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 workup low sodium casts glomerular hypokalemia microscopy nephritic syndrome acute aki alkalosis evaluation metabolic nephritis potassium table urinary acidosis
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
hematuria (RBC casts ... dysmorphic RBCs in urine ... #Syndrome #Comparison ... #Algorithm #Nephrology ... #Diagnosis
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Cirrhosis • Nephrotic ... Hypo-osmolar urine ... #Nephrology #Differential ... #Diagnosis #Algorithm
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
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Osmolarity 2) Urine ... Acid → renal salt wasting ... #Algorithm #nephrology
Hyponatremia - Differential Diagnosis and Evaluation Algorithm In addition to edema and urine concentration, always consider urine
Diagnosis and Evaluation ... Algorithm In addition ... to edema and urine ... always consider urine ... #nephrology
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... uric acid: - Urine ... - Urine sodium ... #Differential #Algorithm ... #Diagnosis #Nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • 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 • nephrotic ... #Diagnosis #Workup ... #Algorithm #Nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 1) Neurological event 2) Sodium loss from tubules 3) Naturiesis →
Cerebral Salt Wasting ... → Increased urine ... Pathophysiology #diagnosis ... #nephrology #hyponatremia ... #comparison
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