34 results
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Syndrome Step ... /nephritic syndromes ... dysmorphic RBCs in urine ... #Algorithm #Nephrology ... #Diagnosis
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
failure, Cirrhosis, Nephrotic ... syndromeUrine ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting, NGT
- Differential Diagnosis ... Algorithm Volume ... Urine Cl-: Vomiting ... (late) • High Urine ... #Algorithm #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
- Differential Diagnosis ... Algorithm Volume ... Urine Cl-: Vomiting ... (late) • High Urine ... #Algorithm #Nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
Algorithm for patients ... Urine Cl - Non-reabsorbable ... Cl - Loop diuretics ... #differential #algorithm ... #diagnosis #nephrology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Testing Algorithm ... Cortisol, Free Urine ... Cortisol, Saliva • Low ... Serum (or Cortisol Urine ... #diagnosis #algorithm
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Algorithm - Utilizing ... Osmolarity 2) Urine ... Uric Acid - Low ... Acid → renal salt wasting ... #Algorithm #nephrology
Hypokalemia Differential Diagnosis Algorithm
Hypertensive:
 • High Al, Low R - Primary aldosteronism
 • High Al, High
Hypokalemia Differential Diagnosis ... Algorithm Hypertensive ... Normotensive: • UCl ... #Differential #Diagnosis ... #Algorithm #nephrology
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1° HPT
- 1° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
- 1° Renal PO4 wasting ... , TIO, Fanconi Syndrome ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential #nephrology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
failure, Cirrhosis, Nephrotic ... syndrome - ... Primary polydipsia, Low ... #diagnosis #sodium ... #nephrology