11 results
diagnosis differential causes algorithm sodium low table diuresis excretion high hypernatremia hypokalemia hypotonic loop management medications physiologic potassium provoked rhabdomyolysis
Causes of Hypernatremia - Differential Diagnosis Inadequate water intake: • Lack of access to water Extrarenal hypotonic fluid
Causes of Hypernatremia ... perspiration Renal ... concentrating defect: • Diuretics ... • Osmotic diuresis ... #nephrology #sodium
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... losses, Diuretic ... Ketonuria, Osmotic diuresis ... Cardiac failure #Hyponatremia ... #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Renal losses ... especially thiazide diuretics ... #Nephrology #Differential
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Pain/Post-op • Neurologic ... • Renal losses ... especially thiazide diuretics ... #Nephrology #Differential
Causes of Secondary / Provoked Seizures - Differential Diagnosis Algorithm Febrile Infection • Sepsis • Encephalitis • Meningitis Metabolic
Causes of Secondary ... Hypocalcemia • Hyponatremia ... Degenerative • Dementia ... Panic Disorder • Conversion ... Provoked #Seizures #Neurology
Diuretics - Pharmacology Thiazides diuretics: • Inhibit Na+ Cl- cotransporter in distal tubule • Chlorothiazide, Chlorthalidone, Indapamide,
Diuretics - Pharmacology ... Thiazides diuretics ... #Pharmacology # ... nephrology #conversion ... loop #thiazide #classes
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Medications Renal ... Losses Non-renal ... intake (anorexia, dementia ... • Discontinued diuretic ... Diagnosis #Algorithm #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... ≥100): SIADH, Renal ... Losses (AKI, Post-AKI ... diuresis) RAAS ... table #sodium #nephrology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Regulating Renal ... Heart Association class ... and euvolemic hyponatremia ... #Diuresis #Nephrology ... #Pharmacology #
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... • Hypovolemia: Diuretics ... Syndrome, Chronic Renal ... Algorithm #diagnosis #causes ... #nephrology #sodium
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