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diagnosis hyponatremia hypernatremia metabolic acidosis alkalosis causes gitelman hypokalemia hypotonic management nagma nonaniongap normal pathophysiology physiologic syndrome table true uricacid
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... Algorithm Instead ... sodium low, uric ... uric acid low in ... #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Sodium 4) Serum ... #nephrology #sodium ... #low #uricacid
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Algorithm Cl- ... alkalosis • Normal/low ... Urine chloride is ... #urine #Algorithm ... #nephrology #differential
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup ... Check Urine Osmolality ... • Euvolemic (Low ... #Algorithm #nephrology ... #sodium
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Acidosis (NAGMA) - Differential ... Framework and Workup ... Chloride Intoxication ... #Diagnosis #Workup ... #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Diagnosis Algorithm ... water loss, Serum Sodium ... mannitol, glucosuria Low ... Urine Osmolality ... Hypernatremia #Nephrology
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 ... can be high or low ... #Hyponatremia #differential ... #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... alkalosis • Normal or low ... Hypocalciuria (spot urine ... ratio 0.5%) Differential ... Syndrome #diagnosis #nephrology
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