86 results
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
- Insidious Edema ... pressure - Normal/low ... casts - Absent Serum ... albumin - Low ... Onset - Abrupt Edema
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
according to the serum ... albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... Tuberculosis #SAAG ... differential #diagnosis #algorithm
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
Deciphering the SAAG ... - Serum to Ascites ... oncotic pressure Low ... SAAG ≤ 1.1: • ... Ascites #Fluid #Serum
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
water retention 1) Serum ... Urine Sodium 4) Serum ... Uric Acid - Low ... #nephrology #sodium ... #low #uricacid
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... urine sodium and serum ... - Urine sodium low ... and uric acid low ... #Diagnosis #Nephrology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Diagnosis and Workup Algorithm ... Fluid albumin and serum ... • Calculate SAAG ... Differential #Diagnosis #Algorithm
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Hypothyroidism, Low ... Hypervolemic, Serum ... #Hyponatremia #algorithm ... diagnosis #sodium #low ... #nephrology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypotonic HypoNatremia Algorithm ... (Serum Na+ < 135 ... meq/L, serum Osm ... #Hyponatremia #Algorithm ... #Diagnosis #Nephrology
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
urine magnesium x serum ... creatinine)/ [0.7 (serum ... Hypomagnesemia #algorithm ... diagnosis #causes #nephrology ... #magnesium #low
Hypocalcemia - Differential Diagnosis Algorithm
 • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Differential Diagnosis Algorithm ... • Low Serum Mg ... (very rare) • Low ... Serum 25-OH Vit ... Differential #Diagnosis #Algorithm