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causes algorithm hyponatremia management acutekidneyinjury anasarca checklist criticalcare disease edema endocrinology generalized gitelman heatstroke hypokalemia hypotonic illness insufficiency pathophysiology physiologic
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
General approach to AKI ... sodium excretion ... FENa) could help differentiate ... performance for diagnosing ... AcuteKidneyInjury #Nephrology
Primary Adrenal Insufficiency Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Insufficiency Addison's ... Salt craving • Dizziness ... Serum DHEAS Diagnosis ... insufficiency #addisons ... endocrinology #diagnosis
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... Hypothyroidism, Adrenal ... perfusion (Heart ... #diagnosis #table ... #sodium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
• Congestive heart ... • Reduced GFR, AKI ... Hypothyroidism • Adrenal ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
• Congestive heart ... • Reduced GFR, AKI ... Hypothyroidism • Adrenal ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Overfill (Increased renal ... sodium retention ... , Urine Na > 40meq ... • NSAlDs • AKI ... Pressure • Right heart
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Diagnosis Framework ... • Other symptoms ... + myoglobin AKI ... causes #treatment #nephrology
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework Heat Cramps: • Muscle pain or spasm -
Heat Stroke - Differential ... Diagnosis Framework ... Dehydration - Loss of sodium ... Syncope • Signs/Symptoms ... Hyperventilation, Dizziness
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
Muscle weakness, dizziness ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... Gitelman #Syndrome #diagnosis ... #nephrology #management
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