70yo F w/ volume overload and AKI c/f cardiorenal syndrome
Dr. Anjali Ganda | Morning Report | 05/18/2017
To help determine if someone has CKD vs. AKI look at comorbidities, prior history of anemia and Phos/Ca for signs of renal osteodystrophy
Posted 05/18/17 12:48:32 PM by Emily Miller
When looking at a Renal Ultrasound: Small, shrunken kidneys are often seen in CKD. In CKD can find large kidneys with amyloid, DM, PCKD and HIVAN. Can see large kidneys acutely with AIN.
Posted 05/18/17 12:49:48 PM by Emily Miller
For patients with decompensated heart failure w/ RV dysfunction and possible cardiorenal syndrome, be cautious with Lasix dose as these patients tend to be very preload dependent. Too much lasix can lead to a dangerous drop in blood pressure.