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Diagnosis and Management of Hypernatremia

#Hypernatremia #Differential #Algorithm #Causes #Nephrology #Diagnosis

** GrepMed Recommended Text: Nephrology Secrets -
Diagnosis and Management ... Differential #Algorithm #Causes ... #Nephrology #Diagnosis ... Recommended Text: Nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... e.g NSAlDs) 3) FIX ... are caused by prerenal ... CONSIDER INTRINSIC CAUSES ... workup #diagnosis #nephrology
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Causes of Proteinuria ... Negative urine dip ... Positive urine dip ... #Proteinuria #Nephrology ... Diagnosis #Algorithm #Causes
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
helmet cells DDX ... MAHA: TTP/HUS > DIC ... Treat primary cause ... Coagulation #diagnosis #causes ... #treatment #management
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
, nl Pplat: - DDx ... high Pplat: - DDx ... Auto-PEEP: - DDx ... Treat underlying cause ... Troubleshooting #diagnosis #management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
function of the DIP ... Finger deformity caused ... distal to the DIP ... fracture • ED Management ... XRay #Diagnosis #Management
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia #Management ... Algorithm #Sodium #nephrology ... #insipidus #DI
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
Distal #Diagnosis #Management ... #Nephrology #Causes
Drug Induced Lupus vs SLE
Drug Induced Lupus (DIL):
 • Epidemiology: -10% of all lupus cases, drug-dependent,
10% of all lupus cases ... Discontinuation of causal ... Positive in 60-80% of cases ... Usual therapeutic management ... rheumatology #diagnosis #management
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... Treat underlying cause ... : • Causes can ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology