9 results
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Acidosis - RTA - Diarrhea ... Metabolic alkalosis ... Primary hyperaldo ... Diagnosis #Causes #Workup ... #Nephrology
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
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
pH - What’s the primary ... Vomiting D - Diarrhea ... nickmmark #acidbase #workup ... #algorithm #diagnosis ... #acidosis #alkalosis
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Differential Diagnosis Algorithm ... Osmotic diuresis (see ... loss • Watery Diarrhea ... #Nephrology #Differential ... #Diagnosis #Algorithm
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
- Urinary Chloride ... Algorithm Cl- ... #Urinary #Chloride ... #urine #Algorithm ... #nephrology #differential
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
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Absorption: Chronic Diarrhea ... Acute Respiratory Alkalosis ... • N Vitamin D: Primary ... #nephrology #phosphorus ... #workup
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 High PTH: Primary ... #phosphate #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... Laxative use • Diarrhea ... mEq/g suggests urinary ... - Metabolic Alkalosis ... differential #potassium #nephrology