Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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differential algorithm neurology causes clinical physicalexam workup hyponatremia ophthalmology hypokalemia management nephrotic potassium sodium treatment acute aki discoloration glomerular hypomagnesemia
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine Urine K+
Low-normal EABV ... , Low Plasma HCO3 ... Plasma HCO3- • Low ... differential #algorithm #diagnosis ... #nephrology
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... dysmorphic RBCs in urine ... Comparison #Algorithm #Nephrology ... #Diagnosis
Algorithm for Differentiating Gitelman syndrome from Bartter syndrome • Urine Chloride • Urine Ca/Cr ratio Dr. Krithika
from Bartter syndrome ... • Urine Chloride ... • Urine Ca/Cr ... Bartter #Algorithm #nephrology ... #hypokalemia #diagnosis
True Hyponatremia Differential Algorithm Instead (or in addition) of volume status examination, check urine sodium and serum
uric acid: - Urine ... sodium low, uric ... and uric acid low ... Differential #Algorithm #Diagnosis ... #Nephrology
Hypokalemia - Differential Diagnosis Algorithm Extra-renal Losses: • Normal Acid-Base: Low intake • Metabolic acidosis: Gl tract
- Differential Diagnosis ... Normal Acid-Base: Low ... #Differential #Diagnosis ... causes #potassium #low ... #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential Diagnosis ... Osmolarity 2) Urine ... Osmolarity 3) Urine ... Uric Acid - Low ... #Algorithm #nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia Measure Urine Fractional Excretion
- Differential Diagnosis ... leukemia Measure Urine ... • Normal or Low ... - Normal or Low ... Workup #phosphate #nephrology
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
A urine K/Cr ratio ... • Diarrhea A urine ... #Hypokalemia #diagnosis ... differential #potassium #nephrology ... #low
Differentiation Between Nephrotic Syndrome and Nephritic Syndrome == Nephrotic Syndrome == Onset - Insidious Edema - ++++ Blood
pressure - Normal/low ... Serum albumin - Low ... edgarvlermamd - Nephrology ... Comparison #Table #Nephrology ... #Diagnosis
Hepatorenal Syndrome Diagnosis • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome ... Diagnosis • ↑ ... type 2 HRS) • Low ... urine Na+ (<10 ... #nephrology #criteria
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