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diagnosis algorithm differential management causes hyponatremia acute clinical hyperkalemia potassium sodium criticalcare hematology meningitis pulmcrit table acyclovir blood bloodsmear borrelia
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Diagnosis Algorithm ... B12 injections in ... anemia) • G-CSF ... vomiting) • Low ... #nephrology #low
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 ... CONSIDER INTRINSIC CAUSES
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... EABV (e.g., CHF ... renal failure • AKI ... ENaC blockers • AIN ... IntercellularShift #Nephrology
Algorithmic Approach to Acute Interstitial Nephritis When to suspect AIN? (not sensitive) • AKI, AKD, rapidly progressive
Algorithmic Approach ... When to suspect AIN ... sensitive) • AKI ... associated with AIN ... #Algorithm #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... Malignancy True hypovolemia ... • Reduced GFR, AKI ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... stimulus to ADH • Pain ... Malignancy True hypovolemia ... • Reduced GFR, AKI ... #Hyponatremia #Nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Physiologic Approach ... time you have a case ... normal volume-based algorithm ... Present (Uosm ≥100): Hypovolemia ... table #sodium #nephrology
Acute Kidney Injury (AKI) - Differential Diagnosis Framework Pre-Renal: • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Kidney Injury (AKI ... Pre-Renal: • Hypovolemia ... Pigment, Protein) • AIN ... Differential #Diagnosis #nephrology ... #causes #algorithm
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... The next step in ... consumption • Low ... differential #potassium #nephrology ... #low
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... , RTA Type IV, AI ... only if no clear cause ... acidosis) • Low ... #potassium #nephrology
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