8 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... mOsm/kg - Implies renal ... , Ingestion Renal ... #nephrology #sodium
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... Repeat the sodium ... volume loss - diuretics ... #Nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Regulating Renal ... disequilibrium syndrome • Diagnosis ... irrigation • Management ... Inhibitors of Na+K+2Cl ... #Diuresis #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... Antibiotics (Bactrim, PCN ... reabsorption) Workup ... tourniquet / IVF line draw ... #potassium #nephrology
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
and Workup Blood ... Work: - Hypokalemia ... Fractional excretion of Cl ... Normotensive - No diuretic ... #Workup #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
• Hypovolemia: Diuretics ... Syndrome, Chronic Renal ... MH/CCF/CWRU EM ... #causes #nephrology ... #sodium #low
Post-Transplant Diarrhea - Diagnosis and Management Algorithm
Post-transplant diarrhea (≥ 3 loose or liquid stools per day)
Post-Transplant Diarrhea - Diagnosis ... and Management ... Malabsorption workup ... ) ± Plasma CMV PCR ... #nephrology #renal
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... • Hypokalemia (renal ... Gitelman #Syndrome #diagnosis ... #nephrology #management