15 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Osmolarity 3) Urine Sodium ... Uric Acid - Low ... Acid → renal salt wasting ... Diagnosis #Algorithm #nephrology ... #sodium #low #uricacid
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... • Euvolemic (Low ... Differential #Diagnosis #Workup ... #Algorithm #nephrology ... #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
: SIADH, Renal Sodium ... can be high or low ... Cerebral Salt Wasting ... differential #diagnosis #table ... #sodium #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Cerebral salt wasting ... Hypothyroidism, Low ... algorithm #diagnosis #sodium ... #low #nephrology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Cerebral salt wasting ... Primary polydipsia, Low ... Algorithm #diagnosis #sodium ... #nephrology
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Familial renal Mg wasting ... Differential #Diagnosis #Low ... #Magnesium #Table ... Classification #Causes #Workup
Patients with CHD are exceptionally sensitive to the effects of bronchiolitis on their volume status
Four principles
principles of treating ... Redirect blood flow ... Anxiolysis to improve work ... Give IV sodium bicarbonate ... saturation is very low
Commonly Used Diagnostic Tests for Celiac Disease

Tissue transglutaminase (tTG) IgA antibodies
 - Most reliable noninvasive test
negative if on low-gluten ... Celiac #Disease #Testing ... Tests #Diagnosis #Workup ... #Table
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
and Screening Testing ... Oral sodium loading ... Causes #Screening #Workup ... #table
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... in monitoring low-level ... #glomerular #testing ... #workup #diagnosis ... nephrotic #nephritic #nephrology