20 results
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Differential Diagnosis Algorithm ... Diabetes Insipidus Workup ... Hypernatremia #Management ... #Algorithm #Sodium ... #nephrology #insipidus
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Diagnosis and Workup ... Repeat the sodium ... Hypernatremia #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... Differential #Diagnosis #Workup ... #Algorithm #nephrology ... #sodium
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... HyponatremiaAlgorithm by Satya Patel ... #Hyponatremia #Algorithm ... #diagnosis #sodium ... #nephrology
Stroke Evaluation and Management Algorithm

Clinical suspicion of stroke (BE FAST)
 • Balance loss
 • Eyes: vision
Evaluation and Management ... Algorithm Clinical ... Immediate Workup ... #Algorithm #diagnosis ... #differential #neurology
Volume Based Approach to Hyponatremia
Hypovolemic, Serum uric acid >4
 • Urine Na <20: Extra-renal losses
 •
failure Satya Patel ... #Hyponatremia #algorithm ... #diagnosis #sodium ... #low #nephrology
Orthostatic Hypotension Management Algorithm
 • Hypovolemic?  Yes → Resuscitate
 • Volume Overloaded? No → Fludrocortisone
Orthostatic Hypotension Management ... Algorithm • Hypovolemic ... → Decrease in sodium ... Satya Patel @SatyaPatelMD ... #Algorithm #treatment
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... promoting passive sodium ... bolus of 0.9% NS ... effects Satya Patel ... #hyponatremia #nephrology
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
promoting passive sodium ... colon 5. 0.9% NS ... output Satya Patel ... SatyaPatelMD #SIADH #Management ... #hyponatremia #nephrology
Algorithm for the Treatment of Uremic Pruritus
Nonpharmacologic Treatments:
 • Daily topical emollient
 • Avoidance of extremes
Algorithm for the ... Topical cromolyn sodium ... uremia #itching #Algorithm ... #Treatment #management ... #nephrology