6 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup ... Algorithm 1) ... • Euvolemic (Low ... #Algorithm #nephrology ... #sodium
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... , Gitelman syndrome ... the excretion of sodium ... #nephrology #differential
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Cirrhosis, Nephrotic Syndrome ... Alcohol MH/CCF ... #causes #nephrology ... #sodium #low
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
mental status and low ... acute coronary syndrome ... #diagnosis #differential ... #algorithm #management ... #heartfailure #chf
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... tubule (DCT) Clinical ... alkalosis • Normal or low ... ratio 0.5%) Differential
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
hormones that work ... The metabolism of ... for Refeeding Syndrome ... both conditions, low ... #criticalcare #foamed