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workup hyponatremia alkalosis chloride framework hypotonic metabolic phosphate phosphorus physiologic table urinary volume
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Hypothyroidism, Low ... Glucocorticoid deficiency, Primary ... Cirrhosis, Nephrotic syndrome ... #algorithm #diagnosis ... #sodium #low #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
- Differential ... Diagnosis Framework ... leukemia Measure Urine ... Normal or High PTH: Primary ... Workup #phosphate #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... 1) Check Urine ... • Euvolemic (Low ... #Algorithm #nephrology ... #sodium
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Diagnosis Algorithm ... Appropriately Low ... , Acute Respiratory ... Diagnosis #Algorithm ... #nephrology #phosphorus
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... #differential # ... diagnosis #table ... #sodium #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Chloride Algorithm ... alkalosis • Normal/low ... #Algorithm #nephrology ... #differential # ... diagnosis
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