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diagnosis algorithm causes hyponatremia cancer management acutekidneyinjury checklist criticalcare emergencies gitelman hyperkalemia hypotonic intercellularshift oncologic pathophysiology physiologic rhabdomyolysis syndrome table
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
General approach to AKI ... sodium excretion ... FENa) could help differentiate ... @PulmCrit #AKI ... AcuteKidneyInjury #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... • Bleeding ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Pain/Post-op • Neurologic ... • Bleeding ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... : SIADH, Renal Sodium ... Present (Uosm ≥100): Hypovolemia ... #Hyponatremia #differential ... #nephrology
Oncologic Emergencies - Differential Diagnosis Framework HEMATOLOGIC ONCOLOGIC EMERGENCIES: Hyperviscosity Syndrome: • Spontaneous bleeding • Shortness of breath
- Differential ... • Spontaneous bleeding ... of breath • Neurologic ... Vomiting, decreased urine ... #differential #
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Weakness - Dark urine ... + myoglobin AKI ... hour with goal urine ... causes #treatment #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... renal failure • AKI ... IntercellularShift #Nephrology ... #Differential #
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... Syndrome #diagnosis #nephrology
Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... 100 mOsm/kg = Urine ... appropriate • Hypovolemia ... Cancer #algorithm #nephrology ... #oncology
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