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differential causes hyponatremia hypokalemia low alkalosis management metabolic potassium acute aki hypernatremia kidney workup gitelman hypophosphatemia injury medications rhabdomyolysis treatment
Mechanisms of nephron damage in cardiorenal syndrome • Increased renal interstitial pressure • Hypoperfusion • Reduced
in cardiorenal syndrome ... • Increased renal ... hypertrophy • Sodium ... #Mechanisms #pathophysiology ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
- Differential Diagnosis ... Algorithm Hypovolemia ... Hypothyroidism, Stress ... #Algorithm #Causes ... #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential Diagnosis ... Algorithm - Utilizing ... Osmolarity 3) Urine Sodium ... High Uric Acid → renal ... #Algorithm #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Algorithm Hypovolemic ... cirrhosis, nephrotic syndrome ... Stress, Nausea, ... #Algorithm #diagnosis ... #nephrology #sodium
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... loss (Diarrhea) Renal ... #Algorithm #causes ... potassium #low #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
- Differential Diagnosis ... Workup Algorithm ... mOsm/kg - Implies renal ... , Cushing syndrome ... #nephrology #sodium
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
- Differential Diagnosis ... Algorithm Overfill ... (Increased renal ... sodium retention ... Acute Respiratory Distress
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Na <20: Extra-renal ... Cirrhosis, Nephrotic syndrome ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Repeat the sodium ... • nephrotic syndrome ... #Workup #Algorithm ... #Nephrology
Inherited Defects in Kidney Tubule Epithelial Cells Renal glucosuria - Na+-dependent glucose cotransporter Cystinuria - Amino acid transporter Bartter
Epithelial Cells Renal ... of epithelial sodium ... Defects #Kidney #Nephrology ... #Diagnosis #Differential ... #Table
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