26 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Triquetral Fracture ... hand or direct blow ... • ED Management ... #Triquetrum #Fracture ... XRay #Diagnosis #Management
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Differential Diagnosis Algorithm ... - Diabetes Insipidus ... Hypernatremia #Management ... #Algorithm #Sodium ... #nephrology #insipidus
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... low, uric acid ... and uric acid low ... #Differential #Algorithm ... #Diagnosis #Nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Differential Diagnosis Algorithm ... water loss, Serum Sodium ... mannitol, glucosuria Low ... kg • Diabetes Insipidus ... Hypernatremia #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Differential Diagnosis Algorithm ... Osmolarity 3) Urine Sodium ... Uric Acid - Low ... #nephrology #sodium ... #low #uricacid
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... • Euvolemic (Low ... Euvolemic: Diabetes insipidus ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
Polyuria - Differential Diagnosis Algorithm
Polyuria = >3L Urine output / 24 hours
Urine osmolality = 2 (Na
Differential Diagnosis Algorithm ... nutrition), Azotemia LOW ... kg • Diabetes Insipidus ... Differential #Diagnosis #Algorithm ... #nephrology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... Primary polydipsia, Low ... #Hyponatremia #Algorithm ... #diagnosis #sodium ... #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Hypothyroidism, Low ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Medium (Elevated) Risk Osteoporosis Decision Aid - Elevated RISK (range: low - elevated - high)

The Osteoporosis
Medium (Elevated ... Elevated RISK (range: low ... patient's risk of bone fracture ... #Management #PrimaryCare