algorithm nephrology aki syndrome endocrinology low nephrotic hyponatremia table diuretics renal alkalosis excretion hypotonic diuresis

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Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the

Sodium loss (diuretics ... diuresis can be ... diuresis) RAAS ... syndrome) • ADH ... #sodium #nephrology

Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20:
• Renal losses, Diuretic excess,

losses, Diuretic ... and metabolic alkalosis ... Ketonuria, Osmotic diuresis ... , UNa < 20 • Nephrotic ... #Causes #nephrology

Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia:
• ADH ON (UOsm > 100):

Algorithm Hypertonic ... syndrome - ... , Medications (diuretics ... Primary polydipsia, Low ... #sodium #nephrology

Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
• Glaucoma
• Epilepsy
• Altitude

• Metabolic alkalosis ... syndrome • Hyponatremia ... Renal #Excretion ... #Diuresis #Nephrology ... #Medications #Table

Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia:
• Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,

• Hypovolemia: Diuretics ... Liver Cirrhosis, Nephrotic ... Syndrome, Chronic ... Renal Failure, ... #sodium #low

Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to

GI losses • Renal ... especially thiazide diuretics ... Cirrhosis • Nephrotic ... GFR, AKI/CRF Hormonal ... #Nephrology #Differential

Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,

G-K), K-sparing diuretics ... improve GFR - Diuresis ... Amp IVP • Diuretics ... (IV loop diuretic ... - IV loop diuretic

Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
• Trauma:
- Immobilization
- Crush injury
- Compartment

declines > ALT) • AKI ... Hyperuricemia • Hyponatremia ... + myoglobin AKI ... Loop diuretics for ... causes #treatment #nephrology

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