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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Urine Electrolyte Interpretation - AKI, Hyponatremia, Hypokalemia and Non-Gap Metabolic Acidosis

#Urine #Electrolytes #Interpretation #ULytes #AKI #FENa
Urine Electrolyte ... Interpretation - AKI ... Hyponatremia, Hypokalemia ... Metabolic Acidosis #Urine ... #FENa #FEUrea #Nephrology
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
patients with hypokalemia ... β€’ Cell shift: Hypokalemic ... #hypokalemia ... #differential # ... algorithm #diagnosis #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Hyponatremia - Differential ... Pain/Post-op β€’ Neurologic ... Malignancy True hypovolemia ... β€’ Reduced GFR, AKI ... Hypo-osmolar urine
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI ... Algorithm and Differential ... clinical context and signs ... Abdominal compartment syndrome ... β€’ Cardio-renal syndrome
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Normal Acid-Base: Low ... @priti899 #Hypokalemia ... #Differential # ... #nephrology
Pathophysiology of Tumor Lysis Syndrome (TLS)
Tumor Cell Lysis
-> Release of DNA
 β€’ Purines -> Hypoxanthine /
of Tumor Lysis Syndrome ... -> Uric Acid (low ... Urate Nephropathy (low ... pH) β€’ Hypocalcemia ... β€’ Hyperkalemia
Causes of HyperKalemia - Differential Diagnosis
Increased extracellular K+:
 β€’ Tissue injury
 β€’ Hemolysis
 β€’ Rhabdomyolysis
 β€’
- Differential ... β€’ Tumor lysis syndrome ... Elimination: β€’ AKI ... blockers - MCW Nephrology ... #Differential #
Hypokalemia Differential Diagnosis Algorithm

Low intake 
β€’ poor oral intake 

Renal loss 
β€’ Medication 
β€’ Hypomagnesemia 
β€’
Hypokalemia Differential ... Diagnosis Algorithm Low ... β€’ Gitelman's syndrome ... β€’ Bartter's syndrome ... #Differential #
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... β€’ Diarrhea A urine ... consumption β€’ Low ... diagnosis #Algorithm #differential ... #low
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome
 β€’ Urine Chloride
 β€’ Urine Ca/Cr ratio

Dr. Krithika
from Bartter syndrome ... β€’ Urine Chloride ... β€’ Urine Ca/Cr ... Bartter #Algorithm #nephrology ... #hypokalemia #diagnosis