13 results
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Urine K+ <13 mEq ... mmol creatinine) High ... Low-normal EABV ... EABV, High Plasma ... algorithm #diagnosis #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... A urine K/Cr ratio ... • Diarrhea A urine ... urinary losses: • High ... differential #potassium #nephrology
Causes Abnormal Urine Color - Differential Diagnosis
Turbid White Urine (Albinuria):
 • Chyluria, Filariasis, Schistosomiasis, Malignancy, Phosphaturia,
Causes Abnormal ... (blue diaper syndrome ... UTI caused by (Proteus ... Garcia @Alexgr23 #Abnormal ... Differential #Diagnosis #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Burns • Trauma/Crush ... - Tumor lysis syndrome ... differential #diagnosis #causes ... #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
diuretic use, Bartter syndrome ... , Gitelman syndrome ... high in kidney ... the indicated causes ... #Algorithm #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Burns • Trauma/Crush ... - Tumor lysis syndrome ... differential #diagnosis #causes ... #nephrology
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
hemolytic-uremic syndrome ... arbitrarily defined as urine ... red blood cells/high-power ... because nephritic urine ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Lysis (TLS, rhabdo/crush ... tourniquet / IVF line draw ... lysis) ± Urine ... only if no clear cause ... Treatment #potassium #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... Na+K / serum Na ... diuresis can be high ... Cirrhosis, Nephrotic syndrome ... table #sodium #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
0.8-2.0 Pure High ... of High Anion Gap ... D-lactate (short bowel syndrome ... failure (uremia) K ... Diagnosis #Summary #Nephrology