14 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... history Step #2 ... Eric Strong @DrEricStrong ... Management #Algorithm #Sodium ... #nephrology #insipidus
Diabetes Insipidus - Diagnosis Algorithm
Tests:
 • Osmolality, Urine AND/OR
 • Osmolality, Serum or Plasma AND
 •
Diabetes Insipidus ... • Sodium, Plasma ... 1-2 hrs post administration ... Diagnosis #Algorithm #nephrology ... #differential
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Algorithm 1) Check Urine ... renal mechanism 2) ... Euvolemic: Diabetes insipidus ... Workup #Algorithm #nephrology ... #sodium
Classification of Diabetes Insipidus

Central or neurogenic diabetes insipidus:
 - Congenital - Structural malformations affecting the hypothalamus
Histiocytosis and ... mutations in AQP-2 ... is aimed at the psychiatric ... Classification #Types #Nephrology ... #Diagnosis #Differential
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
patients with psychiatric ... occurs in only 2- ... Differential Diagnosis ... , Urine Sodium ... diagnosis #management #nephrology
Inherited Defects in Kidney Tubule Epithelial Cells

Renal glucosuria - Na+-dependent glucose cotransporter
Cystinuria - Amino acid transporter
Bartter
Increased open time and ... of epithelial sodium ... Nephrogenic diabetes insipidus ... Defects #Kidney #Nephrology ... #Diagnosis #Differential
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
, Dehydration: neurologic ... water unavailable 2) ... post-obstructive 3) Diabetes Insipidus ... Treatment #management #nephrology ... #sodium
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Hydration: 1.5-2 ... using urine strainer ... ECWL +/- Stent: < 2 ... protein - Low sodium ... Management #Pediatrics #nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Approach to the differential ... urine protein > ... nervous system (stroke ... are listed in 2 ... nephrotic #syndrome #nephrology
Urine chemistry tests for the diagnostic evaluation of a patient with polyuria
UOsm <100 mOsm/Kg (H2O diuresis)
Urine chemistry ... polydipsia • Diabetes insipidus ... = UOsm - Salt and ... #polyuria #differential ... #diagnosis #nephrology