26 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
water retention 1) Serum ... Osmolarity 3) Urine Sodium ... 4) Serum Uric Acid ... salt wasting By Rachel ... Diagnosis #Algorithm #nephrology
Fractional Excretion of Sodium - FENa
Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
Fractional Excretion of Sodium ... Fractional Excretion of Sodium ... = (Urine Na+ x Serum ... Cr) / (Serum Na ... #nephrology #calculation
Ascites - Differential Diagnosis and Workup Algorithm

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

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

 • Step 1: Correct for hyperglycemia. Corrected Na = [(glucose - 100)/
repeat BMP • Serum ... Diagnosis #Table #nephrology ... #sodium
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Diabetes Insipidus Workup ... Management #Algorithm #Sodium ... #nephrology #insipidus
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Hyponatremia Hypovolemic, Serum ... wasting Euvolemic, Serum ... Hypervolemic, Serum ... algorithm #diagnosis #sodium ... #low #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... Repeat the sodium ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Differential #Diagnosis #Workup ... #Algorithm #nephrology ... #sodium
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Framework and Workup ... pH > 5.5 • Serum ... pH < 5.5 • Serum ... Differential #Diagnosis #Workup ... #nephrology