23 results
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) Check Urine ... • Hypovolemic: Diuretics ... , Cushing syndrome ... #Algorithm #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome ... and nephrotic syndrome ... • Liddle syndrome ... Tolvaptan) • Treatment ... #Nephrology #Pharmacology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Administration of inulin, B2 ... Cl - Loop diuretics ... , Thiazide diuretics ... , Gitelman syndrome ... algorithm #diagnosis #nephrology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 • Bacterial: Escherichia
, Busulfan • Disease ... (Goodpasture's syndrome ... kidney #blood #urine ... #management #treatment ... #nephrology
Acute Kidney Injury (AKI) in Patients with Cancer 

Cancer Related 
• Hypercalcemia 
• Intravenous contrast 
•
Cancer Related ... LC deposition disease ... Minimal change disease ... malignancies Treatment ... Classification #Nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Workup for Hypophosphatemia ... leukemia Measure Urine ... Inh., Osmotic diuresis ... Diagnosis #Framework #Workup ... #phosphate #nephrology
Urinary Casts and Disease Associations
Hyaline - May be nonspecific; seen in normal individuals or during severe
exercise or with diuretic ... and concentrated urine ... Fatty - Nephrotic syndrome ... edgarvlermamd - Nephrology ... Microscopy #Diagnosis #Nephrology
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome ... • Severe liver disease ... output and/or ↓ diuretic ... 2 HRS) • Low urine ... diagnosis #HRS #nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
basement membrane disease ... - Alport syndrome ... of glomerular disease ... BPH • Prostate cancer ... #nephrology #renal
Gitelman Syndrome - Diagnosis and Workup
Blood Work:
 - Hypokalemia
 - Hypomagnesemia
 - Metabolic Alkalosis
 - Elevated
Gitelman Syndrome ... Elevated Renin Urine ... Normotensive - No diuretic ... dominant kidney disease ... #nephrology