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differential potassium hyperkalemia treatment hyponatremia hypokalemia low neurology hypernatremia alkalosis classification metabolic workup chloride criticalcare hypomagnesemia intercellularshift medications nongap overview
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... addition) of volume status ... low, uric acid high ... high and uric acid ... #Diagnosis #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential Diagnosis ... Algorithm - Utilizing ... Acid → SIADH - High ... Uric Acid → renal ... #Algorithm #nephrology
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential Diagnosis ... perspiration Renal ... #Causes #nephrology ... #sodium #high
Drugs associated with hypokalemia and hypomagnesemia Hypokalemia - Shift from extracellular fluid to intracellular fluid compartment -
Hypokalemia - Shift ... - Insulin (high ... overdose) - Sodium ... #differential #diagnosis ... #nephrology #Causes
Hypophosphatemia - Differential Diagnosis Algorithm • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use • Redistribution/
- Differential Diagnosis ... Redistribution/ Shift ... bone syndrome • Renal ... #Algorithm #causes ... #nephrology #phosphate
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
intake, Gl loss, shift ... cells FEMg >4% = renal ... Hypomagnesemia #algorithm ... #differential #diagnosis ... #causes #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Repeat the sodium ... Assess volume status ... #Workup #Algorithm ... #Nephrology
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Intracellular Shift ... Renal artery stenosis ... #Diagnosis #Causes ... #Workup #Nephrology
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic ... - Differential Diagnosis ... Algorithm GI Losses ... MetabolicAlkalosis #NonGap #Nephrology ... #Algorithm #Causes
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... mOsm/kg - Implies renal ... mechanism 2) Volume Status ... #nephrology #sodium
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