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diagnosis nephrology differential algorithm treatment causes workup clinical criticalcare hyponatremia checklist pathophysiology pharmacology infectiousdiseases syndrome endocrinology anesthesia anesthesiology intraoperative microscopy
Normal Anion-Gap Acidosis (NAGMA) - Differential Diagnosis Framework and Workup NAGMA - Chem, ABG or VBG - Calculate Anion
Gap - UAG and Urine ... gap - UA with urine ... - Renal • Urine ... • Serum K low ... • Serum K: low
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
uric acid >4 • Urine ... losses • Urine ... Hypothyroidism, Low ... uric acid >4 • Urine ... Nephrotic syndrome • Urine
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Osmolarity 2) Urine ... Osmolarity 3) Urine ... Uric Acid - Low ... High Uric Acid → renal ... nephrology #sodium #low
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted - 2° hyperaldosteronism • Low Urine Cl-: Vomiting,
hyperaldosteronism • Low ... Urine Cl-: Vomiting ... , NGT suction, Low ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm Volume Depleted 2° hyperaldosteronism • Low Urine Cl-: Vomiting, NGT
hyperaldosteronism • Low ... Urine Cl-: Vomiting ... , NGT suction, Low ... (late) • High Urine ... hyperaldosteronism • High PRA: Renal
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
examination, check urine ... uric acid: - Urine ... sodium low, uric ... hyponatremia - Urine ... and uric acid low
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... serum magnesium x urine ... cells FEMg >4% = renal ... magnesium loss if renal ... nephrology #magnesium #low
Types of Renal Calculi Calcium oxalate - Interstitial apatite plaque, Low urine volume, Increased urinary calcium excretion,
apatite plaque, Low ... urine volume, Increased ... urine volume, Increased ... and intestine, Low ... phosphate: alkaline urine
Renal Tubular Acidosis - Differential Diagnosis Algorithm Decreased Serum K, Urine pH < 5.5 - Proximal RTA Decreased
Renal Tubular Acidosis ... Decreased Serum K, Urine ... Decreased Serum K, Urine ... Tubular Acidosis • Urine ... obstruction • Urine
Distal Renal Tubular Acidosis (RTA) Type 1 Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... diagnosis with direct urine ... Failure to acidify urine ... Distal #Diagnosis #Management
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