11 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Algorithm - Utilizing ... Uric Acid - Low ... Acid → renal salt wasting ... #Algorithm #nephrology ... #sodium #low #uricacid
“Step by Step” – the new kid on the block – aims to risk stratify this
components of the algorithm ... be considered “low ... Absolute Neutrophil Count ... CRP < 20 mg/L #Diagnosis ... #Stratification
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Cerebral salt wasting ... Primary polydipsia, Low ... #diagnosis #sodium ... #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Cerebral salt wasting ... Hypothyroidism, Low ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Cerebral Salt Wasting ... #differential #diagnosis ... #nephrology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Orthopedic • Low ... surgery Stress Testing ... #Evaluation #stratification ... #diagnosis
MIRACLE2 Risk Score for Neuro-prognostication in Post Cardiac Arrest Patients
Missed (Unwitnessed Arrest) 1
Initial Rhythm (Non-Shockable) 1
Reactivity
/Asystole) - 1 Low ... 10): 0-2 = Low ... Risk 3-4 = Medium ... CardiacArrest #stratification ... #neurology #diagnosis
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... in monitoring low-level ... /platelet count ... antibody, and HIV (if risk ... #workup #diagnosis
Approach to Microscopic Hematuria 

Microscopic hematuria is often incidental but may be associated with urologic malignancy.
received no follow-up testing ... alone Risk Stratification ... : • Low-Risk: ... #Microscopic #diagnosis ... #management #urology
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... in monitoring low-level ... /platelet count ... antibody, and HIV (if risk ... disease #workup #diagnosis