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differential hypokalemia hyponatremia potassium blood chloride em euvolemic hematuria hyperkalemia hypervolemic hypochloremia hypovolemic intercellularshift kidney management metabolicacidosis nongap pathophysiology pseudohyponatremia
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
symptoms (HA, nausea ... cardiac, liver, renal ... #EM #IM #Nephro ... #Differential #Algorithm ... #Ddxof
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Algorithm Extra-renal ... Gl tract loss (Diarrhea ... ) Renal Losses: ... #Algorithm #causes ... #nephrology
Hematuria Workup and Diagnosis Algorithm • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
and Diagnosis Algorithm ... for renal biopsy ... if cause not identified ... by UW IM Residency ... #Algorithm #Workup
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Algorithm UOsm ... Primary polydipsia, Low ... solute intake, Renal ... Helbert Rondon, MD @NephroMD ... #causes #nephrology
Hypokalemia Differential Algorithm Acidosis - RTA - Diarrhea pH Normal 1. Decreased Mg 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA - Diarrhea ... Renal artery stenosis ... #Diagnosis #Causes ... #Workup #Nephrology
Causes of Non-Gap Metabolic Acidosis - Differential Diagnosis Algorithm Normal Anion Gap (<14) (Loss of Bicarbonate) -
net charge) • Diarrhea ... • Fistula Renal ... Cell Problem - Low ... MetabolicAcidosis #NonGap #Nephrology ... #Algorithm #Causes
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
suggests extra-renal ... use • Diarrhea ... #Hypokalemia #diagnosis ... #potassium #nephrology ... #low
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... nephron - TTKG ... Creatinine • Chronic renal ... IntercellularShift #Nephrology ... #Algorithm #Causes
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
- Differential Diagnosis ... Algorithm Cause ... Decreased Intake: • Low ... NGT suction - Diarrhea ... #Nephrology #Chloride
Causes of Hypokalemia - Differential Diagnosis Algorithm Decreased intake (rare cause in isolation) GI loss - Urine loss
Algorithm Decreased ... <20mmol/d • Diarrhea ... aldosterone • Renal ... #Hypokalemia #Nephrology ... #Algorithm #Causes
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