7 results
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... OFF (UNa > 30): SIADH ... HyponatremiaAlgorithm by Satya Patel ... #Algorithm #diagnosis
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... mmol/L - true hyponatremia ... Assess volume status ... EUVOLEMIC • SIADH ... Diagnosis #Workup #Algorithm
Hyponatremia - Diagnostic Evaluation Algorithm

Step 1: Consider whether Posm may actually be normal or elevated
Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... Gravity Step 3: Assess ... tests Step 5: If SIADH ... Workup #Evaluation #Algorithm
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
Based Approach to Hyponatremia ... uric acid <4 • SIADH ... failure Satya Patel ... SatyaPatelMD #Volume #Hyponatremia ... #algorithm #diagnosis
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
SIADH Treatment ... underlying cause of SIADH ... output Satya Patel ... SatyaPatelMD #SIADH ... #Management #hyponatremia
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... bolus of 0.9% NS ... effects Satya Patel ... SatyaPatelMD #SIADH ... #Management #hyponatremia
Spinal Epidural Abscess - Classic triad (back pain + fever + neuro deficits) found in only
Spinal Epidural Abscess ... Diagnosis #EM #NSG ... #Epidural #Abscess ... #Algorithm #ALiEM