59 results
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
- RenalUrine ... Renal Loss of HCO3 ... • Serum K low ... Proximal RTA: • Low ... • Serum K: low
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 ... Na > 30: Renal ... diagnosis #sodium #low
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Osmolarity 2) Urine ... Osmolarity 3) Urine ... Uric Acid - Low ... High Uric Acid → renal ... nephrology #sodium #low
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
hyperaldosteronism • Low ... Urine Cl-: Vomiting ... , NGT suction, Low ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
hyperaldosteronism • Low ... Urine Cl-: Vomiting ... , NGT suction, Low ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
differential, urine ... dipstick, urine ... clinical context and signs ... Myeloma: serum / urine ... blood culture, urine
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... serum magnesium x urine ... cells FEMg >4% = renal ... magnesium loss if renal ... nephrology #magnesium #low
Types of Renal Calculi

Calcium oxalate
 - Interstitial apatite plaque, Low urine volume, Increased urinary calcium excretion,
apatite plaque, Low ... urine volume, Increased ... collecting duct plaque, Low ... urine volume, Increased ... and intestine, Low
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria: Red/Dark urine ... 1ml blood/liter urine ... more RBC/HPF spun urine ... examination of urine ... hematuria • Signs
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
2-2.5% or 24h Urine ... Malabsorption RENAL ... 2-2.5% or 24h Urine ... Hypomagnesemia #Magnesium #Low