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{{familytree | |)|-| F01 |-| F02 | | | | | | | | | | | |F01=<div style="float: left; text-align: left; height: 5em; width: 10em; padding:2em;">Is the [[patient]] euvolemic?</div>|F02=<div style="float: left; text-align: left; height: 8em; width: 20em; padding:2em;">❑ Check [[pulse]], [[JVP]], [[orthostatic hypotension]], daily weights, fluid balance<br>❑ Check for [[BUN]]/[[Cr]] ratio<br>❑ Check for urinary [[sodium]]<br> ❑ Do fluid challeng test </div>}}
{{familytree | |)|-| F01 |-| F02 | | | | | | | | | | | |F01=<div style="float: left; text-align: left; height: 5em; width: 10em; padding:2em;">Is the [[patient]] euvolemic?</div>|F02=<div style="float: left; text-align: left; height: 8em; width: 20em; padding:2em;">❑ Check [[pulse]], [[JVP]], [[orthostatic hypotension]], daily weights, fluid balance<br>❑ Check for [[BUN]]/[[Cr]] ratio<br>❑ Check for urinary [[sodium]]<br> ❑ Do fluid challeng test </div>}}
{{familytree | |!| | | | | | | | | | | | | | | | | | |}}
{{familytree | |!| | | | | | | | | | | | | | | | | | |}}
{{familytree | |)|-| C01 |-| C02 | | | | | | | | | | | |C01=C01|C02=C02}}
{{familytree | |)|-| C01 |-| C02 | | | | | | | | | | | |C01=<div style="float: left; text-align: left; height: 5em; width: 10em; padding:2em;">Does evidence of [[renal]] parenchymal disease exist? (other than [[ATN]]) <div>|C02=<div style="float: left; text-align: left; height: 5em; width: 20em; padding:2em;">❑ History and [[physical examination]] (clinical features)<br>❑ Check urine dipstick and microscopy for [[RBC]], [[WBC]], and [[protein]] [[sodium]]</div>}}
{{familytree | |!| | | | | | | | | | | | | | | | | | |}}
{{familytree | |!| | | | | | | | | | | | | | | | | | |}}
{{familytree | |`|-| G03 |-| G04 | | | | | | | | | | | G03=G03|G04=G04}}
{{familytree | |`|-| G03 |-| G04 | | | | | | | | | | | G03=G03|G04=G04}}
{{familytree/end}}
{{familytree/end}}

Revision as of 04:56, 7 August 2020

Renal failure
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Is this acute or chronic renal failure
 
❑ History and physical examination
❑ Previous creatinin measurement
❑ Small kidneys on ultrasound except in diabetes
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Has obstruction been excluded?
 
❑ Complete anuria
❑ Palpable bladder
Renal ultrasound
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Is the patient euvolemic?
 
❑ Check pulse, JVP, orthostatic hypotension, daily weights, fluid balance
❑ Check for BUN/Cr ratio
❑ Check for urinary sodium
❑ Do fluid challeng test
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Does evidence of renal parenchymal disease exist? (other than ATN)
 
❑ History and physical examination (clinical features)
❑ Check urine dipstick and microscopy for RBC, WBC, and protein sodium
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
G03
 
G04