8 results
Algorithm for the Treatment of Uremic Pruritus
Nonpharmacologic Treatments:
 • Daily topical emollient
 • Avoidance of extremes
Treatment of Uremic ... of Uremic Pruritus ... 2.5 mcg/d) #Uremic ... #Pruritus #uremia ... #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Algorithm - Utilizing ... promotes Urea/uric ... - Low Uric Acid ... #Algorithm #nephrology ... #sodium #low #uricacid
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... low, uric acid ... low in euvolemic ... #Differential #Algorithm ... #Diagnosis #Nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Hypovolemic, Serum uric ... Hypothyroidism, Low ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
large total body stores ... pit, low retic ... Check for IF ab Treatment ... consider other diagnosis ... Cobalamin #Deficiency #diagnosis
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
- differential diagnosis ... #Pruritus #Treatment ... #Algorithm #Hemodialysis ... #Uremic #Uremia ... #Management #Nephrology
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
Albumin ≤3.0 g/dL, anemia ... effusion, or z scores ... echo is positive, treatment ... #Diagnosis #Peds ... #Pediatrics #Kawasaki
Gitelman Syndrome Overview

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