19 results
diagnosis differential algorithm hyponatremia alkalosis hypokalemia management metabolic hyperkalemia hypernatremia potassium syndrome cardiorenal chloride gitelman hypomagnesemia hypotonic intercellularshift k kidney
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Sodium 4) Serum ... Uric Acid - Low ... High Uric Acid → renal ... Diagnosis #Algorithm #nephrology ... #sodium #low #uricacid
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Na <20: Extra-renal ... Na >30: Renal losses ... Hypothyroidism, Low ... algorithm #diagnosis #sodium ... #low #nephrology
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... serum magnesium x urine ... differential #diagnosis #causes ... #nephrology #magnesium ... #low
Mechanisms of nephron damage in cardiorenal syndrome • Increased renal interstitial pressure • Hypoperfusion • Reduced
• Increased renal ... blood flow • ... hypertrophy • Sodium ... syndrome #Mechanisms #pathophysiology ... #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... water loss, Serum Sodium ... mannitol, glucosuria Low ... Urine Osmolality ... Hypernatremia #Nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Urine Cl-: Vomiting ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #Nephrology ... #Causes
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... Sodium loss (diuretics ... can be high or low ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Algorithm 1) Check Urine ... mOsm/kg - Implies renal ... • Euvolemic (Low ... Workup #Algorithm #nephrology ... #sodium
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
Causes of Polyuria ... • Central Dl (Low ... Nephrogenic DI (Renal ... Polyuria Mimics (↑ urine ... #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... suggests extra-renal ... causes • Laxative ... differential #potassium #nephrology ... #low
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