Evaluation of Polyuria: The Roles of Solute Loading and Water Diuresis

Slides:



Advertisements
Similar presentations
The Rise of Renal Pathology in Nephrology: Structure Illuminates Function Vivette D. D'Agati, MD, Michael Mengel, MD American Journal of Kidney Diseases.
Advertisements

Renal Function Testing
Shalin R. Sanghvi, MD, Paul S. Kellerman, MD, Lisa Nanovic, DO 
Acute Kidney Injury and Nephrotic-Range Proteinuria in a Patient 18 Months After Bone Marrow Transplantation  Jagman Chahal, MD, Cinthia Drachenberg,
Diagnosis and Treatment of Hyponatremia
Peter A. McCullough, MD, MPH, Timothy Larsen, DO, Jeremiah R
Peritoneal dialysis American Journal of Kidney Diseases
KDOQI Clinical Practice Guideline for Diabetes and CKD: 2012 Update
Gregory L. Hundemer, MD, MPH, Andrew Z. Fenves, MD, Kristy M
Changing Terminology in Renal Research: The Impact of Consensus
Hypertension in the hemodialysis patient and the “lag phenomenon”: insights into pathophysiology and clinical management  Uday M Khosla, MD, Richard J.
Quiz Page March 2008 American Journal of Kidney Diseases
Empirically Derived Search Filters for the Development of Kidney Disease Clinical Practice Guidelines  Pavel S. Roshanov, MD, MSc, Arthur V. Iansavichus,
A Decade After the KDOQI CKD Guidelines
World Kidney Day 2014: CKD and the Aging Population
Caring for Undocumented Immigrants With Kidney Disease
Joseph A. Vassalotti, MD, Beth Piraino, MD, Lynda A. Szczech, MD 
Quiz Page November 2016 American Journal of Kidney Diseases
Management of Acute Kidney Injury: Core Curriculum 2018
Jan Havlin, MD, PhD, Karel Matousovic, DSc, Otto Schück, MD, DSc 
Quiz American Journal of Kidney Diseases
Evaluation of the Potential Living Kidney Donor
Focusing on Health Literacy Might Help Us Cross the Quality Chasm
Daniel E. Weiner, MD, MS  American Journal of Kidney Diseases 
Salt and Hypertension American Journal of Kidney Diseases
Guidelines for the Older Adult With CKD
Joseph A. Vassalotti, MD, Lesley A. Stevens, MD, MS, Andrew S
Hypomagnesemia in a Patient With an Eating Disorder
Hemoglobin Level and Transfusions in Patients on Maintenance Dialysis: Where the Rubber Meets the Road  Eduardo Lacson, MD, MPH, Franklin Maddux, MD 
A Decade After the KDOQI CKD Guidelines: A Historical Perspective
Effect of Intensive Insulin Therapy and Pentastarch Resuscitation on Acute Kidney Injury in Severe Sepsis  George Thomas, MD, MPH, Ethan M. Balk, MD,
On Statin Treatment to Prevent Sepsis in Dialysis Patients
The Role of Endothelial Cell Injury in Thrombotic Microangiopathy
The Map Is Not the Territory—Mapping Out the Course and Cost of CKD
Hypertension in the hemodialysis patient and the “lag phenomenon”: insights into pathophysiology and clinical management  Uday M Khosla, MD, Richard J.
Use of Diuretics in Heart Failure: A Precarious Balance
Polyunsaturated Fatty Acids and Kidney Disease
Elevated Fibroblast Growth Factor 23 in a Patient With Metastatic Prostate Cancer and Hypophosphatemia  Casey L. Cotant, MD, Panduranga S. Rao, MD, DNB,
A Decade After the KDOQI CKD Guidelines: A Perspective From Mexico
A Sweet Cause of Polyuria
American Journal of Kidney Diseases
Quiz Page April 2008 American Journal of Kidney Diseases
Study Designs in Patient-Oriented Research
Evidence and Outcomes in CKD
Shirley J. Dopson, DO, Subramoniam Jayakumar, MD, Juan Carlos Q
Dennis G. Moledina, MD, Mark A. Perazella, MD 
Erratum American Journal of Kidney Diseases
Long-term Outcomes of Acute Kidney Injury: The Power and Pitfalls of Observational/Population-Based Studies  Charuhas V. Thakar, MD  American Journal.
Arnold S. Relman, MD, American Journal of Kidney Diseases
Trial Quality in Nephrology: How Are We Measuring Up?
Removal of Dabigatran by Hemodialysis
Multidrug-Resistant Organisms Within the Dialysis Population: A Potentially Preventable Perfect Storm  David P. Calfee, MD, MS  American Journal of Kidney.
National Kidney Foundation's Kidney Early Evaluation Program (KEEP) Annual Data Report 2011: Executive Summary  Adam T. Whaley-Connell, DO, MSPH, Joseph.
Erratum American Journal of Kidney Diseases
Hypertension and CKD: Kidney Early Evaluation Program (KEEP) and National Health and Nutrition Examination Survey (NHANES),   Madhav V. Rao,
Achieving Fairness in Access to Kidney Transplant: A Work in Progress
MicroRNAs: A Macroview Into Focal Segmental Glomerulosclerosis
James F. Winchester, MD, Thomas H. Hostetter, MD, Timothy W. Meyer, MD 
Patient Safety Issues in CKD: Core Curriculum 2015
Treatment of Hyponatremic Encephalopathy With a 3% Sodium Chloride Protocol: A Case Series  Juan Carlos Ayus, MD, Daniel Caputo, MD, Fernando Bazerque,
Jordi Goldstein-Fuchs, DSc, RD, RN, Denis Fouque, MD, PhD 
This Month in AJKD American Journal of Kidney Diseases
American Journal of Kidney Diseases
Dialysis Research and N-of-1 Trials: Made for Each Other?
Quiz Page January 2010 American Journal of Kidney Diseases
Clinical Practice Recommendations For Peritoneal Dialysis Adequacy
A Decade After the KDOQI CKD Guidelines: Impact on the National Kidney Foundation's Kidney Early Evaluation Program (KEEP)  Adam Whaley-Connell, DO, MSPH 
Clinical Practice Guidelines for Peritoneal Dialysis Adequacy
Quiz page December 2003 American Journal of Kidney Diseases
A Case of Iatrogenic Dehydration
Presentation transcript:

Evaluation of Polyuria: The Roles of Solute Loading and Water Diuresis Bhavna Bhasin, MD, Juan Carlos Q. Velez, MD  American Journal of Kidney Diseases  Volume 67, Issue 3, Pages 507-511 (March 2016) DOI: 10.1053/j.ajkd.2015.10.021 Copyright © 2016 National Kidney Foundation, Inc. Terms and Conditions

Figure 1 (Top panel) Serum osmolality, serum sodium, and (bottom panel) urine osmolality values obtained in our patient during the course of evaluation and follow-up. American Journal of Kidney Diseases 2016 67, 507-511DOI: (10.1053/j.ajkd.2015.10.021) Copyright © 2016 National Kidney Foundation, Inc. Terms and Conditions

Figure 2 Proposed algorithm for the diagnostic approach to polyuria. ∗Observed in cases of obstructive uropathy or unspecified acute kidney injury and chronic kidney disease (CKD). Abbreviations: DI, diabetes insipidus; Uosm, urine osmolality. American Journal of Kidney Diseases 2016 67, 507-511DOI: (10.1053/j.ajkd.2015.10.021) Copyright © 2016 National Kidney Foundation, Inc. Terms and Conditions