75 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Uric Acid - Low ... High Uric Acid → renal ... Diagnosis #Algorithm #nephrology ... #sodium #low #uricacid
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 ... #Hyponatremia #Differential ... Algorithm #Diagnosis #Nephrology
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
believed that urine sodium ... FENa) could help differentiate ... between pre-renal ... and intrinsic renal ... 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 ... algorithm #diagnosis #sodium ... #low #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Hypernatremia - Differential ... mOsm/kg - Implies renal ... • Euvolemic (Low ... Workup #Algorithm #nephrology ... #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
Sodium loss (diuretics ... can be high or low ... Primary polydipsia), Low ... #Hyponatremia #differential ... #nephrology
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Hypernatremia - Differential ... perspiration Renal ... Hypernatremia #Differential ... Diagnosis #Causes #nephrology ... #sodium #high
Mechanisms of nephron damage in cardiorenal syndrome
 • Increased renal interstitial pressure
 • Hypoperfusion
 • Reduced
• Increased renal ... Hypoperfusion • Reduced renal ... blood flow • ... hypertrophy • Sodium ... pathophysiology #nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Losses Non-renal ... vomiting) • Low ... Diagnosis #Algorithm #nephrology ... #low #potassium
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Algorithm Extra-renal ... loss (Diarrhea) Renal ... #Hypokalemia #Differential ... #nephrology