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diagnosis differential causes management hyponatremia hyperkalemia rhabdomyolysis clinical criticalcare foamed heartfailure hypotonic icu intercellularshift k physiologic sodium summary
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
GI losses • Renal ... • Reduced GFR, AKI ... /CRF Hormonal changes ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
GI losses • Renal ... • Reduced GFR, AKI ... /CRF Hormonal changes ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Losses (AKI, Post-AKI ... differential #diagnosis #table ... #sodium #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Weakness - Dark urine ... + myoglobin AKI ... hour with goal urine ... Monitor potassium ... #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Dermatomyositis) AKI ... oxidative iniury Treatment ... hour with goal urine ... Monitor potassium ... per day until stable
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
nephron - TTKG > 7, Urine ... Low EABV (e.g., CHF ... Creatinine • Chronic renal ... failure • AKI ... IntercellularShift #Nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Na delivery): CHF ... , RTA Type IV, AI ... lysis) ± Urine ... Elimination (see Table ... #potassium #nephrology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... #differential #algorithm ... #management #cardiology ... #treatment #table ... #heartfailure #chf
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