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differential nephrology causes sodium adrenal endocrinology potassium bulimianervosa complications cosyntropin hyperkalemia hypernatremia hypotonic pathophysiology physiologic psychiatry signs stimtest stimulation symptoms
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Diagnosis Algorithm ... Transcellular Shift: • Alkalosis ... losses (NG suction, diarrhea ... vomiting) • Low ... #low #potassium
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis ... Algorithm Clinical ... , hypotension, hyponatremia ... , hyperkalemia, ... • Low or normal
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... EABV) - Consider: Hypovolemia ... Primary polydipsia, Low ... intake, Renal insufficiency
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... - Differential Diagnosis ... Algorithm Hypovolemia ... and metabolic alkalosis ... losses, Vomiting, Diarrhea
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Algorithm Hypertonic ... ON (UNa < 30): Hypovolemia ... Hypothyroidism, Adrenal insufficiency ... Primary polydipsia, Low ... #Algorithm #diagnosis
The Diagnostic Approach to Hyperkalemia Drugs - Amiloride - Spironolactone - Triamterene - Trimethoprim - Pentamidine -
The Diagnostic Approach ... to Hyperkalemia ... transplant - SLE ... Primary adrenal insufficiency ... #Algorithm #diagnosis
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... hypoglycemia, Hyponatremia ... , hyperkalemia, ... findings (see algorithm ... #Diagnosis #Algorithm
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... Laxative use • Diarrhea ... consumption • Low ... - Metabolic Alkalosis ... #diagnosis #Algorithm
Causes of Hypernatremia - Differential Diagnosis Algorithm Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L High
- Differential Diagnosis ... Algorithm Hypernatremia ... Osmotic diuresis (see ... mannitol, glucosuria Low ... loss • Watery Diarrhea
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... can be high or low ... Hypothyroidism, Adrenal Insufficiency ... Present (Uosm ≥100): Hypovolemia ... #differential #diagnosis
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