20 results
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
pressure - Normal/low ... casts - Absent Serum ... albumin - Low ... albumin - Normal ... #Diagnosis
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Table - Serum Ascites ... Albumin Gradient ... < 1.1: • Nephrotic ... #Table #Serum # ... #SAAG #hepatology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... renal failure #Hypernatremia ... #Diagnosis #Workup ... #Algorithm #Nephrology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... according to the serum ... ascites albumin ... Biliary leak, Nephrotic ... #gradient #hepatology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Based Approach to Hyponatremia ... failure, Cirrhosis, Nephrotic ... SatyaPatelMD #Volume #Hyponatremia ... #algorithm #diagnosis ... #sodium #low #nephrology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
- Differential Diagnosis ... and Workup Algorithm ... and serum albumin ... • Calculate SAAG ... gastroenterology #hepatology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia ... urine sodium and serum ... and hypervolemic hyponatremia ... in euvolemic hyponatremia ... #Nephrology
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
- Serum to Ascites ... oncotic pressure Low ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG ... Ascites #Fluid #Serum
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Uric Acid - Low ... Rachel Stern MD #Hyponatremia ... #Algorithm #nephrology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic Hyponatremia ... Primary polydipsia, Low ... #Algorithm #diagnosis ... #sodium #nephrology