45 results
Impact and Challenges With Vitamin D to Treat Secondary Hyperparathyroidism in Patients With Chronic Kidney Disease
Calcitriol ... or better than calcitriol ... or better than calcitriol ... edgarvlermamd - Nephrology ... Hyperparathyroidism #CKD #Nephrology
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Redistribution - 1° HPT ... - 1° Renal PO4 ... Hypophosphatemia #phosphorus #low ... #differential #nephrology
Hypercalcemia - Differential Diagnosis Algorithm
Elevated PTH (High or normal):
 • Primary Hyperparathyroidism
 • Familial Hypocalciuric Hypercalcemia
Low
Hypercalcemia Low ... PTH: • Elevated Calcitriol ... Tumors: Lung, SCC, renal
Workup of Hypercalcemia - Differential Diagnosis Algorithm
High or Normal PTH:
 • Hyperparathyroidism: Parathyroid adenoma, Parathyroid hyperplasia,
Hypercalcemia Low ... PTHrP: - Low ... diseases, Idiopathic calcitriol ... Algorithm #Workup #nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... Normal Acid-Base: Low ... loss (Diarrhea) Renal ... causes #potassium #low ... #nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Medications Renal ... Losses Non-renal ... vomiting) • Low ... Diagnosis #Algorithm #nephrology ... #low #potassium
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Uric Acid - Low ... High Uric Acid → renal ... Diagnosis #Algorithm #nephrology ... #sodium #low #uricacid
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Na <20: Extra-renal ... Urine Na >30: Renal ... Hypothyroidism, Low ... diagnosis #sodium #low ... #nephrology
Hypomagnesemia - Differential Diagnosis
Renal Causes of Hypomagnesemia - Familial:
Bartter syndrome and Gitelman syndrome, Isolated recessive hypomagnesemia,
Differential Diagnosis Renal ... hypomagnesemia Renal ... Hypercalcemia, Post renal ... diagnosis #causes #nephrology ... #magnesium #low
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
hyperaldosteronism • Low ... , NGT suction, Low ... hyperaldosteronism • High PRA: Renal ... Renin-secreting tumor • Low ... Diagnosis #Algorithm #nephrology