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 ... uric acid low in ... #Algorithm #Diagnosis ... #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Sodium 4) Serum ... #nephrology #sodium ... #low #uricacid
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
sodium excretion ... fractional excretion of sodium ... FENa) could help differentiate ... performance for diagnosing ... AcuteKidneyInjury #Nephrology
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis β†’
Wasting vs SIADH - Pathophysiology ... Neurological event 2) Sodium ... β†’ Increased urine ... SaltWasting #SIADH #Pathophysiology ... #diagnosis #nephrology
Fractional Excretion of Sodium - FENa
Fractional Excretion of Sodium (FENa) = (Urine Na+ x Serum Cr)
Fractional Excretion of Sodium ... (FENa) = (Urine ... / (Serum Na+ x Urine ... #nephrology #calculation ... #diagnosis
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... can be high or low ... #Hyponatremia #differential ... #diagnosis #table ... #sodium #nephrology
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
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
alkalosis β€’ Normal/low ... sodium is typically ... the excretion of sodium ... #differential # ... diagnosis
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