12 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Serum Osmolarity 2) ... Osmolarity 3) Urine Sodium ... #Differential # ... Diagnosis #Algorithm #nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... history Step #2 ... DrEricStrong #Hypernatremia ... #Management #Algorithm ... #Sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... renal mechanism 2) ... #Differential # ... Workup #Algorithm #nephrology ... #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... 2) Is ADH elevated ... #Differential # ... Diagnosis #Treatment #management ... #nephrology #sodium
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... , Dehydration: neurologic ... water unavailable 2) ... Diagnosis #Treatment #management ... #nephrology #sodium
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Hyponatremia Diagnostic ... serum osmolality 2) ... status, urine sodium ... Diagnosis #Algorithm #differential ... nephrology
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
Basically anything 2. ... promoting passive sodium ... SatyaPatelMD #SIADH #Management ... #hyponatremia # ... nephrology #treatment
DDAVP Clamp Protocol in Hyponatremia
 • Stop any maintenance fluids.
 • Start DDAVP 2 mcg IV
Clamp Protocol in Hyponatremia ... • Start DDAVP 2 ... every 2 hours initially ... Clamp #Protocol #Hyponatremia ... #management #nephrology
Management of Pediatric Kidney Stones
Acute Managment:
 • Pain relief: NSAIDs, opioids
 • Facilitating passage of stone:
Hydration: 1.5-2 ... ECWL +/- Stent: < 2 ... protein - Low sodium ... ECG, FBE, Bone Xrays ... #Pediatrics #nephrology
Primary Polydipsia
Definition: Excessive volitional water intake
Epidemiology:
 • 6-20% of patients with psychiatric disorders - Most commonly
occurs in only 2- ... diabetes insipidus Differential ... , Urine Sodium ... Polydipsia #diagnosis #management ... #nephrology