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diagnosis management metabolic treatment hypokalemia rhabdomyolysis chloride diuresis gitelman hyperkalemia hypernatremia hypotonic k medications pathophysiology pharmacology physiologic summary urinary workup
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Urine Na+K / serum ... Sodium loss (diuretics ... syndrome) • ADH ... #differential # ... #sodium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... - Differential ... and metabolic alkalosis ... , UNa < 20 • Nephrotic ... #Causes #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... GI losses • Renal ... GFR, AKI/CRF Hormonal ... Hypo-osmolar urine ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... GI losses • Renal ... GFR, AKI/CRF Hormonal ... Hypo-osmolar urine ... #Nephrology #Differential
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
- Differential ... Diagnosis Algorithm ... Cl-: Diuretics, ... hyperaldosteronism • High PRA: Renal ... #Nephrology #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
• Normal/low ... the indicated causes ... of sodium and potassium ... #Algorithm #nephrology ... #differential #
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... Workup Algorithm ... 1) Check Urine ... • Euvolemic (Low ... #nephrology #sodium
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Syndrome, Chronic ... Renal Failure, ... #causes #nephrology ... #sodium #low
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... - Metabolic Alkalosis ... : Emesis, Diuretics ... #differential # ... potassium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Metabolic alkalosis ... syndrome • Hyponatremia ... Kidney stones caused ... Renal #Excretion ... #Diuresis #Nephrology
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