22 results
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
- Urinary Chloride ... • Kidney loss ... Cl- outside the kidneys ... #Urinary #Chloride ... #nephrology #differential
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Based Approach to Hyponatremia ... Na <20: Extra-renal ... Glucocorticoid deficiency, Primary ... SatyaPatelMD #Volume #Hyponatremia ... #sodium #low #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Alkalosis - Differential ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal ... #Metabolic #Alkalosis ... Diagnosis #Algorithm #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Intracellular Shift ... Metabolic alkalosis ... Primary hyperaldo ... Renal artery stenosis ... Causes #Workup #Nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... microscopy / urinary ... calcium Optional: urinary ... imaging #Acute #Kidney ... Differential #Diagnosis #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... Alkalosis - Differential ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal ... Diagnosis #Algorithm #Nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Appropriately Low Kidney ... Transcellular Shift ... Acute Respiratory Alkalosis ... • N Vitamin D: Primary ... Diagnosis #Algorithm #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... suggests extra-renal ... mEq/g suggests urinary ... - Metabolic Alkalosis ... differential #potassium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... GI losses • Renal ... Hypo-osmolar urine ... suppression • Primary ... #Nephrology #Differential
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
leukemia Measure Urine ... Transcellular Shift ... Glucose, Acute resp. alkalosis ... FEPO4 ≥ 5% - Renal ... Workup #phosphate #nephrology