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nephrology causes algorithm hyponatremia hypokalemia table excretion gitelman hypomagnesemia hypomg hypotonic pathophysiology pharmacology physiologic rhabdomyolysis syndrome treatment workup
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... • Euvolemic (Low ... • Hypovolemic: Diuretics ... osmotic (solute) diuresis ... #sodium
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Sodium loss (diuretics ... deficiency, Post-AKI diuresis ... (AKI, Post-AKI diuresis ... #differential # ... #sodium #nephrology
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
overdose) - Sodium ... foscarnet - Diuretics ... and other loop diuretics ... antiretroviral therapy - Diuretics ... diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
trauma • Drugs ... • Pulmonary pathology ... GI losses • Renal ... especially thiazide diuretics ... #Nephrology #Differential
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... Torsemide) • Acute pulmonary ... #Diuresis #Nephrology ... #Pharmacology #Medications
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
trauma • Drugs ... • Pulmonary pathology ... GI losses • Renal ... especially thiazide diuretics ... #Nephrology #Differential
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... • Hypovolemia: Diuretics ... Syndrome, Chronic Renal ... Algorithm #diagnosis ... #sodium #low
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
and Management ... - Toxins - Drugs ... Hyperuricemia • Hyponatremia ... Loop diuretics for ... #Diagnosis #Management
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
with thiazide diuretic ... alkalosis • Normal or low ... ratio 0.5%) Differential ... Surreptitious diuretic ... #nephrology #management
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