37 results
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Hyponatremia Correction ... Goal correction ... Hyponatremia → Osmotic ... MH/CCF/CWRU EM ... rate #management #nephrology
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Diarrhea - Workup Osmotic ... diagnostic fast, Stool osmotic ... diagnostic fast, Stool osmotic ... A/P, Consider testing ... stool, 72 hr stool collection
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... alkalosis, Ketonuria, Osmotic ... Cerebral salt wasting ... Differential #Diagnosis #Algorithm ... #Causes #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
(max rate of correction ... /L/day) Rapid correction ... patients at risk for osmotic ... up to 3x in the setting ... Treatment #management #nephrology
Algorithm for selection of the young potential living kidney donor candidate. ∗APOL1 genetic testing is recommended
Algorithm for selection ... ∗APOL1 genetic testing ... #Diagnosis #Nephrology ... Criteria #Evaluation #Algorithm
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
Differential Diagnosis Algorithm ... present on repeat testing ... including overnight testing ... #Proteinuria #Nephrology ... Differential #Diagnosis #Algorithm
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... mimics, repeat testing ... → Refer to Nephrology ... cystoscopy • Refer to Nephrology ... Hematuria #Diagnosis #Algorithm
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Hypophosphatemia Diagnostic Algorithm ... - 1° Renal PO4 wasting ... low #diagnosis #Algorithm ... #differential #nephrology
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
- MH/CCF/CWRU EM ... Management #Seizure #Algorithm ... #CriticalCare #Neurology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Acid → renal salt wasting ... Differential #Diagnosis #Algorithm ... #nephrology #sodium