algorithm nephrology aki syndrome endocrinology low nephrotic hyponatremia table diuretics renal alkalosis sodium causes potassium urine excretion differential hypernatremia

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

Approach to Hypotonic Hyponatremia ... of hypotonic hyponatremia ... Sodium loss (diuretics ... Physiologic #Hypotonic #Hyponatremia ... #sodium #nephrology

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

Causes of Hyponatremia ... and metabolic alkalosis ... , UNa < 20 • Nephrotic ... Cardiac failure #Hyponatremia ... #Causes #nephrology

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

Causes of Hyponatremia ... GI losses • Renal ... Hypo-osmolar urine ... osmole intake #Hyponatremia ... #Nephrology #Differential

Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
> 600 mOsm/kg - Implies extrarenal mechanism

Hypernatremia - ... Extrarenal Hypernatremia ... Hypernatremia: ... MatthewHoMD #Hypernatremia ... #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

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 #

Diuretics and Agents Regulating Renal Excretion

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

• Metabolic alkalosis ... syndrome • Hyponatremia ... and euvolemic hyponatremia ... Renal #Excretion ... #Diuresis #Nephrology

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

Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

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

Rhabdomyolysis - Differential ... Hyperuricemia • Hyponatremia ... Monitor potassium ... Loop diuretics for ... #treatment #nephrology

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