51 results
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
Differential Diagnosis Algorithm ... Osmolarity 3) Urine Sodium ... Acid → SIADH - High ... Uric Acid → renal ... #nephrology #sodium
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 • Lack of access to water
Extrarenal hypotonic fluid
Causes of Hypernatremia ... perspiration Renal ... Differential #Diagnosis #Causes ... #nephrology #sodium ... #high
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... - Management Seizure ... between them PEDS ... #treatment #algorithm ... #neurology
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 #hypomg
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Differential Diagnosis Algorithm ... Redistribution/ Shift ... bone syndrome • Renal ... Differential #Diagnosis #Algorithm ... #causes #nephrology
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 #magnesium
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Repeat the sodium ... Assess volume status ... - fevers • renal ... Diagnosis #Workup #Algorithm ... #Nephrology
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
• IV Fluids Shift ... 90 minutes) • Sodium ... (if preserved renal ... #Hyperkalemia #management ... #potassium #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