32 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... - Diabetes Insipidus ... Workup Step #1 ... history Step #2
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
• Drugs • Diabetic ... PHA type l/type 2 ... • Type 1 #Hyperkalemia ... #nephrology #potassium ... #differential
Polyuria - Differential Diagnosis Algorithm
Polyuria = >3L Urine output / 24 hours
Urine osmolality = 2 (Na
Polyuria - Differential ... Diagnosis Algorithm ... Urine osmolality = 2 ... 100 mosm/kg • Diabetes ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Diagnosis Algorithm ... Volume Depleted 2° ... Volume Expanded 1° ... • High PRA: Renal ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Diagnosis Algorithm ... Volume Depleted - 2° ... Volume Expanded - 1° ... • High PRA: Renal ... #Nephrology #Causes
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Diagnosis Algorithm ... water retention 1) ... Serum Osmolarity 2) ... Acid → SIADH - High ... #nephrology #sodium
Diabetes Insipidus - Diagnosis Algorithm
Tests:
 • Osmolality, Urine AND/OR
 • Osmolality, Serum or Plasma AND
 •
Diabetes Insipidus ... Osmolality, Urine 1- ... 2 hrs post administration ... #Algorithm #nephrology ... #differential
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup ... Algorithm 1) ... renal mechanism 2) ... • Euvolemic: Diabetes ... #Algorithm #nephrology
Diagnosis Adrenal Insufficiency - Algorithm

Step 1) Screening Test: 6-8AM Cortisol Level
 - Early morning cortisol levels
Algorithm Step 1) ... Step 2) Confirmation ... Step 3) Differentiate ... checked in Step 2 ... pituitary gland) - High
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Diagnosis Framework ... (Uncontrolled diabetes ... Increased K Intake: 1. ... Medications 2. ... #nephrology