Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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41 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... HYPOVOLEMIC β€’ extra-renal ... - fevers β€’ renal ... nephrotic syndrome β€’ renal ... #Diagnosis #Workup
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... Malignancy True hypovolemia ... GI losses β€’ Renal ... #Algorithm #Causes
Hypokalemia Differential Diagnosis Algorithm

Low intake 
β€’ poor oral intake 

Renal loss 
β€’ Medication 
β€’ Hypomagnesemia 
β€’
Diagnosis Algorithm ... oral intake Renal ... Nonreabsorbable anions β€’ Renal ... #Differential #Diagnosis ... #Algorithm #Causes
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 β€’ Acute renal failure
 β€’ Chronic renal failure
 β€’ Drugs
Increased
Hyperkalemia: Diagnostic ... renal potassium ... excretion β€’ Acute renal ... Potassium-rich diet β€’ Blood ... #Diagnosis #algorithm
Hyponatremia Diagnosis Algorithm
UOsm β‰₯ POsm - Vasopressin-Dependent
 β€’ UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... EABV) - Consider: Hypovolemia ... solute intake, Renal ... #algorithm #causes
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... the cause of hypokalemia ... gastrointestinal K loss β€’ Renal ... β€’ Renal tubular ... #algorithm #causes
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... β€’ Renal Failure ... Hypovolemic - GI losses, renal ... #Algorithm #causes
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... Renal artery stenosis ... #Diagnosis #Causes ... #Workup #Nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
urinary sediment, renal ... HIV serology, renal ... eosinophiluria, renal ... protein-electrophoresis, renal ... markers β€’ Cardio-renal
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... suggests extra-renal ... causes β€’ Laxative ... losses: β€’ High Blood ... #diagnosis #Algorithm