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diagnosis algorithm differential causes potassium sodium endocrinology acute adrenal hyperkalemia insufficiency kidneyinjury workup cushings hypercortisolism hypotonic intercellularshift management neurology physiologic
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... Present (Uosm ≥100): Hypovolemia ... water intake (Primary ... table #sodium #nephrology
Causes of Hypokalemia - Differential Diagnosis Algorithm Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... suggests either secondary ... Hyperaldosteronism • Secondary ... #causes #nephrology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Algorithm UOsm ... EABV) - Consider: Hypovolemia ... Vasopressin-independent - Consider: Primary ... polydipsia, Low ... #causes #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... • Reduced GFR, AKI ... suppression • Primary ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... • Reduced GFR, AKI ... suppression • Primary ... #Nephrology #Differential
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
The Diagnostic Approach ... to Hyperkalemia ... High Renin - Primary ... Ketoconazole Low ... #Algorithm #diagnosis
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Simplified Approach ... require urgent nephrology ... common culprits: Hypovolemia ... , Low effective ... circulating volume, Urinary
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... ON (UNa < 30): Hypovolemia ... (UOsm < 100): Primary ... polydipsia, Low ... #sodium #nephrology
Hypokalemia Differential Diagnosis Algorithm Hypertensive: • High Al, Low R - Primary aldosteronism • High Al, High
Hypokalemia Differential ... Diagnosis Algorithm ... R - Primary aldosteronism ... High Al, High R - Secondary ... #nephrology #causes
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Common causes of ... Kidney Injury AKI ... Impaired forward flow ... nephropathy • Secondary ... Differential #Diagnosis #nephrology
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