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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17 results
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Diagnosis Algorithm ... Serum Osmolarity 2) ... 3) Urine Sodium ... #Diagnosis #Algorithm ... #nephrology #sodium
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
β€’ Normal/low ... the indicated causes ... #Algorithm #nephrology ... #differential # ... diagnosis
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diagnosis Algorithm ... - Diabetes Insipidus ... history Step #2 ... #Algorithm #Sodium
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
hot and altered 2) ... no respiratory cause ... Acidosis, Respiratory Alkalosis ... Urine pH > 7.5 ... #management #Treatment
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
] x 100 FEMg <2% ... Hypomagnesemia #algorithm ... #differential # ... diagnosis #causes ... #low
Diabetes Insipidus - Diagnosis Algorithm
Tests:
 β€’ Osmolality, Urine AND/OR
 β€’ Osmolality, Serum or Plasma AND
 β€’
- Diagnosis Algorithm ... Plasma AND β€’ Sodium ... 1-2 hrs post administration ... #Algorithm #nephrology ... #differential
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... - Metabolic Alkalosis ... #Hypokalemia #diagnosis ... #Algorithm #differential ... #low
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Diagnosis and Treatment ... water unavailable 2) ... #Diagnosis #Treatment ... #management #nephrology ... #sodium
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
2) Is ADH elevated ... Measure urine osmolality ... #Diagnosis #Treatment ... #management #nephrology ... #sodium
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Urine Na+K / serum ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology