Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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15 results
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Repeat the sodium ... volume loss - diarrhea ... โ€ข nephrotic syndrome ... #Workup #Algorithm ... #Nephrology
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... #Differential #Diagnosis ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 โ€ข Normal Acid-Base: Low intake
 โ€ข Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... Gl tract loss (Diarrhea ... #Algorithm #causes ... potassium #low #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential Algorithm ... Acidosis - RTA - Diarrhea ... #Differential #Algorithm ... #Diagnosis #Causes ... #Workup #Nephrology
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 โ€ข Decreased GI Absorption: Chronic Diarrhea, Antacids,
- Differential Diagnosis ... Algorithm Appropriately ... Absorption: Chronic Diarrhea ... #Algorithm #nephrology ... #phosphorus #workup
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Algorithm Hypovolemic ... treat underlying cause ... cirrhosis, nephrotic syndrome ... #Algorithm #diagnosis ... #nephrology #sodium
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 โ€ข Kidney loss of Cl-
Urinary Chloride Algorithm ... , Gitelman syndrome ... the indicated causes ... #nephrology #differential ... #diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Kidney Injury - AKI Workup ... Algorithm and Differential ... Diagnosis Baseline ... #Diagnosis #nephrology ... #causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... Laxative use โ€ข Diarrhea ... #Hypokalemia #diagnosis ... #potassium #nephrology
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 โ€ข Renal parenchymal disease
- Differential Diagnosis ... Oral sodium loading ... โ€ข Cushingโ€™s syndrome ... #Differential #Diagnosis ... #Workup #table