16 results
Polyuria Evaluation Algorithm

- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/

#Polyuria #diagnosis #Algorithm #workup #nephrology #differential
Polyuria Evaluation ... Eric Strong @DrEricStrong ... - Strong Medicine ... #diagnosis #Algorithm ... #workup #nephrology
Polyuria - Differential Diagnosis Algorithm
Polyuria = >3L Urine output / 24 hours
Urine osmolality = 2 (Na
Diagnosis Algorithm ... Polyuria = >3L ... nutrition), Azotemia LOW ... #Differential #Diagnosis ... #Algorithm #nephrology
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
- Differential Diagnosis ... • Central Dl (Low ... Mimics (↑ urine ... - Strong Medicine ... #Causes #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
- Differential Diagnosis ... diuresis (see Polyuria ... mannitol, glucosuria Low ... Urine Osmolality ... Hypernatremia #Nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
- Differential Diagnosis ... Framework and Workup ... • Serum K: low ... #Differential #Diagnosis ... #Workup #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... - Differential Diagnosis ... leukemia Measure Urine ... • Normal or Low ... #phosphate #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... 1) Check Urine ... • Euvolemic (Low ... #nephrology #sodium
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome Diagnosis ... type 2 HRS) • Low ... urine Na+ (<10 ... - Strong Medicine ... #HRS #nephrology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... suspicion) • +/- bubble ... ischemic #CVA #stroke ... #workup #diagnosis ... #checklist #neurology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... : Hypovolemia, Low ... IMPROVEMENT If the urine ... KidneyInjury #simplified #workup ... #diagnosis #nephrology