15 results
Pathophysiology of hypotonic hyponatremia

by Helbert Rondon, MD @NephroMD

#hypotonic #hyponatremia #nephrology #algorithm #Pathophysiology
Pathophysiology ... Helbert Rondon, MD @NephroMD ... #hypotonic # ... hyponatremia #nephrology ... #algorithm #Pathophysiology
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm

Reduced flow through distal nephron - TTKG
Differential Diagnosis Algorithm ... through distal nephron ... Creatinine • Chronic renal ... #Hyperkalemia #IntercellularShift ... #Nephrology #Differential
NSAIDS and their effects on the Kidney - Pathophysiology

Arachidonic Acid metabolites into alternative pathways that modify
on the Kidney - Pathophysiology ... distal component of Nephron ... absorption in distal nephron ... blood flow: Pre ... KidneyDisease #nephrology
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Medications Renal ... Losses Non-renal ... vomiting) • Low ... #nephrology #low ... #potassium
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 • Normal Acid-Base: Low intake
 • Metabolic acidosis: Gl tract
Differential Diagnosis Algorithm ... Extra-renal Losses ... loss (Diarrhea) Renal ... #causes #potassium ... #low #nephrology
Mechanisms of nephron damage in cardiorenal syndrome
 • Increased renal interstitial pressure
 • Hypoperfusion
 • Reduced
Mechanisms of nephron ... • Increased renal ... blood flow • ... syndrome #Mechanisms #pathophysiology ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
have a case of hypotonic ... normal volume-based algorithm ... can be high or low ... Primary polydipsia), Low ... table #sodium #nephrology
Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
 • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis Algorithm ... Primary polydipsia, Low ... solute intake, Renal ... Helbert Rondon, MD @NephroMD ... #causes #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... , Recent TURP Hypotonic ... Syndrome, Chronic Renal ... diagnosis #causes #nephrology ... #sodium #low
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... treated with IV potassium ... suggests extra-renal ... consumption • Low ... #nephrology #low