15 results
diagnosis differential causes hyponatremia metabolic sodium hypokalemia hypophosphatemia potassium table chloride diuresis excretion framework hypernatremia hypotonic medications metabolicalkalosis nongap phosphate
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
Primary Metabolic Alkalosis ... Differential Diagnosis Algorithm ... Cl intake, Diuretics ... High Urine Cl-: Diuretics ... #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
Primary Metabolic Alkalosis ... Differential Diagnosis Algorithm ... Cl intake, Diuretics ... High Urine Cl-: Diuretics ... #Nephrology #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Differential Diagnosis Algorithm ... Renal losses, Diuretic ... and metabolic alkalosis ... , Cirrhosis, Cardiac ... #Causes #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... • Euvolemic (Low ... , Cushing syndrome ... #Algorithm #nephrology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Transcellular Shift: • Alkalosis ... • Refeeding syndrome ... vomiting) • Low ... • Discontinued diuretic ... #nephrology #low
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Metabolic alkalosis ... disequilibrium syndrome ... failure, liver cirrhosis ... and nephrotic syndrome ... #Nephrology #Pharmacology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... Glucose, Acute resp. alkalosis ... • Normal or Low ... Inh., Osmotic diuresis ... #phosphate #nephrology
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm GI Losses - Gastric • Vomiting • NG suction GI
Causes of Metabolic Alkalosis ... Differential Diagnosis Algorithm ... tubular transport • Diuretics ... Licorice • Liddle's Syndrome ... MetabolicAlkalosis #NonGap #Nephrology
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Heart failure, Cirrhosis ... , Nephrotic syndrome ... , Medications (diuretics ... Primary polydipsia, Low ... diagnosis #sodium #nephrology
Hypophosphatemia - Differential Diagnosis Algorithm Appropriately Low Kidney Phosphate Excretion: • Decreased GI Absorption: Chronic Diarrhea, Antacids,
Differential Diagnosis Algorithm ... Appropriately Low ... Acute Respiratory Alkalosis ... #nephrology #phosphorus ... #workup
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