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diagnosis differential nephrology algorithm medications drugs hypomg hyponatremia table alkalosis chloride diuretics enuresis excretion high hypokalemia hypotonic low metabolic nocturnal
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... • Osmotic diuresis ... insipidus • Nephrogenic ... Differential #Diagnosis #Causes ... #nephrology #sodium
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
• Hypovolemic: Diuretics ... osmotic (solute) diuresis ... Hypervolemic: Conn syndrome ... , Cushing syndrome ... Algorithm #nephrology #sodium
Causes of Enuresis - Differential Diagnosis Algorithm Primary Nocturnal Enuresis (Urinary Control Never Achieved) • Delayed Maturation
Causes of Enuresis ... Cerebral Palsy, Neurogenic ... : • Pediatric ... (Hinman Syndrome ... #Peds #Pediatrics
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Hyponatremia ... • Nephrogenic ... Kidney stones caused ... and euvolemic hyponatremia ... #Nephrology #Pharmacology
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
Causes of Hypomagnesemia ... Saline or osmotic diuresis ... Drugs: - Loop diuretics ... #Causes #diagnosis ... medications #drugs #pharmacology
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
hypokalemia and hypomagnesemia ... overdose) - Sodium ... foscarnet - Diuretics ... renal Fanconi syndrome ... diagnosis #nephrology #Causes
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... : SIADH, Renal Sodium ... loss (diuretics ... Cirrhosis, Nephrotic syndrome ... diagnosis #table #sodium
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
loop or thiazide diuretics ... use, Bartter syndrome ... , Gitelman syndrome ... , Hypomagnesemia ... the indicated causes
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... • Hypovolemia: Diuretics ... Cirrhosis, Nephrotic Syndrome ... Algorithm #diagnosis #causes ... #nephrology #sodium
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