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diagnosis nephrology differential algorithm hyponatremia management causes treatment hypokalemia workup alkalosis clinical gitelman metabolic urology hepatorenal hrs hypernatremia kidney low
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
sodium and serum ... uric acid: - Urine ... sodium low, uric ... sodium high and ... Algorithm #Diagnosis #Nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Wasting vs SIADH - Pathophysiology ... Neurological event 2) Sodium ... → Increased urine ... SaltWasting #SIADH #Pathophysiology ... #diagnosis #nephrology
Fractional Excretion of Sodium - FENa Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
Fractional Excretion of Sodium ... Fractional Excretion of Sodium ... (FENa) = (Urine ... / (Serum Na+ x Urine ... #nephrology #calculation
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
- Checklist Urine ... believed that urine ... sodium excretion ... fractional excretion of sodium ... AcuteKidneyInjury #Nephrology
Urinalysis & Urine Sodium Theophilus Protospatharius, a seventh-century physician who wrote the first manuscript focused exclusively
Sodium Theophilus ... Creatinine, Na = Sodium ... sodium < 20 mEq ... sodium > 40 mEq ... #UNa #casts #glucosuria
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Osmolarity 2) Urine ... Osmolarity 3) Urine ... Sodium 4) Serum ... Diagnosis #Algorithm #nephrology ... #sodium #low #uricacid
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
uric acid >4 • Urine ... Cirrhosis, Nephrotic syndrome ... • Urine Na > 30 ... algorithm #diagnosis #sodium ... #low #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... : SIADH, Renal Sodium ... Cirrhosis, Nephrotic syndrome ... diagnosis #table #sodium ... #nephrology
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... dysmorphic RBCs in urine ... Nephritic #Nephrotic #Syndrome ... Comparison #Algorithm #Nephrology
Mechanisms of nephron damage in cardiorenal syndrome • Increased renal interstitial pressure • Hypoperfusion • Reduced
in cardiorenal syndrome ... hypertrophy • Sodium ... #cardiorenal #syndrome ... #Mechanisms #pathophysiology ... #nephrology
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