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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12 results
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Malignancy True hypovolemia ... β€’ Reduced GFR, AKI ... Hypo-osmolar urine ... #Nephrology #Differential
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... volume-based algorithm Urine ... Present (Uosm β‰₯100): Hypovolemia ... #differential # ... #nephrology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI ... osmolarity If cause ... investigations depending on clinical ... context and signs ... #causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... A urine K/Cr ratio ... β€’ Diarrhea A urine ... diagnosis #Algorithm #differential ... #potassium #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
is usually caused ... approach to the differential ... Measure urine osmolality ... #Differential # ... #sodium
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
for Treatment of Hyponatremic ... May repeat until clinical ... Increase in sodium ... L. 5) Monitor urine ... output for signs
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 β€’ Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... : β€’ Hypovolemia ... #Differential # ... Algorithm #diagnosis #causes ... #nephrology #sodium
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
the indicated causes ... sodium is typically ... the excretion of sodium ... and potassium acid ... #differential #
Causes of Hyperkalemia - Differential Diagnosis Framework
 β€’ Cellular Shift:
   - Exercise
Causes of Hyperkalemia ... - Differential ... distal tubule sodium ... depletion, - AKI ... #potassium #high
Pragmatic diagnostic algorithm for hypokalemia. 
***Typical presentations: 
 β€’ Vomiting: urine Na/Cl > 1.6, low urine
algorithm for hypokalemia ... correcting serum potassium ... continued in most cases ... #diagnosis #differential ... #algorithm #nephrology