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diagnosis management differential syndrome hyponatremia algorithm causes diuresis diuretics excretion gitelman hepatology hepatorenal hrs hyperkalemia hypernatremia hypokalemia hypotonic k medications
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... mOsm/kg - Implies renal ... • Euvolemic (Low ... #Algorithm #nephrology ... #sodium
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 ... Primary polydipsia), Low ... differential #diagnosis #table ... #sodium #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
oxidative injury Treatment ... Treatment of underlying ... disease 2. ... per day until stable ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... 15 suggests ↓ renal ... Elimination (see Table ... acidosis) • Low ... #potassium #nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
3 questions to work ... Treatment: Treatment ... vaptans (HF/liver disease ... #management #nephrology ... #sodium
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Agents Regulating Renal ... Inhibitors of Renal ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology ... #Medications #Table
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
antibody that works ... Person Syndrome Treatment ... Baclofen • Severe Disease ... others (botox, sodium ... #neurology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... alkalosis • Normal or low ... • Autoimmune disease ... Rhabdomyolysis Treatment ... Syndrome #diagnosis #nephrology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
advanced liver disease ... perfusion + ↑ renal ... • Urine sodium ... Treatment Overview ... Syndrome #Hepatology #Nephrology
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