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diagnosis differential management treatment hematuria adh crystals dipstick ebv glucosuria hepatology hepatorenal hrs hypotonic hypovolemia leucocyteesterase nitrite osmolality physiologic potomania
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
• Red blood cells ... • Urinary casts ... : • White blood ... Acute Kidney Injury ... #UNa #casts #glucosuria
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... restriction alone in SIADH ... , Renal Sodium loss ... #nephrology
Management of SIADH Treat underlying cause: • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... promoting passive sodium ... Saline: • If Urine ... #Management #hyponatremia ... #nephrology #treatment
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
lower than 80% in cases ... Rise in blood urea ... causes the hyponatremia ... Measured urine sodium ... EBV #potomania #SIADH
SIADH Treatment Options 1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Treat underlying cause ... promoting passive sodium ... 0.9% NS • If Urine ... #Management #hyponatremia ... #nephrology #treatment
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
is usually caused ... vast majority of cases ... Measure urine osmolality ... Treatment #management #nephrology ... #sodium
Hematuria - Differential Diagnosis Framework Gross Hematuria: Red/Dark urine • 1ml blood/liter urine can induce color change
• 1ml blood/liter ... Immune mediated injury ... hematuria: - RBC casts ... #urology #nephrology ... blood
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Hyperuricemia • Hyponatremia ... UA positive for blood ... Cast formation: ... #treatment #nephrology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
(no casts, protein ... , or blood) ... • Urine sodium ... essential in all cases ... Syndrome #Hepatology #Nephrology
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