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diagnosis differential hyponatremia causes management workup acute hepatology hepatorenal hrs hyperkalemia hypotonic intercellularshift kidneyinjury nephrolithiasis pediatrics physiologic rhabdomyolysis simplified stones
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Serum Osmolarity 2) ... #nephrology #sodium ... #low #uricacid
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... : SIADH, Renal Sodium ... can be high or low ... Present (Uosm ≥100): Hypovolemia ... #nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... ON (UNa < 30): Hypovolemia ... Primary polydipsia, Low ... #Algorithm #diagnosis ... #sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... renal mechanism 2) ... • Euvolemic (Low ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
Simplified Approach to Acute Kidney Injury (AKI) 1) IS THIS AN EMERGENCY? Is there a dialysis indication
Approach to Acute Kidney ... require urgent nephrology ... 2) HISTORY/PHYSICAL ... , Low effective ... workup #diagnosis #nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... : • Hypovolemia ... #Differential #Algorithm ... diagnosis #causes #nephrology ... #sodium #low
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... renal failure • AKI ... nephropathy • Beta-2 ... IntercellularShift #Nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
declines > ALT) • AKI ... Hyperuricemia • Hyponatremia ... + myoglobin AKI ... nephrotoxicity to kidney ... causes #treatment #nephrology
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Hydration: 1.5-2 ... • Can consider medical ... protein - Low ... sodium diet ... Management #Pediatrics #nephrology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Exclude other AKI ... >2.5 mg/dL in <2 ... • Urine sodium ... • Medical: ... Syndrome #Hepatology #Nephrology
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