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differential algorithm causes hypokalemia management metabolic treatment acidosis alkalosis aniongap chloride diuresis diuretics excretion hepatology hepatorenal hrs hypernatremia hyponatremia hypotonic
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
Diagnosis Algorithm ... glucose mg/dL]/18 HIGH ... Hyperglycemia, High ... solute intake (e.g ... #Algorithm #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
creatinine) • Cell shift ... ↑ Aldosterone: Kidney ... #urine #potassium ... differential #algorithm #diagnosis ... #nephrology
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
- Differential Diagnosis ... concentration (e.g ... >50% - Proper kidney ... - Unresponsive Kidney ... #Nephrology #Differential
Management of Pediatric Kidney Stones Acute Managment: • Pain relief: NSAIDs, opioids • Facilitating passage of stone:
Management of Pediatric Kidney ... therapy (MET): e.g ... retrieve stone using urine ... involvement: eyes, TFT, ECG ... Management #Pediatrics #nephrology
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
- Differential Diagnosis ... SGLT2 inhibitors (e.g ... Hereditary, Lithium, Hypercalcemia ... without ↑ urine ... #Causes #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
differentiating kidney ... A urine K/Cr ratio ... urinary losses: • High ... #diagnosis #Algorithm ... #nephrology #low
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Sodium >145 mmol/L High ... Urine Osmolality ... diuresis (see Polyuria ... scheme) e.g., mannitol ... Hypernatremia #Nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... phlebotomy High ... Intracellular Shift ... #causes #potassium ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Diagnosis Framework ... phlebotomy High ... • Recent IV potassium ... Intracellular Shift ... #high #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
to diarrhea, a high ... high in kidney ... of sodium and potassium ... #Algorithm #nephrology ... #differential #diagnosis
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