62 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... High Uric Acid → renal ... #nephrology #sodium ... #low #uricacid
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Losses Non-renal ... #nephrology #low ... #potassium
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Extra-renal Losses ... #causes #potassium ... #low #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... low, uric acid ... and uric acid low ... #Algorithm #Diagnosis ... #Nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Fluids Shift potassium ... 90 minutes) • Sodium ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic ... • Acute renal ... #Hyperkalemia #Diagnosis ... #algorithm #nephrology ... #potassium #differential
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
FENa) could help differentiate ... between pre-renal ... and intrinsic renal ... performance for diagnosing ... AcuteKidneyInjury #Nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Na <20: Extra-renal ... Urine Na >30: Renal ... Hypothyroidism, Low ... Hyponatremia #algorithm #diagnosis ... #sodium #low #nephrology
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Hypernatremia - Differential ... Diagnosis Inadequate ... perspiration Renal ... #Diagnosis #Causes ... #nephrology #sodium
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia Diagnostic ... - 1° HPT - 1° Renal ... Hypophosphatemia #phosphorus #low ... #differential # ... nephrology