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diagnosis differential nephrology causes adrenal endocrinology peds sodium cosyntropin hypernatremia hypotonic pediatric pediatrics physiologic stimtest stimulation table workup
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... Assess volume status ... • extra-renal volume ... hypothyroidism • adrenal insufficiency ... Diagnosis #Workup #Algorithm
Causes of Pediatric Constipation - Differential Diagnosis Algorithm Dietary / Functional: • Insufficient Volume / Bulk Neurologic: •
Causes of Pediatric Constipation ... Differential Diagnosis Algorithm ... Functional: • Insufficient ... Volume / Bulk ... Functional: • Insufficient
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Adrenal Insufficiency ... Differential Diagnosis Algorithm ... pain, dizziness, volume ... , hypotension, hyponatremia ... Differential #Diagnosis #Algorithm
Modified Hyponatremia Algorithm Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants Hypotonic Hyponatremia: • ADH ON (UOsm > 100):
Modified Hyponatremia ... Algorithm Hypertonic ... Hypothyroidism, Adrenal insufficiency ... polydipsia, Low solute ... #Algorithm #diagnosis
Hyponatremia - Differential Diagnosis Algorithm ADH Independent: • Tea and Toast Syndrome, Beer Potomania - Low solute
Hyponatremia - Differential ... Diagnosis Algorithm ... Hypothyroidism, adrenal insufficiency ... thecurbsiders #Hyponatremia ... Differential #Diagnosis #Algorithm
Hyponatremia Diagnosis Algorithm UOsm ≥ POsm - Vasopressin-Dependent • UNa < 20 mEq/L - Appropriate (↓ EABV)
Hyponatremia Diagnosis ... Algorithm UOsm ... polydipsia, Low solute ... intake, Renal insufficiency ... #differential #algorithm
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
Approach to Hypotonic Hyponatremia ... case of hypotonic hyponatremia ... than the normal volume-based ... algorithm Urine ... Hypothyroidism, Adrenal Insufficiency
Pediatric Constipation - Differential Diagnosis Algorithm Dietary/Functional • lnsufficient Volume / Bulk Neurologic • Hirschsprung's Disease • Imperforate
Pediatric Constipation ... Differential Diagnosis Algorithm ... • lnsufficient Volume ... Functional • Insufficient ... Differential #Diagnosis #Algorithm
Adrenal Insufficiency Diagnosis Algorithm Clinical features: - Weight loss, anorexia, Weakness, fatigue, GI distress - Hypotension,
Diagnosis Algorithm ... hypoglycemia, Hyponatremia ... findings (see algorithm ... around 6-8AM) – if value ... #Diagnosis #Algorithm
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