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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59 results
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 ... #Hyponatremia #Differential ... Algorithm #Diagnosis #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Uric Acid - Low ... Diagnosis #Algorithm #nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
EABV, Low Plasma ... β€’ Distal RTA Low-normal ... Plasma HCO3- β€’ Low ... #potassium #differential ... algorithm #diagnosis #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
diagnosis with direct urine ... 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
The differential ... history, exam, and urine ... DI; high dilute urine ... , Dehydration: neurologic ... #management #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
Hypophosphatemia - Differential ... leukemia Measure Urine ... β€’ Normal or Low ... - Normal or Low ... Workup #phosphate #nephrology
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 β€’ Primary polydipsia (a.k.a. "psychogenic polydipsia")
 β€’
of Polyuria - Differential ... β€’ Central Dl (Low ... Polyuria Mimics (↑ urine ... frequency without ↑ urine ... Diagnosis #Causes #nephrology
Stroke - Differential Diagnosis Algorithm and Management
Hemorrhagic:
 β€’ Intracerebral: HTN, Cerebral Amyloid Angiopathy, Trauma, Bleeding Diathesis,
Stroke - Differential ... Algorithm and Management ... #Stroke #CVA #Differential ... Diagnosis #Algorithm #management ... #neurology #treatment
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Diagnosis and Management ... High Lactate, Low ... Potassium, Low ... Resuscitation 2) Urine ... #Treatment