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diagnosis differential nephrology management hypokalemia hyponatremia potassium urology endocrinology hyperkalemia alkalosis associated classification epilepticus insufficiency intercellularshift metabolic nongap pulmcrit sodium
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... for renal biopsy ... if cause not identified ... #Diagnosis #Algorithm
Causes of Hematuria - Glomerular vs Non-glomerular == Glomerular == - Glomerulonephritis - Thin basement membrane disease ==
Causes of Hematuria ... Pyelonephritis - Renal ... #Glomerular #Algorithm ... Nonglomerular #Causes ... #Differential #Urology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... ACTH) stimulation test ... Baseline plasma ACTH Low ... insufficiency • Low
Algorithm and Differential Diagnosis of Macroscopic Hematuria Important Historical Elements: - Painless: suggests malignancy - Painful: suggests calculi/infection - Urinalysis:
Algorithm and Differential ... of Macroscopic Hematuria ... RBC’s, RBC/WBC casts ... suggest intrinsic renal ... Diagnosis #EM #IM #Urology
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... Differential Diagnosis Algorithm ... Aldosterone-secreting mass • Adrenal ... Differential #Diagnosis #Algorithm ... #Causes
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Beer Potomania - Low ... Hypothyroidism, adrenal ... Differential #Diagnosis #Algorithm ... #causes #nephrology
Adrenal Insufficiency Diagnosis Algorithm - Evaluation of HPA Axis Response to ACTH Early am cortisol < 3
Diagnosis Algorithm ... unclear (often the case ... Standard Stim test ... primary AI - Low ... #Stimulation #Test
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Differential Diagnosis Algorithm ... Syndrome, Congenital Adrenal ... Differential #Diagnosis #Algorithm ... #nephrology #causes ... #low #potassium
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... , NGT suction, Low ... hyperaldosteronism • High PRA: Renal ... Differential #Diagnosis #Algorithm ... #Nephrology #Causes
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