18 results
diagnosis differential sodium hypokalemia potassium alkalosis endocrinology metabolic breast discharge hypomagnesemia hypotonic insufficiency magnesium physiologic table volume
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Diagnosis Algorithm ... Beer Potomania - Low ... • Euvolemic - Hypothyroidism ... , adrenal insufficiency ... #causes #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Hormonal changes • Hypothyroidism ... • Adrenal insufficiency ... suppression • Primary ... #Nephrology #Differential
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Medications (diuretics), Hypothyroidism ... , Adrenal insufficiency ... (UOsm < 100): Primary ... polydipsia, Low ... #sodium #nephrology
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Hormonal changes • Hypothyroidism ... • Adrenal insufficiency ... suppression • Primary ... #Nephrology #Differential
Volume Based Approach to Hyponatremia Hypovolemic, Serum uric acid >4 • Urine Na <20: Extra-renal losses •
acid <4 • SIADH, Hypothyroidism ... , Low solute intake ... Glucocorticoid deficiency, Primary ... #algorithm #diagnosis ... #sodium #low #nephrology
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Algorithm UOsm ... Vasopressin-independent - Consider: Primary ... polydipsia, Low ... solute intake, Renal ... #causes #nephrology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... Uosm), Hypothyroidism ... , Adrenal Insufficiency ... water intake (Primary ... table #sodium #nephrology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Diagnosis Algorithm ... treat underlying cause ... Solute Intake - Primary ... CKD, Thiazides, Hypothyroidism ... #diagnosis #nephrology
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Differential Diagnosis Algorithm ... Weakness, fatigue, nausea ... , hypotension, hyponatremia ... baseline ACTH - Primary ... • Low or normal
Causes of Hyponatremia - Differential Diagnosis Algorithm Hypovolemia, UNa > 20: • Renal losses, Diuretic excess,
Causes of Hyponatremia ... Differential Diagnosis Algorithm ... Glucocorticoid deficiency, Hypothyroidism ... Cardiac failure #Hyponatremia ... #Causes #nephrology
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