13 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... • Euvolemic (Low ... , Cushing syndrome ... #Differential # ... Algorithm #nephrology #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
: SIADH, Renal Sodium ... diuresis can be high ... Cirrhosis, Nephrotic syndrome ... Primary polydipsia), Low ... #differential #
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
alkalosis • Normal/low ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... the excretion of sodium ... Algorithm #nephrology #differential
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... IV Fluids • If high ... Diuretics • If low ... • Hepatorenal syndrome ... ureteral stent(s) • Neurogenic
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
respiratory distress syndrome ... pulmonary edema • High ... /eclampsia • Neurogenic ... cerebral hemorrhage, seizure ... #diagnosis #cardiology
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Dehydration - Loss of sodium ... conditions - Neurogenic ... heat illness → Hypernatremia ... involvement: Muscles, Kidneys ... High body temperatures
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... exertion/training - Seizures ... Hyperuricemia • Hyponatremia ... nephrotoxicity to kidney ... Rhabdomyolysis #Differential
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
osmolality helps to differentiate ... asymptomatic to seizures ... stimulated in states of low ... collecting duct in the kidneys ... activated in states of low
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
: Tonic-clonic seizure ... patients • HELLP: Syndrome ... liver enzymes, Low ... diagnosis so have high ... #differential #
Causes of Hyperkalemia
l. Pseudohyperkalemia
  A Cellular efflux; thrombocytosis, erythrocytosis, leukocytosis, in vitro hemolysis
  B.
injury F. ... Drug-associated: heparin, low-molecular-weight ... antiphospholipid syndrome ... #Hyperkalemia #Differential ... #Diagnosis #High