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
Differential Algorithm ... sodium and serum ... - Urine sodium ... #Differential # ... Algorithm #Diagnosis #Nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Serum Osmolarity 2) ... Urine Osmolarity ... 3) Urine Sodium ... #Differential #
Cerebral Salt Wasting vs SIADH - Pathophysiology 
1) Neurological event
2) Sodium loss from tubules
3) Naturiesis β†’
Neurological event 2) ... Sodium loss from ... β†’ Increased urine ... Pathophysiology #diagnosis #nephrology ... #hyponatremia #
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
serum osmolality 2) ... volume status, urine ... sodium, uric acid ... Diagnosis #Algorithm #differential ... nephrology
General approach to AKI - Checklist

Urine electrolytes & FENa - Previously, it was believed that urine
sodium excretion ... fractional excretion of sodium ... FENa) could help differentiate ... for diagnosing acute ... AcuteKidneyInjury #Nephrology
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... history Step #2 ... DrEricStrong #Hypernatremia ... Management #Algorithm #Sodium ... #nephrology #insipidus
Management of Pediatric Kidney Stones
Acute Managment:
 β€’ Pain relief: NSAIDs, opioids
 β€’ Facilitating passage of stone:
Kidney Stones Acute ... Hydration: 1.5-2 ... Surgical Rx: β€’ ACUTE ... ECWL +/- Stent: < 2 ... protein - Low sodium
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
for Treatment of Hyponatremic ... sodium should be ... Increase in sodium ... L. 5) Monitor urine ... output for signs
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
history, exam, and urine ... DI; high dilute urine ... , Dehydration: neurologic ... water unavailable 2) ... #sodium
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 β€’ Acute renal failure
 β€’ Chronic renal failure
 β€’ Drugs
Increased
Decreased renal potassium ... excretion β€’ Acute ... PHA type l/type 2 ... Diagnosis #algorithm #nephrology ... #potassium #differential