9 results
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
urine osm (in DI; high ... output is a clue). 1) ... , Dehydration: neurologic ... post-obstructive 3) ... ([Na] / 140) - 1)
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... kaliuresis step 1 ... fludrocortisone step 3 ... diuretics #diuresis #nephrology ... #algorithm
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Diagnosis Algorithm ... water retention 1) ... Urine Osmolarity 3) ... Acid → SIADH - High ... #nephrology #sodium
Treatment Algorithm for Active Proliferative Lupus Nephritis (Class III/IV or Mixed Class III/IV + V)
Induction Therapy
Treatment Algorithm ... Agent plus mod-high ... g/d for 1-3 days ... #Algorithm #Proliferative ... Nephritis #management #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Hyperuricemia • Hyponatremia ... obstruction 3. ... Treatment of underlying ... output: 200 ml/hr 3. ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... +K / serum Na >1 ... diuresis can be high ... Present (Uosm ≥100): Hypovolemia ... table #sodium #nephrology
Hyperkalemia Management Algorithm
 • Treat the cause & optimize hemodynamics and ventilation
 • Reconsider treatment leadingto
Algorithm • Treat ... • Reconsider treatment ... potassium supplements 1) ... Intracellular K+ Shift 3) ... #high
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
conditions - Neurogenic ... heat illness → Hypernatremia ... Multi-system illness: 1. ... , ARDS, DIC) 3. ... High body temperatures
Orthopedic Emergencies
Compartment Syndrome
 • An increase in compartment pressure to the point where tissue perfusion is
usually appear in 1- ... • Management: 1. ... resuscitation 3. ... Diagnosis: requires a high ... Spinal shock vs Neurogenic