7 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Diagnosis Algorithm ... - Diabetes Insipidus ... Workup Step ... history Step #2 ... #Sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Algorithm 1) ... renal mechanism 2) ... • Euvolemic (Low ... Euvolemic: Diabetes insipidus ... #Algorithm #nephrology
Polyuria - Differential Diagnosis Algorithm
Polyuria = >3L Urine output / 24 hours
Urine osmolality = 2 (Na
Urine osmolality = 2 ... (Na meq/L + K meq ... nutrition), Azotemia LOW ... kg • Diabetes Insipidus ... #nephrology
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 ... can be high or low ... differential #diagnosis #table ... #sodium #nephrology
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
• Symptomatic hyponatremia ... occurs in only 2- ... dysfunction - K+ ... intoxication Initial Workup ... diagnosis #management #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... Elimination (see Table ... acidosis) • Low ... 10U reg IV + 1-2 ... Treatment #potassium #nephrology
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm
Transcellular Shift - Appropriate renal excretion (GFR,
, TTKG, distal flow ... Increased Urate, Phosphate ... Decreased Na+-K+ ... Resistance • Beta-2 ... IntercellularShift #Nephrology