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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True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... sodium low, uric ... and uric acid low ... #Algorithm #Diagnosis ... #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Uric Acid - Low ... #nephrology #sodium ... #low #uricacid
Pathophysiology of Tumor Lysis Syndrome (TLS)
Tumor Cell Lysis
-> Release of DNA
 β€’ Purines -> Hypoxanthine /
Pathophysiology ... -> Uric Acid (low ... Urate Nephropathy (low ... urine pH) β€’ Ca-Phos ... nephropathy (high urine
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
EABV, Low Plasma ... Plasma HCO3- β€’ Low ... #potassium #differential ... #algorithm #diagnosis ... #nephrology
Hyponatremia - Differential Diagnosis and Evaluation Algorithm
In addition to edema and urine concentration, always consider urine
Hyponatremia - Differential ... Diagnosis and Evaluation ... addition to edema and urine ... always consider urine ... #Algorithm #nephrology
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... Hypomagnesemia #algorithm #differential ... #diagnosis #causes ... #nephrology #magnesium ... #low
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan β†’ Indoxyl
Purple Urine Bag ... E.coli*) + alkaline urine ... Syndrome #PUBS #pathophysiology ... clinical #photo #differential ... #diagnosis
Polyuria - Differential Diagnosis Algorithm
Urine Output > 3L /day
Water Diuresis (Urine Osm <100 mOsm/kg)
 β€’ Primary
Polyuria - Differential ... Diagnosis Algorithm ... #Polyuria #Differential ... #Diagnosis #Algorithm ... #causes #nephrology
Hypokalemia Differential Diagnosis Algorithm using Urine Potassium to Creatinine Ratio

#Hypokalemia #Differential #Diagnosis #Algorithm #Potassium #Creatinine #Ratio
Hypokalemia Differential ... Diagnosis Algorithm ... using Urine Potassium ... #Diagnosis #Algorithm ... Creatinine #Ratio #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Algorithm and Differential ... Diagnosis Baseline ... blood count with differential ... Workup #Algorithm #Differential ... #Diagnosis #nephrology