16 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... • Hypovolemic: Diuretics ... #Algorithm #nephrology ... #sodium
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Loop and thiazide diuretics ... Hypokalemia - Osmotic diuresis ... Post-obstructive diuresis ... Magnesium #Table #Classification ... #Causes #Workup
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... Repeat the sodium ... volume loss - diuretics ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Diuretics (discontinued ... #Differential #Algorithm ... #Diagnosis #Causes ... #Workup #Nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... : SIADH, Renal Sodium ... loss (diuretics ... diagnosis #table #sodium
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
• Caused by splanchnic ... Exclude other AKI causes ... Classification: ... volume expansion + diuretic ... • Urine sodium
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... Differential Diagnosis Algorithm ... water loss, Serum Sodium ... administration • Osmotic diuresis ... #Causes
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Differential Diagnosis Algorithm ... Hypomagnesemia • Osmotic diuresis ... Differential #Diagnosis #Algorithm ... #Causes #Classification
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Urinary Chloride Algorithm ... loop or thiazide diuretics ... pressure: Active diuretic ... the indicated causes ... the excretion of sodium
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
Failure - Add Diuretics ... Add Diuretics, Consider ... SIADH — look for cause ... Hyponatremia #Management #algorithm ... #treatment #sodium