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 causes low sodium hypokalemia kidney potassium workup evaluation hypernatremia management acidosis acute aki hyperkalemia hypophosphatemia injury rta transplant tubular
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... - fevers • renal ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... solute intake, Renal ... #algorithm #causes ... #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... High Uric Acid → renal ... #Differential #Diagnosis ... #Algorithm #nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... • Renal Failure ... #Algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis and Evaluation Algorithm In addition to edema and urine concentration, always consider urine
Diagnosis and Evaluation ... Algorithm In addition ... #Differential #Diagnosis ... #Evaluation #Algorithm ... #nephrology
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia ... Differential Algorithm ... and hypervolemic hyponatremia ... #Differential #Algorithm ... #Diagnosis #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... GI losses • Renal ... #Nephrology #Differential ... #Diagnosis #Algorithm
Kidney Biopsy - Diagnosis Algorithms 1) Normal Glomerulus by LM 2) Glomerular Crescents 3) Double Contours of GBM 4) Endocapillary
Kidney Biopsy - Diagnosis ... Algorithms 1) ... Kidney #Biopsy #renal ... #Diagnosis #Algorithm ... #nephrology #pathology
Renal Tubular Acidosis - Diagnosis Algorithm • Hyperkalemic Type 4 RTA • Hypokalemic Type 1 RTA
Renal Tubular Acidosis ... - Diagnosis Algorithm ... RTA • RTA of renal ... Tubular #Acidosis #Diagnosis ... #Algorithm #nephrology
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... - Differential Diagnosis ... perspiration Renal ... #Differential #Diagnosis ... #Causes #nephrology
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