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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16 results
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... sodium low, uric ... - Urine sodium ... and uric acid low ... #Differential #
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Sodium 4) Serum ... Uric Acid - Low ... #Differential # ... #sodium #low #uricacid
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
β€’ Normal/low ... sodium is typically ... the excretion of sodium ... and potassium acid ... #differential #
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
volume-based algorithm Urine ... : SIADH, Renal Sodium ... can be high or low ... #differential # ... #nephrology
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... - Metabolic Alkalosis ... diagnosis #Algorithm #differential ... #potassium #nephrology ... #low
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 ... EABV, Low Plasma ... Plasma HCO3- β€’ Low ... #potassium #differential ... algorithm #diagnosis #nephrology
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
osmolality 2) Check urine ... volume status, urine ... sodium, uric acid ... Diagnosis #Algorithm #differential ... 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 diet ... Protein diet - Urine ... Management #Pediatrics #nephrology
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 β€’ Gastric alkalosis:
: Differential Diagnosis ... volume contracted: urine ... other β€’ Severe potassium ... #Differential # ... Diagnosis #Causes #nephrology
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 ... #sodium