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diagnosis differential causes hypophosphatemia treatment workup algorithm diuresis diuretics excretion framework gitelman hyperkalemia hypokalemia hyponatremia hypotonic k kidney kidneyinjury medications
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Sodium loss (diuretics ... can be high or low ... Cirrhosis, Nephrotic syndrome ... differential #diagnosis #table ... #sodium #nephrology
Common causes of Acute Kidney Injury AKI - Differential Diagnosis HEMODYNAMIC • Cardiac failure: Impaired forward flow,
Kidney Injury AKI ... Impaired forward flow ... inhibitors, hepatorenal syndrome ... thromboembolism, renal ... Differential #Diagnosis #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
paraproteinemia, acute ... resp. alkalosis ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... Workup #phosphate #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low ... , Acute Respiratory ... Alkalosis, Tumor ... Hyperparathyroidism, TKI ... Diagnosis #Algorithm #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... • Normal or low ... , Renal tubular ... #diagnosis #nephrology ... #management #pathophysiology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... declines > ALT) • AKI ... + myoglobin AKI ... per day until stable ... causes #treatment #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Metabolic alkalosis ... irrigation • Management ... Torsemide) • Acute ... Excretion #Diuresis #Nephrology ... #Medications #Table
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Kidney Stones Acute ... protein - Low ... sodium diet ... Monitoring for extra-renal ... #Pediatrics #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, RTA Type IV, AI ... 15 suggests ↓ renal ... Elimination (see Table ... acidosis) • Low ... Treatment #potassium #nephrology
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