24 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... Fluid albumin and serum ... • Calculate SAAG ... and check ascites
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
water retention 1) Serum ... Osmolarity 2) Urine ... 4) Serum Uric Acid ... salt wasting By Rachel ... Diagnosis #Algorithm #nephrology
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Cirrhosis (high SAAG ... ) + ascites w/ PMN ... 50, LDH ULN for serum ... Criteria (at least 2) ... cloudy effluent) 2)
Fractional Excretion of Sodium - FENa
Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
Fractional Excretion of Sodium ... = (Urine Na+ x Serum ... Cr) / (Serum Na ... etiologies FEurea > 2% ... #nephrology #calculation
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
protein, culture • Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Secondary Peritonitis: 2+ ... 1) Sodium restriction ... caloric intake 2)
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... . 2) Other findings ... elevated bilirubin 2) ... perforation), Serum ... #workup #Differential
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Diabetes Insipidus Workup ... history Step #2 ... Management #Algorithm #Sodium ... #nephrology #insipidus
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... Repeat the sodium ... Step 2. ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup

NAGMA
- Chem, ABG or VBG
- Calculate Anion
Framework and Workup ... Hyperalimentation 2. ... normal Type 2: ... Differential #Diagnosis #Workup ... #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... renal mechanism 2) ... Differential #Diagnosis #Workup ... #Algorithm #nephrology ... #sodium