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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14 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... - Diabetes Insipidus ... history Step #2 ... #Sodium #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Serum Osmolarity 2) ... #Diagnosis #Algorithm ... #nephrology #sodium
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Algorithm Instead ... low, uric acid ... and uric acid low ... #Algorithm #Diagnosis ... #Nephrology
Diabetes Insipidus - Diagnosis Algorithm
Tests:
 β€’ Osmolality, Urine AND/OR
 β€’ Osmolality, Serum or Plasma AND
 β€’
- Diagnosis Algorithm ... Plasma AND β€’ Sodium ... Osmolality, Urine 1-2 ... #Diagnosis #Algorithm ... #nephrology #differential
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Diagnosis Algorithm ... filling of bucket (low ... intake) 2. ... #Diagnosis #Algorithm ... Causes #workup #nephrology
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
] x 100 FEMg <2% ... #differential # ... diagnosis #causes ... #nephrology #magnesium ... #low
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology
Inflammatory Myopathies
Dermatomyositis
 β€’ Onset: Subacute
 β€’ Pattern: Proximal
 β€’ CK: Up to 50X ULN
 β€’ Autoantibodies:
Anti-MDA5, anti-Mi-2, ... Myositis β€’ Onset: Insidious ... /slow β€’ Pattern ... Inflammatory #Myopathies #differential ... #diagnosis #comparison
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
The differential ... water unavailable 2) ... post-obstructive 3) Diabetes Insipidus ... #management #nephrology ... #sodium
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Algorithm 1) Check ... serum osmolality 2) ... status, urine sodium ... #Algorithm #differential ... #hyponatremia #nephrology