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differential pathophysiology sodium syndrome alkalosis checklist gitelman half hypernatremia hypochloremia hypokalemia hypotonic ischemic management metabolic one oneandahalf ophthalmology physicalexam physiologic
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... Primary polydipsia, Low ... #algorithm #causes ... #nephrology
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Beer Potomania - Low ... #Algorithm #causes ... #nephrology
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
Causes of Hypernatremia ... Algorithm Hypernatremia ... mannitol, glucosuria Low ... #Nephrology #Differential ... #Diagnosis #Algorithm
How do you work up an ischemic CVA? A) Initial Evaluation • ABCs • IV access, monitor
How do you work ... Evaluate underlying cause ... suspicion) • +/- bubble ... stroke #workup #diagnosis ... #checklist #neurology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Algorithm Cl- ... alkalosis • Normal/low ... the indicated causes ... #nephrology #differential ... #diagnosis
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
- Differential Diagnosis ... Algorithm Cause ... Decreased Intake: • Low ... • Fatigue Chloride ... #Nephrology #Chloride
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 ... can be high or low ... #differential #diagnosis ... table #sodium #nephrology
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Algorithm Isotonic ... #Differential #Algorithm ... #diagnosis #causes ... #nephrology #sodium ... #low
One and a Half Syndrome on Physical Exam This 28 year old patient presented to clinic with
Entering VA was ... An APD was noted ... The most common causes ... the hospital, diagnosed ... ophthalmology #neurology
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 Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
distal convoluted tubule ... (DCT) Clinical ... alkalosis • Normal or low ... Gitelman #Syndrome #diagnosis ... #nephrology #management
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