16 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
ADH promotes Urea ... water retention 1) ... Serum Osmolarity 2) ... #nephrology #sodium ... #low #uricacid
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Algorithm 1) ... renal mechanism 2) ... • Euvolemic (Low ... #Algorithm #nephrology ... #sodium
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Step 1: If the ... Step 2: Does the ... hematuria (RBC casts ... #Comparison #Algorithm ... #Nephrology #Diagnosis
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
discrete buckets: 1. ... filling of bucket (low ... intake) 2. ... #Causes #workup ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Volume Depleted - 2° ... Volume Expanded - 1° ... or 2° hyperaldosteronism ... #Nephrology #Causes
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Step 1 . ... Repeat the sodium ... Step 2. ... • nephrotic syndrome ... #Algorithm #Nephrology
CPPD vs Gout

== CPPD == 

Think About CPPD When:
 • Self-limited synovitis after surgery/trauma (> 65
disease states Pathophysiology ... to Manifest: 1. ... Hyperuricemia 2. ... • Metabolic syndrome ... #Gout #Comparison
Digoxin Pharmacology and Pathophysiology
1) Na/K ATPase Pump - Digoxin works by directly binding to and inhibiting
Pharmacology and Pathophysiology ... 1) Na/K ATPase ... Pump - Digoxin works ... intracellular calcium causes ... hypokalemia (or low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... +K / serum Na >1 ... Cirrhosis, Nephrotic syndrome ... #nephrology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Hepatorenal Syndrome ... Pathophysiology: ... (formerly Type 1) ... • Urine sodium ... #Hepatology #Nephrology