17 results
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Hypothyroidism, Low ... Heart failure, Cirrhosis ... , Nephrotic syndrome ... algorithm #diagnosis #sodium ... #low #nephrology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Heart failure, Cirrhosis ... , Nephrotic syndrome ... Primary polydipsia, Low ... Algorithm #diagnosis #sodium ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... (CHF, cirrhosis ... , nephrotic syndrome ... Algorithm #diagnosis #nephrology ... #sodium
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Tea and Toast Syndrome ... Beer Potomania - Low ... Heart failure, liver ... Diagnosis #Algorithm #causes ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... can be high or low ... Heart failure, Cirrhosis ... , Nephrotic syndrome ... #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Heart Failure, Liver ... Cirrhosis, Nephrotic ... Syndrome, Chronic ... #nephrology #sodium ... #low
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Causes of Gallbladder ... heart failure, Liver ... cirrhosis, Nephrotic ... syndrome, Pre-eclampsia ... Diagnosis #radiology #POCUS
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome ... gradual • Severe liver ... (e.g. advanced cirrhosis ... type 2 HRS) • Low ... diagnosis #HRS #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
heart failure, liver ... cirrhosis, chronic ... Kidney stones caused ... cirrhosis, and ... Excretion #Diuresis #Nephrology
Causes of Hypomagnesemia
 • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... intake: Alcoholism (cirrhosis ... Hypomagnesemia #Causes ... differential #diagnosis #nephrology ... #magnesium #low