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diagnosis differential management hyponatremia hyperkalemia hypokalemia rhabdomyolysis syndrome acei cardiology chf clinical criticalcare diuretics excretion foamed gitelman heartfailure hepatology hepatorenal
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 ... Urine Na+K / serum ... differential #diagnosis #table ... #sodium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
GI losses • Renal ... especially thiazide diuretics ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
GI losses • Renal ... especially thiazide diuretics ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... + myoglobin AKI ... Monitor potassium ... Loop diuretics for ... #treatment #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Dermatomyositis) AKI ... hour with goal urine ... Monitor potassium ... Loop diuretics for ... Management #Summary #causes
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... A urine K/Cr ratio ... suggests extra-renal ... Alkalosis: Emesis, Diuretics ... #nephrology #low
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
drugs - Moderate potassium ... - Review for causes ... of AKI - Correct ... ) - Consider renal ... Initiation #monitoring #algorithm
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Kidney stones caused ... Tolvaptan) • Treatment ... #Diuresis #Nephrology ... #Pharmacology # ... Medications #Table
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Medications: K+, ACEi/ARBs ... lysis) ± Urine ... only if no clear cause ... Elimination (see Table ... #potassium #nephrology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
• Caused by splanchnic ... perfusion + ↑ renal ... • Bland urine ... Treatment Overview ... Syndrome #Hepatology #Nephrology
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