14 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Workup Algorithm ... mechanism 2) ... • Euvolemic (Low ... #Workup #Algorithm ... #nephrology #sodium
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... Loop and thiazide diuretics ... , Gitelman syndrom ... #potassium #low ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
- Differential Diagnosis ... Algorithm Volume ... , Gitelman Syndrome ... hyperaldosteronism • High PRA: Renal ... #Algorithm #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... Step 2. ... • nephrotic syndrome ... #Diagnosis #Workup ... #Algorithm #Nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
- Differential Diagnosis ... Algorithm Volume ... , Gitelman Syndrome ... hyperaldosteronism • High PRA: Renal ... #Algorithm #Nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Alkalosis • ↑ beta-2 ... • Refeeding syndrome ... • Discontinued diuretic ... #Algorithm #nephrology ... #low #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Algorithm Defining ... acidosis (type 1 of 2) ... Post-hypercapnia • Diuretics ... , Gitelman's syndrome ... #nephrology #potassium
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diagnosis of ... irrigation • Management ... • Hyponatremia ... Tolvaptan) • Treatment ... #Diuresis #Nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... Alkalosis: Emesis, Diuretics ... , Gitelman syndrome ... #Hypokalemia #diagnosis ... #potassium #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Gitelman Syndrome ... alkalosis • Normal or low ... Rhabdomyolysis Treatment ... #Syndrome #diagnosis ... #nephrology #management