7 results
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 ... failure, Cirrhosis, Nephrotic ... #differential #diagnosis ... table #sodium #nephrology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
failure, Cirrhosis, Nephrotic ... Cerebral salt wasting ... Primary polydipsia, Low ... #diagnosis #sodium ... #nephrology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Cerebral salt wasting ... failure, Cirrhosis, Nephrotic ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... Spot PC (protein ... in monitoring low-level ... #workup #diagnosis ... #nephritic #nephrology
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... Spot PC (protein ... in monitoring low-level ... disease #workup #diagnosis ... #nephrology #nephrotic
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 • Vomiting: urine Na/Cl > 1.6, low urine
Na/Cl > 1.6, low ... urine Cl; • ... urine Cl; • ... confirmed via genetic testing ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
tourniquet / IVF line draw ... lysis) ± Urine ... acidosis) • Low ... Use gtt, NOT hypertonic ... Treatment #potassium #nephrology