14 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Algorithm Cl- ... diarrhea ... • Normal/low ... #urine #Algorithm ... #nephrology #differential
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Differential Diagnosis Algorithm ... diarrhea), Sweat ... - Normal/low ... acidosis: Chronic diarrhea ... Differential #Diagnosis #Algorithm
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... volume loss - diarrhea ... #Diagnosis #Workup ... #Algorithm #Nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Differential Diagnosis Algorithm ... Osmotic diuresis (see ... mannitol, glucosuria Low ... loss • Watery Diarrhea ... #Nephrology #Differential
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA - Diarrhea ... Metabolic alkalosis ... Diagnosis #Causes #Workup ... #Nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Differential Diagnosis Algorithm ... Transcellular Shift: • Alkalosis ... losses (NG suction, diarrhea ... vomiting) • Low ... #nephrology #low
Hypochloremia - Differential Diagnosis Algorithm

Cause - Decreased Intake:
 • Low salt in diet
 • Exclusive D5W
Differential Diagnosis Algorithm ... Decreased Intake: • Low ... NGT suction - Diarrhea ... Pathophysiology #Nephrology ... #Chloride
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... Absorption: Chronic Diarrhea ... Acute Respiratory Alkalosis ... #nephrology #phosphorus ... #workup
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... and metabolic alkalosis ... losses, Vomiting, Diarrhea ... #Causes #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Malabsorption, Chronic diarrhea ... Glucose, Acute resp. alkalosis ... • Normal or Low ... #phosphate #nephrology