24 results
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
fludrocortisone step 3 ... = diuretic cocktail ... kaliuresis #management #criticalcare ... #diuresis #nephrology ... #algorithm
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Hypophosphatemia ... - Differential Diagnosis ... Algorithm • Decreased ... Redistribution/ Shift ... #nephrology #phosphate
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
- Differential Diagnosis ... Algorithm Transcellular ... Shift: • Alkalosis ... • Discontinued diuretic ... #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... Transcellular Shift ... Inh., Osmotic diuresis ... #Differential #Diagnosis ... Workup #phosphate #nephrology
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... between them PEDS ... Anti-epileptic #3 ... management #treatment #algorithm ... #neurology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... - Differential Diagnosis ... Algorithm Appropriately ... Transcellular Shift ... #Algorithm #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Intracellular Shift ... Diuretics (discontinued ... ) 3. ... #Diagnosis #Causes ... #Workup #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... mechanism 2) Volume Status ... #Workup #Algorithm ... #nephrology #sodium
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
- Differential Diagnosis ... Algorithm Once ... (transcellular shift ... ) 3. ... #workup #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
administration Step 3. ... Assess volume status ... volume loss - diuretics ... #Workup #Algorithm ... #Nephrology