Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis nephrology algorithm causes sodium treatment kidney acidosis ackd acquired alkalosis arteritis blood cardiology ckd clinical cva cystic disease disorders
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Osmolarity 2) Urine ... Uric Acid - Low ... High Uric Acid → renal ... #Differential #
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... sodium low, uric ... and uric acid low ... #Differential # ... Algorithm #Diagnosis #Nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
- Differential ... Pain/Post-op • Neurologic ... GI losses • Renal ... Hypo-osmolar urine ... #Nephrology #Differential
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Beer Potomania - Low ... • Renal Failure ... #Differential # ... Algorithm #causes #nephrology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Primary polydipsia, Low ... solute intake, Renal ... #diagnosis #differential ... algorithm #causes #nephrology
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 ... Primary polydipsia), Low ... #differential # ... table #sodium #nephrology
Approach to Hypomagnesemia Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
of magnesium = (urine ... serum magnesium x urine ... Hypomagnesemia #algorithm #differential ... diagnosis #causes #nephrology ... #magnesium #low
Distal Renal Tubular Acidosis (RTA) Type 1 Totally scuppers the kidney's acidification mechanism. Will be
Distal Renal Tubular ... Failure to acidify urine ... Distal #Diagnosis #Management ... #Nephrology #Causes ... #Differential #
Hypernatremia - Differential Diagnosis and Treatment Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... history, exam, and urine ... DI; high dilute urine ... , Dehydration: neurologic ... Diagnosis #Treatment #management
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... leukemia Measure Urine ... FEPO4 ≥ 5% - Renal ... • Normal or Low ... - Normal or Low
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