58 results
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
sodium and serum ... sodium low, uric ... sodium high and ... uric acid low in ... Algorithm #Diagnosis #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Osmolarity 2) Urine ... Sodium 4) Serum ... Uric Acid - Low ... Diagnosis #Algorithm #nephrology ... #sodium #low #uricacid
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
uric acid >4 • Urine ... Hypothyroidism, Low ... uric acid >4 • Urine ... algorithm #diagnosis #sodium ... #low #nephrology
Fractional Excretion of Sodium - FENa
Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
Fractional Excretion of Sodium ... Fractional Excretion of Sodium ... (FENa) = (Urine ... / (Serum Na+ x Urine ... #nephrology #calculation
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
- Checklist Urine ... believed that urine ... sodium excretion ... fractional excretion of sodium ... AcuteKidneyInjury #Nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
water loss, Serum Sodium ... 145 mmol/L High Urine ... mannitol, glucosuria Low ... Urine Osmolality ... Hypernatremia #Nephrology
Glitter Cells on Urine Microscopy
Glitter cells in the urine are viable and pale staining WBCs with
Glitter Cells on Urine ... Glitter cells in the urine ... depends on the low ... Glitter #Cells #Urine ... Microscopy #clinical #nephrology
Hyponatremia Differential Diagnosis Table

 • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
Serum Osm • Urine ... Diagnosis #Table #nephrology ... #sodium
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Gap - UAG and Urine ... • Serum K low ... Proximal RTA: • Low ... • Serum K: low ... Diagnosis #Workup #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
hyperaldosteronism • Low ... Urine Cl-: Vomiting ... , NGT suction, Low ... (late) • High Urine ... Diagnosis #Algorithm #nephrology