10 results
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 ... Sodium loss (diuretics ... differential #diagnosis #table ... #sodium #nephrology
Toluene Poisoning - Diagnosis and Management Summary
What is it?  Volatile hydrocarbon, Glue or paint-sniffing, Occupational
associated with AKI ... acidosis, ↓K+ Renal ... nephrocalcinosis) • Urine ... environment • Potassium ... Toluene #Poisoning #Toxicology
Potassium Binders for Management of Hyperkalemia
 • SPS - Sodium polystyrene sulfonate
 • Patiromer (veltassa)
 •
Potassium Binders ... #Hyperkalemia #treatment ... #pharmacology # ... table #comparison ... #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
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
130 mEq/L • Potassium ... Saline Causes AKI ... filtration - Renal ... Decreased GFR, urine ... NS #comparison #pharmacology
Vancomycin Associated Acute Kidney Injury

 • Drug induced acute kidney injury is generally defined as a
Treatment includes ... #Vancomycin #AKI ... #pharmacology # ... toxicology #diagnosis ... #management #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
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
, RTA Type IV, AI ... lysis) ± Urine ... 15 suggests ↓ renal ... Elimination (see Table ... #potassium #nephrology
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
thiazide-sensitive sodium ... potassium wasting ... Hypocalciuria (spot urine ... Rhabdomyolysis Treatment ... Syndrome #diagnosis #nephrology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
perfusion + ↑ renal ... • Bland urine ... • Urine sodium ... Treatment Overview ... Syndrome #Hepatology #Nephrology