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diagnosis differential management hypokalemia rhabdomyolysis chloride diuresis gitelman hyperkalemia hypotonic k medications metabolic pathophysiology pharmacology physiologic summary urinary
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... Sodium loss (diuretics ... syndrome) • ADH ... #sodium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... losses, Diuretic ... 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 ... Cirrhosis • Nephrotic ... GFR, AKI/CRF Hormonal ... Hypo-osmolar urine
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... GI losses • Renal ... Cirrhosis • Nephrotic ... GFR, AKI/CRF Hormonal ... Hypo-osmolar urine
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... • Normal/low ... the indicated causes ... of sodium and potassium ... #Algorithm #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
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
• Hypovolemia: Diuretics ... Syndrome, Chronic ... Renal Failure, ... #nephrology #sodium ... #low
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... suggests extra-renal ... - Metabolic Alkalosis ... : Emesis, Diuretics ... #nephrology #low
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... Hyperuricemia • Hyponatremia ... Monitor potassium ... Loop diuretics for ... #treatment #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Dermatomyositis) AKI ... hour with goal urine ... Monitor potassium ... Loop diuretics for ... Management #Summary #causes
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