14 results
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... failure, Cirrhosis, Nephrotic ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
and Workup Step ... Repeat the sodium ... liver failure • nephrotic ... #Workup #Algorithm ... #Nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... in addition) of volume ... low, uric acid ... and uric acid low ... #Diagnosis #Nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
algorithm Urine ... failure, Cirrhosis, Nephrotic ... #differential #diagnosis ... #table #sodium ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Workup Algorithm ... mechanism 2) Volume ... • Euvolemic (Low ... #Workup #Algorithm ... #nephrology #sodium
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Algorithm Hypovolemic ... - Give volume Hypervolemic ... CHF, cirrhosis, nephrotic ... #Algorithm #diagnosis ... #nephrology #sodium
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
failure, Cirrhosis, Nephrotic ... Primary polydipsia, Low ... solute intake, ... #diagnosis #sodium ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
- Differential Diagnosis ... Algorithm ADH ... Beer Potomania - Low ... liver failure, nephrotic ... #nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... pleuritic pain, pleural ... #Algorithm #differential ... #diagnosis #glomerular ... #syndrome #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 

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