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diagnosis differential causes management hyponatremia alkalosis sodium acute blood gitelman glomerulonephritis hypernatremia hypokalemia kidney low potassium rhabdomyolysis table acuteinterstitialnephritis acutetubulointerstitialnephritis
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
the patient has hematuria ... /nephritic syndromes ... have glomerular hematuria ... dysmorphic RBCs in urine ... #Algorithm #Nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Workup Algorithm ... • Interstitial nephritis ... syndrome: troponin ... #Workup #Algorithm ... Differential #Diagnosis #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... → Refer to Nephrology ... for renal biopsy ... #Workup #urology
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Differential Diagnosis Algorithm ... Overfill (Increased renal ... sodium retention, Urine ... • NSAlDs • AKI ... /CKD • Nephrotic
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
GI losses • Renal ... Cirrhosis • Nephrotic ... GFR, AKI/CRF Hormonal ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
GI losses • Renal ... Cirrhosis • Nephrotic ... GFR, AKI/CRF Hormonal ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal ... #Primary #Metabolic ... #nephrology
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
Na <20: Extra-renal ... failure, Cirrhosis, Nephrotic ... syndrome • Urine ... #Hyponatremia #algorithm ... #sodium #low #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic ... Differential Diagnosis Algorithm ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal ... #Nephrology #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... tubal acidosis and metabolic ... , UNa < 20 • Nephrotic ... Differential #Diagnosis #Algorithm ... #Causes #nephrology
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