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diagnosis differential hypokalemia potassium chloride hyponatremia hypophosphatemia metabolic sodium acidosis alkalosis complications dialysis framework history hpi hyperkalemia hypochloremia hypomagnesemia infections
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... Osmotic diuresis (see ... mannitol, glucosuria Low ... loss • Watery Diarrhea ... #Nephrology #Differential
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
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... Check Urine Osmolality ... • Euvolemic (Low ... #Algorithm #nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Framework and Workup ... • Serum K: low ... Loss of HCO3 - Diarrhea ... Differential #Diagnosis #Workup ... #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... leukemia Measure Urine ... Malabsorption, Chronic diarrhea ... • Normal or Low ... #phosphate #nephrology
Causes of Hypomagnesemia - Differential Diagnosis Algorithm GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... 2-2.5% or 24h Urine ... Mg < 10g • Diarrhea ... 2-2.5% or 24h Urine ... Hypomagnesemia #Magnesium #Low
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Gl tract loss (Diarrhea ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #low #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... losses, Vomiting, Diarrhea ... Cardiac failure #Hyponatremia ... #Causes #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... Congenital chloride diarrhea ... alkalosis • Normal/low ... the indicated causes ... #Algorithm #nephrology
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA - Diarrhea ... #Differential #Algorithm ... #Diagnosis #Causes ... #Workup #Nephrology
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