12 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
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Transcellular Shift ... Inh., Osmotic diuresis ... Diagnosis #Framework #Workup ... #phosphate #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Intracellular Shift ... Diuretics (discontinued ... ) 3. ... Diagnosis #Causes #Workup ... #Nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Hypophosphatemia ... Differential Diagnosis Algorithm ... Transcellular Shift ... #nephrology #phosphorus ... #workup
Hypernatremia - Differential Diagnosis Workup Algorithm

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

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... administration Step 3. ... Assess volume status ... volume loss - diuretics ... #Algorithm #Nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Toxins - Drugs - Statins ... Hyperkalemia • Hyperphosphatemia ... Shift of extracellular ... Loop diuretics for ... causes #treatment #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
• K sparing diuretics ... Intracellular Shift ... - Hyperosmolar states ... K supplement 3. ... potassium #high #nephrology