Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential potassium workup sodium classification criticalcare endocrinology hypomagnesemia treatment kidney magnesium table acidosis acute aki blood hypernatremia hypocalcemia rta anesthesia
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Primary polydipsia, Low ... solute intake, Renal ... #algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Diagnosis Algorithm ... Beer Potomania - Low ... • Renal Failure ... Hypovolemic - GI losses, renal ... #Algorithm #causes
Hypokalemia Differential Diagnosis Algorithm Low intake • poor oral intake Renal loss • Medication • Hypomagnesemia •
Diagnosis Algorithm ... Low intake ... oral intake Renal ... Nonreabsorbable anions • Renal ... #Algorithm #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... GI losses • Renal ... #Nephrology #Differential ... #Diagnosis #Algorithm
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
Diagnosis Algorithm ... Extra-renal Losses ... loss (Diarrhea) Renal ... #Algorithm #causes ... #nephrology
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 • Renal ... • Renal tubular ... #algorithm #causes
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... HYPOVOLEMIC • extra-renal ... - fevers • renal ... nephrotic syndrome • renal ... #Algorithm #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Uric Acid - Low ... High Uric Acid → renal ... #Algorithm #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... ≥100): SIADH, Renal ... Present (Uosm <100): Renal ... Hypervolemia with poor renal ... #differential #diagnosis
Hyperkalemia: Diagnostic algorithm Decreased renal potassium excretion • Acute renal failure • Chronic renal failure • Drugs Increased
Hyperkalemia: Diagnostic ... renal potassium ... excretion • Acute renal ... #Diagnosis #algorithm ... #nephrology #potassium
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