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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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 ... #Ratio #nephrology
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
True Hyponatremia Differential ... sodium and serum ... #Hyponatremia #Differential ... #Algorithm #Diagnosis ... #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Osmolarity 2) Urine ... Sodium 4) Serum ... #nephrology #sodium
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
Mechanisms of Drug-Induced Hyperkalemia 
 β€’ Direct renin inhibitor (Aliskiren)
 β€’ Renin release inhibition (NSAIDs, Beta-Blockers)
(Heparin) β€’ Sodium-channel ... #hyperkalemia #differential ... #diagnosis #pathophysiology ... #pharmacology #potassium
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
sodium is typically ... the excretion of sodium ... and potassium acid ... #differential # ... diagnosis
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
the basis of the potassium-to-creatinine ... Urine K+ <13 mEq ... #potassium #differential ... #algorithm #diagnosis ... #nephrology
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
retrieve stone using urine ... protein - Low sodium ... Protein diet - Urine ... Protein diet - Urine ... Management #Pediatrics #nephrology