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diagnosis causes algorithm hyponatremia management acutekidneyinjury continuous criticalcare gitelman hyperkalemia hypotonic indications intercellularshift overview pathophysiology physiologic replacement rhabdomyolysis syndrome table
General approach to AKI - Checklist Urine electrolytes & FENa - Previously, it was believed that urine
General approach to AKI ... - Checklist ... sodium excretion ... FENa) could help differentiate ... #Nephrology #CriticalCare
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
• Bleeding ... GI losses • Renal ... • Reduced GFR, AKI ... Hypo-osmolar urine ... #Hyponatremia #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
• Bleeding ... GI losses • Renal ... • 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 ... Sodium loss (diuretics ... Present (Uosm ≥100): Hypovolemia ... #Hyponatremia #differential ... #nephrology
Continuous Renal Replacement Therapy (CRRT) - Overview Types of CRRT • CVVHD - Continuous Veno-Venous hemodialysis -
Continuous Renal ... electrolytes (essentially hyperkalemia ... common, uremic bleeding ... Indications: • AKI ... #Indications #Nephrology
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
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... (renal potassium ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... Syndrome #diagnosis #nephrology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG > 7, Urine ... Creatinine • Chronic renal ... failure • AKI ... IntercellularShift #Nephrology
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