ACAM afib differential neurology management hypernatremia table diuretics causes algorithm low

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Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
> 600 mOsm/kg - Implies extrarenal mechanism

Differential Diagnosis ... Workup Algorithm ... • Euvolemic (Low ... #Differential # ... #nephrology #sodium

Diagnosis and Management ... of Hypernatremia ... #Hypernatremia ... #Differential # ... Algorithm #Causes

Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High

Causes of Hypernatremia ... - Differential ... administration • Osmotic diuresis ... mannitol, glucosuria Low ... #Nephrology #Differential

Causes of Hyponatremia - Differential Diagnosis Algorithm
Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to

Causes of Hyponatremia ... - Differential ... Pain/Post-op • Neurologic ... especially thiazide diuretics ... #Nephrology #Differential

Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20:
• Renal losses, Diuretic excess,

Causes of Hyponatremia ... - Differential ... Diagnosis Algorithm ... Renal losses, Diuretic ... #Causes #nephrology

Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the

time you have a case ... normal volume-based algorithm ... #differential # ... diagnosis #table ... #sodium #nephrology

Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
• Low Urine Cl-: Vomiting,

Metabolic Alkalosis - Differential ... Diagnosis Algorithm ... Cl intake, Diuretics ... High Urine Cl-: Diuretics ... #Nephrology #Causes

Hyponatremia Diagnosis Algorithm
UOsm ≥ POsm - Vasopressin-Dependent
• UNa < 20 mEq/L - Appropriate (↓ EABV)

Algorithm UOsm ... Primary polydipsia, Low ... #diagnosis #differential ... #algorithm #causes ... #nephrology

Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
• Normal Acid-Base: Low intake
• Metabolic acidosis: Gl tract

Hypokalemia - Differential ... Diagnosis Algorithm ... Loop and thiazide diuretics ... #causes #potassium ... #low #nephrology

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