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diagnosis nephrology differential sodium adrenal causes endocrinology hypernatremia anemia cosyntropin evaluation hematology hypotonic macrocytic microcytic physiologic stimtest stimulation table
Hypernatremia Diagnosis and Workup Step 1 . Repeat the sodium concentration. Step 2. Check plasma osmolality. NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... hypothyroidism • adrenal insufficiency ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... mechanism 2) Volume ... Differential #Diagnosis #Workup ... #Algorithm #nephrology
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 ... algorithm Urine ... Hypothyroidism, Adrenal Insufficiency ... Physiologic #Hypotonic #Hyponatremia
Hyponatremia - Diagnostic Evaluation Algorithm Step 1: Consider whether Posm may actually be normal or elevated Step 2:
Hyponatremia - Diagnostic ... Evaluation Algorithm ... Step 3: Assess volume ... #Diagnosis #Workup ... #Evaluation #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
Anemia Diagnostic Algorithm Mean corpuscular (cell) volume (MCV): Average RBC size. Under 80 = microcytic. Between 80-95
Anemia Diagnostic Algorithm ... corpuscular (cell) volume ... then BM response insufficient ... Algorithm by Dr. ... #Diagnosis #Workup
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