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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Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic ... hematuria (RBC casts ... #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome 
== Nephrotic Syndrome ==
Onset - Insidious 
Edema - ++++
Blood
Red blood cell casts ... Red blood cell casts ... edgarvlermamd - Nephrology ... #Comparison #Table ... #Nephrology #Diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Cirrhosis β€’ Nephrotic ... #Nephrology #Differential ... #Diagnosis #Algorithm ... #Causes
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... liver failure, nephrotic ... #Algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... Diagnosis Algorithm ... CHF, cirrhosis, nephrotic ... #Algorithm #diagnosis ... #nephrology #sodium
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... liver failure β€’ nephrotic ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 β€’ Acute renal failure
 β€’ Chronic renal failure
 β€’ Drugs
Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... β€’ Interstitial nephritis ... #Hyperkalemia #Diagnosis ... #algorithm #nephrology
Comparison of Causes of Salt-Wasting in Infancy
 - PHA 1
 - PHA 3
 - 21-OH CAH
Comparison of Causes ... #Infancy #Comparison ... #Causes #differential ... #diagnosis #pediatrics ... #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Acid β†’ renal salt wasting ... #Differential #Diagnosis ... #Algorithm #nephrology
Hyponatremia Diagnosis Algorithm
UOsm β‰₯ POsm - Vasopressin-Dependent
 β€’ UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... #diagnosis #differential ... #algorithm #causes ... #nephrology