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differential nephrology sodium hypokalemia alkalosis metabolic potassium endocrinology adrenal alte brue chloride cushings event hypercortisolism hypernatremia hypotonic insufficiency lifethreatening nephrolithiasis
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... Algorithm Hypernatremia ... diuresis (see Polyuria ... mannitol, glucosuria Low ... #Diagnosis #Algorithm
Polyuria - Differential Diagnosis Algorithm Urine Output > 3L /day Water Diuresis (Urine Osm <100 mOsm/kg) • Primary
Polyuria - Differential ... Diagnosis Algorithm ... 100 mOsm/kg) • Primary ... #Algorithm #causes ... #nephrology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Vasopressin-independent - Consider: Primary ... polydipsia, Low ... #algorithm #causes ... #nephrology
Polyuria - Differential Diagnosis Algorithm Polyuria = >3L Urine output / 24 hours Urine osmolality = 2 (Na
Diagnosis Algorithm ... nutrition), Azotemia LOW ... Diabetes Insipidus • Primary ... #Differential #Diagnosis ... #Algorithm #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... suppression • Primary ... #Diagnosis #Algorithm ... #Causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Algorithm Syndrome ... suppression • Primary ... #Diagnosis #Algorithm ... #Causes
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... (UOsm < 100): Primary ... polydipsia, Low ... #Algorithm #diagnosis ... #sodium #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... Solute Intake - Primary ... , CNS Disease, Meds ... #Algorithm #diagnosis ... #nephrology #sodium
Causes of Polyuria - Differential Diagnosis Excess Intake of Water: • Primary polydipsia (a.k.a. "psychogenic polydipsia") •
Causes of Polyuria ... - Differential Diagnosis ... of Water: • Primary ... • Central Dl (Low ... #Causes #nephrology
Causes of Polyuria - Differential Diagnosis Algorithm Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min) Osmotic
Causes of Polyuria ... Algorithm Polyuria ... Deprivation Test • Primary ... #Diagnosis #Algorithm ... #Causes
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