Clinic A/P, adults, Hospital A/P, Adults, HOSPITAL MEDICINE, NEPHROLOGY
#Hypervolemic Hyponatremia, moderate, chronic, etiology unknown DDx of hypervolemic hyponatremia: CHF, Cirrhosis, nephrotic syndrome, or advanced renal failure. ABCs – pt stable. No severe symptoms like seizures, obtundation, coma, and respiratory arrest. Pert...
Clinic A/P, adults, Hospital A/P, Adults, HOSPITAL MEDICINE, NEPHROLOGY
#Euvolemic Hyponatremia, moderate and likely chronic, etiology unknown DDx of euvolemic hyponatremia: SIADH, Endocrinopathies, Psychogenic (primary) polydipsia, Low solute (“tea & toast” or “beer protomania”), Reset Osmostat. ABCs –...
Clinic A/P, adults, Hospital A/P, Adults, HOSPITAL MEDICINE, NEPHROLOGY
#Hypovolemic Hyponatremia, moderate and likely chronic, etiology unknown ABCs – pt stable. No severe symptoms like seizures, obtundation, coma, and respiratory arrest. Pert +/- hx: No hx of CHF, Cirrhosis, nephrotic syndrome, or advanced renal failure. No hx of...
Clinic, HOSPITAL MEDICINE, NEPHROLOGY
The creatinine clearance (CrCl) is used to estimate the glomerular filtration rate (GFR). It’s hard to directly measure the GFR, so we use CrCl –something we can measure–to estimate the GFR. Creatinine is derived from the metabolism of creatine in...
Clinic A/P, adults, Hospital A/P, Adults, NEPHROLOGY
Common Causes -Obstructive causes e.g. BPH -Medications e.g. Pain medications -Spinal pathology Treatment options Acute urinary retention: -Indwelling bladder catheter (Foley), -Intermittent catheterization if the patient can do it. -Catheter removal and trial of...
