16 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Serum Osmolarity 2) ... Urine Osmolarity ... 3) Urine Sodium ... #nephrology #sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
history Step #2 ... Uglucose Step #3 ... Hypernatremia #Management ... #Algorithm #Sodium ... #nephrology #insipidus
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
hypovolemic step 2 ... fludrocortisone step 3 ... #criticalcare # ... diuretics #diuresis #nephrology ... #algorithm
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
Neurological event 2) ... Sodium loss from ... tubules 3) Naturiesis ... → Increased urine ... Pathophysiology #diagnosis #nephrology
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
serum osmolality 2) ... 3) ADH Dependent ... volume status, urine ... sodium, uric acid ... #hyponatremia #nephrology
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Epilepticus - Management ... Anti-epileptic #3 ... Intubation - Dr ... #treatment #algorithm ... peds #pediatrics #neurology
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
, Dehydration: neurologic ... water unavailable 2) ... post-obstructive 3) ... Diagnosis #Treatment #management ... #nephrology #sodium
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Hydration: 1.5-2 ... ECWL +/- Stent: < 2 ... protein - Low sodium ... ascorbic acid Dr ... #Pediatrics #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... 2) Is ADH elevated ... Measure urine osmolality ... Diagnosis #Treatment #management ... #nephrology #sodium
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Basically anything 2. ... hospitalization) 3. ... promoting passive sodium ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology