47 results
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... Hypovolemic - Give volume ... Stress, Nausea, Pulmonary ... Differential #Diagnosis #Algorithm ... #diagnosis #nephrology
Pathophysiology Based Approach to Hyponatremia - Diagnostic Algorithm

Not the "classic" Volume based approach. 

#Hyponatremia #Algorithm #Pathophysiology
Hyponatremia - Diagnostic Algorithm ... the "classic" Volume ... #Hyponatremia #Algorithm ... #Differential #Nephrology
Hypo-osmolar Hypotonic HypoNatremia Algorithm (Serum Na+ < 135 meq/L, serum Osm < 275 mosm/kg)
Assess Volume Status,
Hypotonic HypoNatremia Algorithm ... mosm/kg) Assess Volume ... #Hyponatremia #Algorithm ... #Diagnosis #Nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Volume Based Approach ... Hypothyroidism, Low solute ... SatyaPatelMD #Volume ... #Hyponatremia #algorithm ... #sodium #low #nephrology
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
kaliuresis step 1 = volume ... diuretics #diuresis #nephrology ... #algorithm
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
Differential Diagnosis Algorithm ... Volume Depleted ... Gitelman Syndrome Volume ... Differential #Diagnosis #Algorithm ... #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Hyponatremia Differential Algorithm ... in addition) of volume ... #Differential #Algorithm ... #Diagnosis #Nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Differential Diagnosis Algorithm ... Volume Depleted ... Gitelman Syndrome Volume ... Differential #Diagnosis #Algorithm ... #Nephrology #Causes
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Assess volume status ... • extra-renal volume ... fevers • renal volume ... Diagnosis #Workup #Algorithm ... #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... mechanism 2) Volume ... Diuretics, osmotic (solute ... Diagnosis #Workup #Algorithm ... #nephrology #sodium