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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Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 β€’ Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... #Differential #Diagnosis ... #Algorithm #causes ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Hypothyroidism β€’ Adrenal ... #Nephrology #Differential ... #Diagnosis #Algorithm ... #Causes
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... High Uric Acid β†’ renal ... salt wasting By ... #Algorithm #nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm
Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... Weakness, fatigue, nausea ... , hypotension, hyponatremia ... , hypoglycemia Testing
Hyponatremia Diagnosis Algorithm
UOsm β‰₯ POsm - Vasopressin-Dependent
 β€’ UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... solute intake, Renal ... #algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
Hyponatremia - Differential ... Diagnosis by Mechanism ... Cerebral salt wasting ... Hypothyroidism - Adrenal ... #Table #Causes
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Hypothyroidism, Adrenal ... #differential #diagnosis ... #table #sodium ... #nephrology
Hematuria Workup and Diagnosis Algorithm
 β€’ Confirm hematuria β†’ Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup and Diagnosis ... Algorithm β€’ Confirm ... mimics, repeat testing ... β†’ Refer to Nephrology ... for renal biopsy
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... from other causes ... causes β€’ Laxative ... #Hypokalemia #diagnosis ... #potassium #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 β€’ Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... Syndrome, Chronic Renal ... #Differential #Algorithm ... #diagnosis #causes ... #nephrology #sodium