33 results
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Hypernatremia - Differential ... Diagnosis Inadequate ... perspiration Renal ... #nephrology #sodium ... #high
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Diagnosis Framework ... FEPO4 ≥ 5% - Renal ... Vitamin D deficiency/resistance ... Inh., Osmotic diuresis ... Workup #phosphate #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
resistance • ... irrigation • Management ... ; High-Ceiling Diuretics ... #Diuresis #Nephrology ... #Medications #Table
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Diagnosis Algorithm ... (late) • High ... Urine Cl-: Diuretics ... PRA: Renal artery ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
≥100): SIADH, Renal ... can be high or ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
of Polyuria - Differential ... Diagnosis Excess ... Nephrogenic DI (Renal ... resistance to ADH ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Diagnosis Algorithm ... (late) • High ... Urine Cl-: Diuretics ... PRA: Renal artery ... #Nephrology #Causes
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
GI Losses - Gastric
 • Vomiting
 • NG suction
GI
Diagnosis Algorithm ... Chloridorrhea Renal ... • Penicillins Renal ... tubular transport • Diuretics ... MetabolicAlkalosis #NonGap #Nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... Extra-renal Losses ... Syndrome • HTN, High ... Loop and thiazide diuretics ... potassium #low #nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
- Insulin (high ... foscarnet - Diuretics ... and other loop diuretics ... #Medications #differential ... #diagnosis #nephrology