29 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
1 . ... Step 2. ... administration Step 3. ... • nephrotic syndrome ... #Algorithm #Nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Diabetes Insipidus Workup ... Step #1 - Consider ... history Step #2 ... Uglucose Step #3 ... #Sodium #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... renal mechanism 2) ... , Cushing syndrome ... #Algorithm #nephrology
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
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis →
1) Neurological ... event 2) Sodium ... from tubules 3) ... #hyponatremia # ... comparison
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) ... Urine Osmolarity 3) ... #nephrology #sodium
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... discontinued) 3. ... secreting tumor 3. ... #Diagnosis #Causes ... #Workup #Nephrology
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Step 1: Consider ... elevated Step 2: ... Gravity Step 3: ... considered likely, the cause ... #Diagnosis #Workup
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
discrete buckets: 1. ... (low intake) 2. ... transcellular shift) 3. ... #Causes #workup ... #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
to work through ... 1) Is it hypotonic ... 2) Is ADH elevated ... demyelination syndrome ... Treatment #management #nephrology