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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Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... - Diabetes Insipidus ... #Sodium #nephrology ... #insipidus #DI
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
Causes of Hypernatremia - Differential Diagnosis
Inadequate water intake:
 β€’ Lack of access to water
Extrarenal hypotonic fluid
Hypernatremia - Differential ... Diagnosis Inadequate ... Central diabetes insipidus ... #Diagnosis #Causes ... #nephrology #sodium
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... #Diagnosis #Algorithm ... #nephrology #sodium ... #low #uricacid
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 β€’ Primary
Polyuria - Differential ... Diagnosis Algorithm ... Central Diabetes Insipidus ... #Diagnosis #Algorithm ... #causes #nephrology
Comparison of Causes of Salt-Wasting in Infancy
 - PHA 1
 - PHA 3
 - 21-OH CAH
Comparison of Causes ... Wasting #Infancy #Comparison ... #Causes #differential ... #diagnosis #pediatrics ... #nephrology
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Syndrome == Onset - Insidious ... pressure - Normal/low ... Serum albumin - Low ... Syndrome #Nephritic #Comparison ... #Diagnosis
Diabetes Insipidus - Diagnosis Algorithm
Tests:
 β€’ Osmolality, Urine AND/OR
 β€’ Osmolality, Serum or Plasma AND
 β€’
Diabetes Insipidus ... - Diagnosis Algorithm ... Plasma AND β€’ Sodium ... #Diagnosis #Algorithm ... #nephrology #differential
Hypophosphatemia Diagnostic Algorithm
- GI Losses
- Redistribution
- 1Β° HPT
- 1Β° Renal PO4 wasting: Hereditary, TIO, Fanconi Syndrome,
Algorithm - GI ... Hypophosphatemia #phosphorus #low ... #diagnosis #Algorithm ... #differential # ... nephrology
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... #Hypokalemia #Differential ... #Diagnosis #Algorithm ... #nephrology