < 1%
        
        uOsm > 500
        
        Bloods
        
        BUN ↑↑
        
        Cr ↑
        
        BUN:Cr >20
        
        Urine
        
        FeNA <1%
        
        uOsm > 500 mOsm/kg
        
        Oliguria ±
  - - - Pathology
        
        Stone
        
        Stricture
        
        Cancer
        
        Cervix
        
        Colon
        
        BPH
        
        Bilateral
      - Location
        
        Kidney
        
        Ureter
        
        Bladder
        
        Urethra
    - - Early = Pre-renal
      - Late = Intra-renal
  - - - Mnemonic:
        Vascular TubInG
      - Vascular
        
        DM
        
        Sickle Cell
      - Tubular
        
        Hypoxic
        
        Toxic
        
        Drugs
        
        Aminoglycosides
        
        Tetracyclines (expired)
        
        Heavy Metals
        
        Lead
        
        Mercury
        
        Radio-Contrast
        
        Iodine
        
        CT/MRI
      - Interstitial
        
        Systemic Disease
        
        Drugs
        
        Antibiotics
        
        Pencillin
        
        Cephalosporin
        
        TMP-SM (Sulfa)
        
        NSAIDs
      - Glomerular
        
        Nephritides
        
        Good Pasture Syndrome
        
        GPA
        (Wegener's Granulomatosis)
        
        EGPA
        (Churg Strauss)
        
        MPA
        (microscopic Polyangitis)
        
        PSGN
        
        RPGN
        
        Lupus Nephritis
        
        Scleroderma Nephritis
        
        IgA Nephropathy
    - - Bad Kidney!
        
        BUN:Cr <15
        
        FeNa > 2%
        
        uOsm < 500
        
        Bloods
        
        BUN ↑
        
        Cr ↑↑
        
        BUN:Cr <10
        
        Urine
        
        FeNA > 2%
        
        uOsm < 500 mOsm/kg
        
        Oliguria +++
- - - - Normal
        10-20 mg/dL
      - Usually
        < 18 mg/dL
  - - - Acute Renal Failure
        
        Fatigue
        
        Anorexia
        
        Nausea
        
        Vomit
        
        Itching
      - Dehydration
        
        Thirsty
        
        Dizzy
        
        Fainted/Syncope
        
        "dirt in my eyes"
        
        Signs
        
        Dry skin
        
        Sunken Fontanalles
        
        Turgor ↓
        
        BP ↓
        
        HR ↑
        
        Orthostatic
        Hypotension