Diagnosis nephrology classification algorithm dermatology kidney syndrome hyponatremia nephrotic sodium hypotonic low hyperkalemia urinary urine alkalosis differential

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Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia:
• ADH ON (UOsm > 100):

Algorithm Hypertonic ... syndrome - ... polydipsia, Low ... #Algorithm #diagnosis ... #sodium #nephrology

Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia:
• Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,

Hyponatremia - Differential ... Syndrome, Chronic ... Algorithm #diagnosis ... #causes #nephrology ... #sodium #low

Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the

normal volume-based algorithm ... Urine Na+K / serum ... syndrome) • ADH ... differential #diagnosis ... #nephrology

Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
• Urine Na <20: Extra-renal losses
•

Hypothyroidism, Low ... failure, Cirrhosis, Nephrotic ... syndrome • Urine ... #algorithm #diagnosis ... #sodium #low #nephrology

Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
• Kidney loss of Cl-

Algorithm Cl- ... • Normal/low ... #urine #Algorithm ... #nephrology #differential ... #diagnosis

Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked

differentiating kidney ... mEq/g suggests urinary ... #diagnosis #Algorithm ... #differential # ... potassium #nephrology

Causes of Hyperkalemia
l. Pseudohyperkalemia
A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis
B.

radiocontrast, hypertonic ... antiphospholipid syndrome ... #Differential # ... Diagnosis #High ... #Potassium #Classification

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