Leukocyte urine casts workup algorithm nephrology alkalosis hypokalemia diagnosis hyponatremia syndrome metabolic endocrinology management

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Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20:
• Renal losses, Diuretic excess,

Causes of Hyponatremia ... Algorithm Hypovolemia ... tubal acidosis and metabolic ... alkalosis, Ketonuria ... #nephrology

Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked

Algorithm Before ... A urine K/Cr ratio ... Alkalosis: Emesis ... #diagnosis #Algorithm ... differential #potassium #nephrology

Gitelman Syndrome - Diagnosis and Workup
Blood Work:
- Hypokalemia
- Hypomagnesemia
- Metabolic Alkalosis
- Elevated

: - Hypokalemia ... Alkalosis - Elevated ... Renin Urine Testing ... #Diagnosis #Workup ... #nephrology

Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome

alkalosis • Normal ... Hypochloremic metabolic ... (spot urine, calcium-creatinine ... #diagnosis #nephrology ... #management #pathophysiology

Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
• Trauma:
- Immobilization
- Crush injury
- Compartment

- Differential Diagnosis ... Heat stroke - Metabolic ... Hyperuricemia • Hyponatremia ... Cast formation: ... #treatment #nephrology

Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.

Hyponatremia - Diagnosis ... vast majority of cases ... 3 questions to work ... Measure urine osmolality ... #nephrology #sodium

Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
• Thin, easily bruisable skin with

hypertension (90% of cases ... Cataracts Labs: Hypokalemia ... is decreased), hypernatremia ... , metabolic alkalosis ... ↑ 24-hour urine

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