13 results
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
ON (UNa < 30): Hypovolemia ... failure, Cirrhosis, Nephrotic ... Cerebral salt wasting ... Primary polydipsia, Low ... diagnosis #sodium #nephrology
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Diagnosis and Workup ... Blood Work: - ... Hypokalemia - Hypomagnesemia ... dominant kidney disease ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Cerebral Salt Wasting ... Present (Uosm ≥100): Hypovolemia ... failure, Cirrhosis, Nephrotic ... differential #diagnosis #table ... #sodium #nephrology
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Hypercalcemia - Hypokalemia ... Familial renal Mg wasting ... Differential #Diagnosis #Low ... #Magnesium #Table ... Classification #Causes #Workup
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... for glomerular disease ... in monitoring low-level ... #workup #diagnosis ... #nephritic #nephrology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... common culprits: Hypovolemia ... , Low effective ... Urinary obstruction, Nephrotoxic ... KidneyInjury #simplified #workup
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... in monitoring low-level ... #workup #diagnosis ... #nephrology #nephrotic ... #nephritis
Characteristics of Commonly Used Phosphate Binders 
Aluminum 
 - Potent and effective 
 - Useful for
Inexpensive - Treats hypocalcemia ... Lowers level of low-density ... increased risk of low ... Phosphate #Binders #Table ... #Pharmacology #Nephrology
Commonly Used Diagnostic Tests for Celiac Disease

Tissue transglutaminase (tTG) IgA antibodies
 - Most reliable noninvasive test
Tests for Celiac Disease ... negative if on low-gluten ... #Testing #Laboratory ... Tests #Diagnosis #Workup ... #Table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... Elimination (see Table ... acidosis) • Low ... Slow - don’t delay ... Treatment #potassium #nephrology